AvMed Entrust Platinum Standard (2026)

AvMed · 2026 plan year

Platinum
Ind. deductible
$0
Family deductible
$0
Ind. OOP max
$5,200
Family OOP max
$10,400

Compare with other Platinum plans in FL

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

More AvMed plans in FL

Monthly premiums by age

Rating Area 1 — the lowest-priced of the 11 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$696$696
21$910$1,092
30$1,033$1,239
40$1,163$1,396
50$1,625$1,950
60$2,470$2,964
64 and over$2,730$3,276

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$10.00

Specialist

BenefitIn-network
Specialist Visit$20.00

Hospital

BenefitIn-network
Emergency Room Services$100.00
Inpatient Hospital Services (e.g., Hospital Stay)$350.00 Copay per Stay
Outpatient Surgery Physician/Surgical Services$150.00
Urgent Care Centers or Facilities$15.00

Pharmacy

BenefitIn-network
Generic Drugs$5.00
Non-Preferred Brand Drugs$50.00
Preferred Brand Drugs$10.00
Specialty Drugs$150.00

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$350.00 Copay per Stay
Mental/Behavioral Health Outpatient Services$10.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental$350.00
AcupunctureNot covered
Allergy Testing$20.00
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNo charge
Bone Marrow Transplant$350.00
Chemotherapy50.00%
Chiropractic Care$10.00
Congenital Anomaly, including Cleft Lip/Palate$350.00
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care$350.00
Dental AnesthesiaNo charge
Dental Check-Up for ChildrenNo charge
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$150.00
Diabetes Care Management$20.00
Diabetes Education$20.00
Dialysis$150.00
Durable Medical Equipment$100.00
Emergency Transportation/Ambulance$200.00
Eye Glasses for ChildrenNo charge
Habilitation Services$10.00
Hearing AidsNot covered
Home Health Care Services$20.00
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)$100.00
Infertility TreatmentNot covered
Infusion Therapy$20.00
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional Services$30.00
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - Child$400.00
Nutrition/Formulas$100.00
Nutritional Counseling$20.00
Orthodontia - AdultNot covered
Orthodontia - Child$400.00
Osteoporosis$100.00
Other Practitioner Office Visit (Nurse, Physician Assistant)$10.00
Outpatient Rehabilitation Services$10.00
Prenatal and Postnatal Care$10.00
Private-Duty NursingNot covered
Prosthetic Devices$100.00
Radiation$150.00
Reconstructive Surgery$350.00
Rehabilitative Occupational and Rehabilitative Physical Therapy$10.00
Rehabilitative Speech Therapy$10.00
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility$150.00 Copay per Stay
Substance Abuse Disorder Inpatient Services$350.00 Copay per Stay
Substance Abuse Disorder Outpatient Services$10.00
Transplant$350.00
Treatment for Temporomandibular Joint Disorders$20.00
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$30.00

Plan rules

Service area

This plan covers 11 geographic areas.

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