BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) — full price in Indian River County, Florida (2026)

BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) (16842FL0260012), a gold plan from Florida Blue (BlueCross BlueShield FL) in Indian River County, Florida, costs $1599.21/month full price for a 40-year-old in 2026 — $3396.14 at 60, with a $1,500 deductible and $6,450 out-of-pocket max, per the CMS PY2026 QHP Landscape.

HIOS plan ID: 16842FL0260012 · Issuer: Florida Blue (BlueCross BlueShield FL) · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0

Full-price premium by age (2026)

AgeMonthly premium
21$1251.34
27$1311.40
30$1420.27
40$1599.21
50$2234.89
60$3396.14

Deductibles & out-of-pocket max (2026)

  • Individual deductible: $1,500
  • Family deductible: $3,000
  • Individual out-of-pocket max: $6,450
  • Family out-of-pocket max: $12,900

Vs. county benchmark

The county benchmark silver premium for a 40-year-old is $591.15/mo. This plan is $1599.21/mo at 40 — a difference of $1008.06/mo.

The subsidy cliff

In 2026 the enhanced ARP/IRA premium tax credits expire, so households above roughly 400% of the federal poverty level get zero subsidy and pay the full sticker prices listed above. Households under the cliff usually pay far less — how much less depends on income, household size, and county benchmark.

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Other gold plans in Indian River County

PlanIssuerPremium @ 40
Gold Savings 1825 ($25 Primary Care Copay, $50 Specialist Copay, Open Access)Health First Commercial Plans, Inc.$562.46
Standard GoldAmbetter Health$578.52
Gold Savings 1825 + Adult Dental + Adult Vision ($25 Primary Care Copay, $50 Specialist Copay, Open Access)Health First Commercial Plans, Inc.$587.78
Everyday GoldAmbetter Health$591.05
Gold Standard 1833Health First Commercial Plans, Inc.$591.71

Sources

← All plans and costs in Indian River County

Reviewed by Jason Burns, Editorial Steward.

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