myBlue Gold 2314S ($30 PCP Visits / $60 Specialist Visits / Rewards)

Florida Blue HMO (a BlueCross BlueShield FL company) · 2026 plan year

Gold
Ind. deductible
$2,000
Family deductible
$4,000
Ind. OOP max
$8,200
Family OOP max
$16,400

Compare with other Gold plans in FL

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

More Florida Blue HMO (a BlueCross BlueShield FL company) plans in FL

Monthly premiums by age

Rating Area 52 — the lowest-priced of the 52 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$485$485
21$635$685
30$720$810
40$811$953
50$1,133$1,360
60$1,722$2,067
64 and over$1,904$2,284

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$30.00

Specialist

BenefitIn-network
Specialist Visit$60.00

Hospital

BenefitIn-network
Emergency Room Services25.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)25.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services25.00% Coinsurance after deductible
Urgent Care Centers or Facilities$45.00

Pharmacy

BenefitIn-network
Generic Drugs$15.00
Non-Preferred Brand Drugs$60.00
Off Label Prescription Drugs$60.00
Preferred Brand Drugs$30.00
Specialty Drugs$250.00

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services25.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$30.00

Other

BenefitIn-network
Radiation25.00% Coinsurance after deductible
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental$60.00
AcupunctureNot covered
Allergy Testing$60.00
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNot covered
Bone Marrow Testing25.00% Coinsurance after deductible
Chemotherapy25.00% Coinsurance after deductible
Chiropractic Care$60.00
Congenital Anomaly, including Cleft Lip/Palate25.00% Coinsurance after deductible
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care25.00% Coinsurance after deductible
Dental Anesthesia$60.00
Dental Check-Up for ChildrenNot covered
Diabetes Care Management$60.00
Diabetes EducationNo charge
Dialysis25.00% Coinsurance after deductible
Durable Medical EquipmentNo charge
Emergency Transportation/Ambulance25.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Reconstructive Surgery25.00% Coinsurance after deductible
Habilitation Services$30.00
Hearing AidsNot covered
Home Health Care ServicesNo charge
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)25.00% Coinsurance after deductible
Infertility TreatmentNot covered
Infusion Therapy25.00% Coinsurance after deductible
Inpatient Physician and Surgical Services25.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services25.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - ChildNot covered
Nutrition/Formulas25.00% Coinsurance after deductible
Nutritional Counseling$60.00
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Osteoporosis$60.00
Other Practitioner Office Visit (Nurse, Physician Assistant)$60.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)25.00% Coinsurance after deductible
Outpatient Rehabilitation Services$30.00
Prenatal and Postnatal Care$60.00
Private-Duty NursingNot covered
Prosthetic DevicesNo charge
Rehabilitative Occupational and Rehabilitative Physical Therapy$30.00
Rehabilitative Speech Therapy$30.00
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot Care$60.00
Skilled Nursing Facility25.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services25.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$30.00
Transplant25.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders$60.00
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging25.00% Coinsurance after deductible

Plan rules

Service area

This plan covers 52 geographic areas.

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