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
- $0
- Rx deductible (separate)
- $300
- Family deductible
- $0
- Ind. OOP max
- $1,100
- Family OOP max
- $2,200
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
Other cost-sharing reduction variants for this plan:
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)
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 | $10.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | 20.00% |
| Inpatient Hospital Services (e.g., Hospital Stay) | 20.00% |
| Outpatient Surgery Physician/Surgical Services | 20.00% |
| Urgent Care Centers or Facilities | $30.00 |
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 | No charge |
| Mental/Behavioral Health Inpatient Services | 20.00% |
| Mental/Behavioral Health Outpatient Services | No charge |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | 20.00% |
| Acupuncture | Not covered |
| Allergy Testing | 20.00% |
| Anesthesia Services for Dental Care | 20.00% |
| Bariatric Surgery | Not covered |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | No charge |
| Cardiac and Pulmonary Rehabilitation | 20.00% |
| Chemotherapy | 20.00% |
| Chiropractic Care | $10.00 |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | 20.00% |
| Dental Check-Up for Children | No charge |
| Diabetes Education | No charge |
| Dialysis | 20.00% |
| Durable Medical Equipment | 20.00% |
| Emergency Transportation/Ambulance | 20.00% |
| Enteral/Parenteral and Oral Nutrition Therapy | 20.00% |
| Eye Glasses for Adult | Not covered |
| Eye Glasses for Children | No charge |
| Genetic Testing Lab Services | 20.00% |
| Habilitation Services | 20.00% |
| Hearing Aids | Not covered |
| Home Health Care Services | 20.00% |
| Hospice Services | 20.00% |
| Hyperbaric Oxygen Therapy | 20.00% |
| Imaging (CT/PET Scans, MRIs) | 20.00% |
| Infertility Treatment | Not covered |
| Infusion Therapy | 20.00% |
| Inpatient Physician and Surgical Services | 20.00% |
| Laboratory Outpatient and Professional Services | 20.00% |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | No charge |
| Nutritional Counseling | No charge |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | No charge |
| Osteoporosis Treatment | $10.00 |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | No charge |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 20.00% |
| Outpatient Observation | 20.00% |
| Outpatient Rehabilitation Services | 20.00% |
| Partial Hospitalization | 20.00% |
| Prenatal and Postnatal Care | No charge |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | 20.00% |
| Radiation | 20.00% |
| Reconstructive Surgery | 20.00% |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | 20.00% |
| Rehabilitative Speech Therapy | 20.00% |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | $10.00 |
| Skilled Nursing Facility | 20.00% |
| Substance Abuse Disorder Inpatient Services | 20.00% |
| Substance Abuse Disorder Outpatient Services | No charge |
| Substance Abuse Office Visit | No charge |
| Transplant | 20.00% |
| Treatment for Temporomandibular Joint Disorders | 20.00% |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 20.00% |
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