myBlue Platinum 24M05-75 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
Florida Blue HMO (a BlueCross BlueShield FL company) · 2026 plan year
Platinum
- Ind. deductible
- No deductible
- Family deductible
- $0
- Ind. OOP max
- $2,250
- Family OOP max
- $4,500
Compare with other Platinum plans in FL
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More Florida Blue HMO (a BlueCross BlueShield FL company) plans in FL
Monthly premiums by age
Rating Area 52 — the lowest-priced of the 50 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $661 | $661 |
| 21 | $865 | $934 |
| 30 | $981 | $1,104 |
| 40 | $1,105 | $1,298 |
| 50 | $1,544 | $1,853 |
| 60 | $2,347 | $2,816 |
| 64 and over | $2,594 | $3,113 |
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 | No charge |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $25.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $100.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $350.00 Copay per Day |
| Outpatient Surgery Physician/Surgical Services | No charge |
| Urgent Care Centers or Facilities | $25.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $10.00 |
| Non-Preferred Brand Drugs | 50.00% |
| Off Label Prescription Drugs | 50.00% |
| Preferred Brand Drugs | $40.00 |
| Specialty Drugs | 50.00% |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $350.00 Copay per Day |
| Mental/Behavioral Health Outpatient Services | $15.00 |
Other
| Benefit | In-network |
|---|---|
| Emergency Transportation/Ambulance | 20.00% |
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | $25.00 |
| Acupuncture | Not covered |
| Allergy Testing | $25.00 |
| Bariatric Surgery | Not covered |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | Not covered |
| Bone Marrow Testing | $350.00 |
| Chemotherapy | $300.00 |
| Chiropractic Care | $25.00 |
| Congenital Anomaly, including Cleft Lip/Palate | $300.00 |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | $350.00 |
| Dental Anesthesia | $25.00 |
| Dental Check-Up for Children | Not covered |
| Diabetes Care Management | $25.00 |
| Diabetes Education | No charge |
| Dialysis | $300.00 |
| Durable Medical Equipment | No charge |
| Eye Glasses for Children | No charge |
| Habilitation Services | $25.00 |
| Hearing Aids | Not covered |
| Home Health Care Services | No charge |
| Hospice Services | No charge |
| Imaging (CT/PET Scans, MRIs) | $200.00 |
| Infertility Treatment | Not covered |
| Infusion Therapy | $300.00 |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | No charge |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | Not covered |
| Nutrition/Formulas | $25.00 |
| Nutritional Counseling | $25.00 |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Osteoporosis | $25.00 |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $25.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $300.00 |
| Outpatient Rehabilitation Services | $25.00 |
| Prenatal and Postnatal Care | $25.00 |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | No charge |
| Radiation | $300.00 |
| Reconstructive Surgery | $300.00 |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $25.00 |
| Rehabilitative Speech Therapy | $25.00 |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | $25.00 |
| Skilled Nursing Facility | $500.00 Copay per Stay |
| Substance Abuse Disorder Inpatient Services | $350.00 Copay per Day |
| Substance Abuse Disorder Outpatient Services | $15.00 |
| Transplant | $350.00 |
| Treatment for Temporomandibular Joint Disorders | $25.00 |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $120.00 |
Plan rules
Service area
This plan covers 50 geographic areas.
Open enrollment coming up?
Get notified when it opens — we'll remind you so you don't miss your window.