Silver Value 1815 ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings)

Health First Commercial Plans, Inc. · 2026 plan year

Silver

Ind. medical deductible: $4,700
Rx deductible (separate): $400
Family deductible: $9,400
Ind. OOP max: $8,000
Family OOP max: $16,000

This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.

Compare with other Silver plans in FL

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

UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)UnitedHealthcare · Deductible $4,500 · Out-of-pocket max $9,900
Connect Silver South FL 4500 Indiv Med DeductibleCigna Healthcare · Deductible $4,500 · Out-of-pocket max $8,850
Connect Silver Mid-South 4500 Indiv Med DeductibleCigna Healthcare · Deductible $4,500 · Out-of-pocket max $9,350

Compare 4 plans Browse all Silver plans in FL

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 87% AV Level Silver Plan 94% AV Level Silver Plan Limited Cost Sharing Plan Variation Standard Silver Off Exchange Plan Zero Cost Sharing Plan Variation

More Health First Commercial Plans, Inc. plans in FL

Bronze Value 1814 (High Value Network Savings, Open Access)Gold Value 1819 ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access)Gold Value 1819 + Adult Dental + Adult Vision ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)

Monthly premiums by age

Rating Area 5

Age	Individual	Individual + tobacco
Under 15	$342	$342
21	$447	$447
30	$508	$559
40	$572	$686
50	$799	$1,039
60	$1,214	$1,700
64 and over	$1,342	$1,879

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	$25.00

Specialist

Benefit	In-network
Specialist Visit	$100.00

Hospital

Benefit	In-network
Emergency Room Services	20.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	20.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	20.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$80.00

Pharmacy

Benefit	In-network
Generic Drugs	$15.00
Non-Preferred Brand Drugs	$55.00 Copay after deductible
Preferred Brand Drugs	$30.00 Copay after deductible
Preferred Generic Drugs	$3.00
Specialty Drugs	25.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental Health Office Visit	$100.00
Mental/Behavioral Health Inpatient Services	20.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	No charge

Other

Benefit	In-network
Major Dental Care - Child	No charge
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	20.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	20.00% Coinsurance after deductible
Anesthesia Services for Dental Care	20.00% Coinsurance after deductible
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	No charge
Cardiac and Pulmonary Rehabilitation	20.00% Coinsurance after deductible
Chemotherapy	20.00% Coinsurance after deductible
Chiropractic Care	$100.00
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	20.00% Coinsurance after deductible
Dental Check-Up for Children	No charge
Diabetes Education	No charge
Dialysis	20.00% Coinsurance after deductible
Durable Medical Equipment	20.00% Coinsurance after deductible
Emergency Transportation/Ambulance	20.00% Coinsurance after deductible
Enteral/Parenteral and Oral Nutrition Therapy	20.00% Coinsurance after deductible
Eye Glasses for Adult	Not covered
Eye Glasses for Children	No charge
Genetic Testing Lab Services	20.00% Coinsurance after deductible
Habilitation Services	20.00% Coinsurance after deductible
Hearing Aids	Not covered
Home Health Care Services	20.00% Coinsurance after deductible
Hospice Services	20.00% Coinsurance after deductible
Hyperbaric Oxygen Therapy	20.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	20.00% Coinsurance after deductible
Infertility Treatment	Not covered
Infusion Therapy	20.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	20.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	20.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Nutritional Counseling	No charge
Orthodontia - Adult	Not covered
Orthodontia - Child	No charge
Osteoporosis Treatment	$100.00
Other Practitioner Office Visit (Nurse, Physician Assistant)	$25.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	20.00% Coinsurance after deductible
Outpatient Observation	20.00% Coinsurance after deductible
Outpatient Rehabilitation Services	20.00% Coinsurance after deductible
Partial Hospitalization	20.00% Coinsurance after deductible
Prenatal and Postnatal Care	No charge
Private-Duty Nursing	Not covered
Prosthetic Devices	20.00% Coinsurance after deductible
Radiation	20.00% Coinsurance after deductible
Reconstructive Surgery	20.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	20.00% Coinsurance after deductible
Rehabilitative Speech Therapy	20.00% 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	$100.00
Skilled Nursing Facility	20.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	20.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	No charge
Substance Abuse Office Visit	$100.00
Transplant	20.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	20.00% Coinsurance after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	20.00% Coinsurance after deductible