BlueSelect Bronze (HSA) 27L01-02 (Rewards / $4 select RX)

Florida Blue (BlueCross BlueShield FL) · 2027 plan year

Expanded BronzeHSA eligible

Ind. deductible: $7,175
Family deductible: $14,350
Ind. OOP max: $8,275
Family OOP max: $16,550

Compare with other Expanded Bronze plans in FL

Side by side: deductibles, out-of-pocket limits and copays.

Gym Access IND Bronze Standardized HMOFlorida Health Care Plans · Deductible $7,150 · Out-of-pocket max $12,000
BlueCare Bronze (HSA) 24K01-03 (3 PCP Visits for $0 then $55 / Rewards)Florida Blue HMO (a BlueCross BlueShield FL company) · Deductible $7,300 · Out-of-pocket max $12,000
BlueCare Bronze (HSA) 24K02-17 (3 PCP Visits for $0 then $55 / Rewards)Florida Blue HMO (a BlueCross BlueShield FL company) · Deductible $7,300 · Out-of-pocket max $12,000

Compare 4 plans Browse all Expanded Bronze plans in FL

Other cost-sharing reduction variants for this plan:

Limited Cost Sharing Plan Variation Standard Bronze Off Exchange Plan Zero Cost Sharing Plan Variation

More Florida Blue (BlueCross BlueShield FL) plans in FL

BlueOptions Bronze (HSA) 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)BlueOptions Bronze (HSA) 24J01-06 (Rewards)BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 select RX)BlueOptions Bronze (HSA) 24J01-17 ($40 PCP Visits / Rewards)BlueOptions Bronze (HSA) 24J01-18S ($50 PCP Visits / Rewards)

Monthly premiums by age

Rating Area 60 — the lowest-priced of the 44 areas this plan covers. Premiums differ by area.

Age	Individual	Individual + tobacco
Under 15	$346	$346
21	$453	$489
30	$514	$578
40	$579	$680
50	$809	$971
60	$1,229	$1,475
64 and over	$1,359	$1,630

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	5.00% Coinsurance after deductible

Specialist

Benefit	In-network
Specialist Visit	5.00% Coinsurance after deductible

Hospital

Benefit	In-network
Emergency Room Services	5.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	5.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	5.00% Coinsurance after deductible
Urgent Care Centers or Facilities	5.00% Coinsurance after deductible

Pharmacy

Benefit	In-network
Generic Drugs	No Charge after deductible
Non-Preferred Brand Drugs	7.00% Coinsurance after deductible
Off Label Prescription Drugs	7.00% Coinsurance after deductible
Preferred Brand Drugs	5.00% Coinsurance after deductible
Specialty Drugs	10.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	5.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	5.00% Coinsurance after deductible

Other

Benefit	In-network
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	5.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	5.00% Coinsurance after deductible
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	Not covered
Bone Marrow Transplant	5.00% Coinsurance after deductible
Chemotherapy	5.00% Coinsurance after deductible
Chiropractic Care	5.00% Coinsurance after deductible
Congenital Anomaly, including Cleft Lip/Palate	5.00% Coinsurance after deductible
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	5.00% Coinsurance after deductible
Dental Anesthesia	5.00% Coinsurance after deductible
Dental Check-Up for Children	Not covered
Diabetes Care Management	5.00% Coinsurance after deductible
Diabetes Education	5.00% Coinsurance after deductible
Dialysis	5.00% Coinsurance after deductible
Durable Medical Equipment	5.00% Coinsurance after deductible
Emergency Transportation/Ambulance	5.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Habilitation Services	5.00% Coinsurance after deductible
Hearing Aids	Not covered
Home Health Care Services	5.00% Coinsurance after deductible
Hospice Services	5.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	5.00% Coinsurance after deductible
Infertility Treatment	Not covered
Infusion Therapy	5.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	5.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	5.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	Not covered
Nutrition/Formulas	5.00% Coinsurance after deductible
Nutritional Counseling	5.00% Coinsurance after deductible
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Osteoporosis	5.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	5.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	5.00% Coinsurance after deductible
Outpatient Rehabilitation Services	5.00% Coinsurance after deductible
Prenatal and Postnatal Care	5.00% Coinsurance after deductible
Private-Duty Nursing	Not covered
Prosthetic Devices	5.00% Coinsurance after deductible
Radiation	5.00% Coinsurance after deductible
Reconstructive Surgery	5.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	5.00% Coinsurance after deductible
Rehabilitative Speech Therapy	5.00% 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	5.00% Coinsurance after deductible
Skilled Nursing Facility	5.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	5.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	5.00% Coinsurance after deductible
Transplant	5.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	5.00% Coinsurance after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	5.00% Coinsurance after deductible