BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx)

Florida Blue (BlueCross BlueShield FL) · 2026 plan year

Expanded BronzeHSA eligible
Ind. deductible
$6,650
Family deductible
$13,300
Ind. OOP max
$7,400
Family OOP max
$14,800

Compare with other Expanded Bronze plans in FL

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

More Florida Blue (BlueCross BlueShield FL) plans in FL

Monthly premiums by age

Rating Area 60 — the lowest-priced of the 41 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$311$311
21$407$439
30$462$519
40$520$611
50$726$872
60$1,104$1,324
64 and over$1,220$1,464

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 Illness5.00% Coinsurance after deductible

Specialist

BenefitIn-network
Specialist Visit5.00% Coinsurance after deductible

Hospital

BenefitIn-network
Emergency Room Services5.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)5.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services5.00% Coinsurance after deductible
Urgent Care Centers or Facilities5.00% Coinsurance after deductible

Pharmacy

BenefitIn-network
Generic DrugsNo Charge after deductible
Non-Preferred Brand Drugs7.00% Coinsurance after deductible
Off Label Prescription Drugs7.00% Coinsurance after deductible
Preferred Brand Drugs5.00% Coinsurance after deductible
Specialty Drugs10.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services5.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services5.00% Coinsurance after deductible

Other

BenefitIn-network
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNot covered
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental5.00% Coinsurance after deductible
AcupunctureNot covered
Allergy Testing5.00% Coinsurance after deductible
Bone Marrow Transplant5.00% Coinsurance after deductible
Chemotherapy5.00% Coinsurance after deductible
Chiropractic Care5.00% Coinsurance after deductible
Congenital Anomaly, including Cleft Lip/Palate5.00% Coinsurance after deductible
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care5.00% Coinsurance after deductible
Dental Anesthesia5.00% Coinsurance after deductible
Dental Check-Up for ChildrenNot covered
Diabetes Care Management5.00% Coinsurance after deductible
Diabetes Education5.00% Coinsurance after deductible
Dialysis5.00% Coinsurance after deductible
Durable Medical Equipment5.00% Coinsurance after deductible
Emergency Transportation/Ambulance5.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Habilitation Services5.00% Coinsurance after deductible
Hearing AidsNot covered
Home Health Care Services5.00% Coinsurance after deductible
Hospice Services5.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)5.00% Coinsurance after deductible
Infertility TreatmentNot covered
Infusion Therapy5.00% Coinsurance after deductible
Inpatient Physician and Surgical Services5.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services5.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - ChildNot covered
Substance Abuse Disorder Inpatient Services5.00% Coinsurance after deductible
Nutrition/Formulas5.00% Coinsurance after deductible
Nutritional Counseling5.00% Coinsurance after deductible
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Osteoporosis5.00% 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 Services5.00% Coinsurance after deductible
Prenatal and Postnatal Care5.00% Coinsurance after deductible
Private-Duty NursingNot covered
Prosthetic Devices5.00% Coinsurance after deductible
Radiation5.00% Coinsurance after deductible
Reconstructive Surgery5.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy5.00% Coinsurance after deductible
Rehabilitative Speech Therapy5.00% Coinsurance after deductible
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot Care5.00% Coinsurance after deductible
Skilled Nursing Facility5.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services5.00% Coinsurance after deductible
Transplant5.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders5.00% Coinsurance after deductible
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging5.00% Coinsurance after deductible

Plan rules

Service area

This plan covers 41 geographic areas.

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