AvMed Entrust Gold 125 (2026)
AvMed · 2026 plan year
Gold
- Ind. deductible
- $2,000
- Family deductible
- $4,000
- Ind. OOP max
- $5,850
- Family OOP max
- $11,700
Compare with other Gold plans in FL
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More AvMed plans in FL
Monthly premiums by age
Rating Area 49 — the lowest-priced of the 4 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $470 | $470 |
| 21 | $614 | $737 |
| 30 | $697 | $837 |
| 40 | $785 | $942 |
| 50 | $1,097 | $1,316 |
| 60 | $1,667 | $2,000 |
| 64 and over | $1,843 | $2,211 |
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 | $35.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $70.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $500.00 Copay after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | $850.00 Copay per Stay after deductible |
| Outpatient Surgery Physician/Surgical Services | No Charge after deductible |
| Urgent Care Centers or Facilities | $125.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $30.00 |
| Non-Preferred Brand Drugs | $120.00 |
| Preferred Brand Drugs | $60.00 |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $850.00 Copay per Stay after deductible |
| Mental/Behavioral Health Outpatient Services | $35.00 |
Other
| Benefit | In-network |
|---|---|
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | No charge |
| Bone Marrow Transplant | $850.00 Copay after deductible |
| Chemotherapy | 50.00% Coinsurance after deductible |
| Chiropractic Care | $35.00 |
| Congenital Anomaly, including Cleft Lip/Palate | $850.00 Copay after deductible |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | $850.00 Copay after deductible |
| Dental Anesthesia | No Charge after deductible |
| Dental Check-Up for Children | No charge |
| Diabetes Care Management | $70.00 |
| Diabetes Education | $70.00 |
| Dialysis | $650.00 Copay after deductible |
| Durable Medical Equipment | $100.00 Copay after deductible |
| Emergency Transportation/Ambulance | $200.00 |
| Eye Glasses for Children | No charge |
| Habilitation Services | $70.00 |
| Hearing Aids | Not covered |
| Home Health Care Services | $70.00 Copay after deductible |
| Hospice Services | No Charge after deductible |
| Imaging (CT/PET Scans, MRIs) | $250.00 |
| Infertility Treatment | Not covered |
| Infusion Therapy | $70.00 |
| Inpatient Physician and Surgical Services | No Charge after deductible |
| Laboratory Outpatient and Professional Services | $10.00 |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | $400.00 |
| Nutrition/Formulas | $100.00 Copay after deductible |
| Nutritional Counseling | $70.00 |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | $400.00 |
| Osteoporosis | $250.00 |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $35.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $650.00 Copay after deductible |
| Outpatient Rehabilitation Services | $70.00 |
| Prenatal and Postnatal Care | $35.00 |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | $100.00 Copay after deductible |
| Radiation | $650.00 Copay after deductible |
| Reconstructive Surgery | $850.00 Copay after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $70.00 |
| Rehabilitative Speech Therapy | $70.00 |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | Not covered |
| Skilled Nursing Facility | $250.00 Copay per Day after deductible |
| Substance Abuse Disorder Inpatient Services | $850.00 Copay per Stay after deductible |
| Substance Abuse Disorder Outpatient Services | $35.00 |
| Transplant | $850.00 Copay after deductible |
| Treatment for Temporomandibular Joint Disorders | $70.00 |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $75.00 |
| Accidental Dental | $850.00 Copay after deductible |
| Acupuncture | Not covered |
| Allergy Testing | $70.00 |
| Abortion for Which Public Funding is Prohibited | Not covered |
| Bariatric Surgery | Not covered |
Plan rules
Service area
This plan covers 4 geographic areas.
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