Florida health plan · 2026

MyBlueX Bronze 2221X ($5 PCP Visits / Rewards) · 30252FL0120004

Health Options, Inc. offers this marketplace plan (Plan ID 30252FL0120004). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.

Issuer: Health Options, Inc.
Telehealth Data pending HSA eligible Check with issuer Dental Not listed Vision Not listed
View issuer site

2026 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 01 Sep 2026 05:53 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

See plan search for live pricing

Before subsidies

Estimate after subsidies

Deductible

N/A

N/A

See deductible details

Max out-of-pocket

N/A

N/A

Review MOOP rules

Office visits

Primary care See benefits
Specialist See benefits

Drug tiers

Generic See drug coverage
Preferred brand See drug coverage

View formulary tiers

Issuer profile See benefits
Advertisement

Enrollment guidance

Stay on top of 2026 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2026 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Florida). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • Silver-tier CSR plans lower deductibles for households ≤250% FPL.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 30252FL0120004
Coverage year 2026
State Florida
Issuer Health Options, Inc.
Formulary document Download formulary
Marketing materials View marketing kit
Last plan update Tue, 30 Sep 2025 00:00 GMT
Last HealthPorta import Tue, 01 Sep 2026 05:53 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 01 Sep 2026 05:53 GMT).

All providers in Florida 69833
PCPs in Florida 12208
Telehealth support Data pending
Nationwide providers 129063
69,833 doctors statewide 12,208 PCPs 824 OB/GYN

Provider network(s)

  • PREFERRED
Providers Florida All US states
All 69833 129063
PCP 12208 13614
Allergy 37 47
OB/GYN 824 974
Dentists 185 278

Drug coverage overview

4,136 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
NON-PREFERRED-BRAND 2,342
PREFERRED-GENERIC 914
GENERIC 559
ZERO-COST-SHARE-PREVENTIVE-DRUGS 311
BRAND 10
Prior authorization Drugs
Required 1,105
Not Required 3,031
Step therapy Drugs
Required 69
Not Required 4,067
Quantity limits Drugs
Has Limit 1,597
No Limit 2,539

Customer highlights

What stands out for members

  • Issuer: Health Options, Inc. · Plan ID 30252FL0120004 · 2026 filing.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
Advertisement

Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Florida?

MyBlueX Bronze 2221X ($5 PCP Visits / Rewards) (30252FL0120004) is a marketplace plan from Health Options, Inc. in Florida for the 2026 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does MyBlueX Bronze 2221X ($5 PCP Visits / Rewards) support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is MyBlueX Bronze 2221X ($5 PCP Visits / Rewards) HSA-eligible and does it include dental or vision coverage?

HSA eligibility is not published; check the Summary of Benefits or ask the issuer.

Dental coverage is not listed for this plan.

Vision coverage is not listed for this plan.

Does MyBlueX Bronze 2221X ($5 PCP Visits / Rewards) support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

Disclaimer: Based on the Tue, 01 Sep 2026 05:53 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
Issuer profile More plans
Open comparison tray

Add at least two plans to launch side-by-side comparisons.