AvMed Entrust Platinum 25 (2027)

AvMed · 2027 plan year

Platinum
Ind. deductible
$0
Family deductible
$0
Ind. OOP max
$7,750
Family OOP max
$15,500

Compare with other Platinum plans in FL

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

More AvMed plans in FL

Monthly premiums by age

Rating Area 50 — the lowest-priced of the 4 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$679$679
21$887$1,065
30$1,007$1,208
40$1,134$1,361
50$1,584$1,901
60$2,408$2,889
64 and over$2,661$3,194

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$10.00

Specialist

BenefitIn-network
Specialist Visit$20.00

Hospital

BenefitIn-network
Emergency Room Services$250.00
Urgent Care Centers or Facilities$125.00
Inpatient Hospital Services (e.g., Hospital Stay)$500.00 Copay per Day
Outpatient Surgery Physician/Surgical ServicesNo charge

Pharmacy

BenefitIn-network
Generic Drugs$5.00
Specialty Drugs50.00%
Non-Preferred Brand Drugs$60.00
Preferred Brand Drugs$20.00

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$500.00 Copay per Day
Mental/Behavioral Health Outpatient Services$10.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental$500.00
AcupunctureNot covered
Allergy Testing$20.00
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNo charge
Bone Marrow Transplant$500.00
Chemotherapy50.00%
Chiropractic Care$10.00
Congenital Anomaly, including Cleft Lip/Palate$500.00
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care$500.00
Dental AnesthesiaNo charge
Dental Check-Up for ChildrenNo charge
Diabetes Care Management$20.00
Diabetes Education$20.00
Dialysis$350.00
Durable Medical Equipment50.00%
Emergency Transportation/Ambulance$200.00
Eye Glasses for ChildrenNo charge
Radiation$350.00
Reconstructive Surgery$500.00
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 ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility$250.00 Copay per Stay
Substance Abuse Disorder Inpatient Services$500.00 Copay per Day
Substance Abuse Disorder Outpatient Services$10.00
Transplant$500.00
Treatment for Temporomandibular Joint Disorders$20.00
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$10.00
Habilitation Services$20.00
Hearing AidsNot covered
Home Health Care Services$20.00
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)$100.00
Infertility TreatmentNot covered
Infusion Therapy$20.00
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional ServicesNo charge
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - Child$450.00
Nutrition/Formulas50.00%
Nutritional Counseling$20.00
Orthodontia - AdultNot covered
Orthodontia - Child$450.00
Osteoporosis$100.00
Other Practitioner Office Visit (Nurse, Physician Assistant)$10.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$350.00
Outpatient Rehabilitation Services$20.00
Prenatal and Postnatal Care$10.00
Private-Duty NursingNot covered
Prosthetic Devices$100.00

Plan rules

Service area

This plan covers 4 geographic areas.

Open enrollment coming up?

Get notified when it opens — we'll remind you so you don't miss your window.