Gold Savings 1825 ($25 Primary Care Copay, $50 Specialist Copay, Open Access)
Health First Commercial Plans, Inc. · 2026 plan year
Gold
- Ind. medical deductible
- $3,050
- Rx deductible (separate)
- $400
- Family deductible
- $6,100
- Ind. OOP max
- $8,100
- Family OOP max
- $16,200
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
Other cost-sharing reduction variants for this plan:
More Health First Commercial Plans, Inc. plans in FL
Bronze Value 1814 (High Value Network Savings, Open Access)Silver Value 1815 ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings)Gold Value 1819 ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access)
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $25.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $50.00 |
Hospital
| Benefit | In-network |
|---|---|
| Outpatient Surgery Physician/Surgical Services | 35.00% Coinsurance after deductible |
| Emergency Room Services | 35.00% Coinsurance after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | 35.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $30.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Non-Preferred Brand Drugs | $55.00 Copay after deductible |
| Preferred Brand Drugs | $30.00 Copay after deductible |
| Preferred Generic Drugs | $3.00 |
| Generic Drugs | $15.00 |
| Specialty Drugs | 25.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 35.00% Coinsurance after deductible |
| Mental/Behavioral Health Outpatient Services | 35.00% Coinsurance after deductible |
| Mental Health Office Visit | $50.00 |
Other
| Benefit | In-network |
|---|---|
| Dental Check-Up for Children | No charge |
| Nutritional Counseling | No charge |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | No charge |
| Osteoporosis Treatment | $50.00 |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $25.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 35.00% Coinsurance after deductible |
| Outpatient Observation | 35.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | 35.00% Coinsurance after deductible |
| Partial Hospitalization | 35.00% Coinsurance after deductible |
| Prenatal and Postnatal Care | No charge |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | 35.00% Coinsurance after deductible |
| Radiation | 35.00% Coinsurance after deductible |
| Reconstructive Surgery | 35.00% Coinsurance after deductible |
| Delivery and All Inpatient Services for Maternity Care | 35.00% Coinsurance after deductible |
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | 35.00% Coinsurance after deductible |
| Acupuncture | Not covered |
| Allergy Testing | No charge |
| Anesthesia Services for Dental Care | 35.00% Coinsurance after deductible |
| Bariatric Surgery | Not covered |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | No charge |
| Cardiac and Pulmonary Rehabilitation | 35.00% Coinsurance after deductible |
| Chemotherapy | 35.00% Coinsurance after deductible |
| Chiropractic Care | $50.00 |
| Cosmetic Surgery | Not covered |
| Diabetes Education | No charge |
| Dialysis | 35.00% Coinsurance after deductible |
| Durable Medical Equipment | 35.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | 35.00% Coinsurance after deductible |
| Enteral/Parenteral and Oral Nutrition Therapy | 35.00% Coinsurance after deductible |
| Eye Glasses for Adult | Not covered |
| Eye Glasses for Children | No charge |
| Genetic Testing Lab Services | 35.00% Coinsurance after deductible |
| Habilitation Services | 35.00% Coinsurance after deductible |
| Hearing Aids | Not covered |
| Home Health Care Services | 35.00% Coinsurance after deductible |
| Hospice Services | 35.00% Coinsurance after deductible |
| Hyperbaric Oxygen Therapy | 35.00% Coinsurance after deductible |
| Imaging (CT/PET Scans, MRIs) | 35.00% Coinsurance after deductible |
| Infertility Treatment | Not covered |
| Infusion Therapy | 35.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | 35.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | No charge |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | No charge |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | 35.00% Coinsurance after deductible |
| Rehabilitative Speech Therapy | 35.00% Coinsurance after deductible |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | $50.00 |
| Skilled Nursing Facility | 35.00% Coinsurance after deductible |
| Substance Abuse Disorder Inpatient Services | 35.00% Coinsurance after deductible |
| Substance Abuse Disorder Outpatient Services | 35.00% Coinsurance after deductible |
| Substance Abuse Office Visit | $50.00 |
| Transplant | 35.00% Coinsurance after deductible |
| Treatment for Temporomandibular Joint Disorders | 35.00% Coinsurance after deductible |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 35.00% Coinsurance after deductible |
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