Gold Simple | with AdventHealth — full price in Pinellas County, Florida (2026)
Gold Simple | with AdventHealth (21525FL0010023), a gold plan from Oscar Health Maintenance Organization of Florida in Pinellas County, Florida, costs $588.32/month full price for a 40-year-old in 2026 — $1249.37 at 60, with a $3,000 deductible and $9,950 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 21525FL0010023 · Issuer: Oscar Health Maintenance Organization of Florida · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0
Full-price premium by age (2026)
| Age | Monthly premium |
|---|---|
| 21 | $460.35 |
| 27 | $482.44 |
| 30 | $522.49 |
| 40 | $588.32 |
| 50 | $822.17 |
| 60 | $1249.37 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $3,000
- Family deductible: $6,000
- Individual out-of-pocket max: $9,950
- Family out-of-pocket max: $19,900
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $644.61/mo. This plan is $588.32/mo at 40 — a difference of $-56.29/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.
Not affiliated with the U.S. government. Informational only — see the full disclaimer in the footer.
Other gold plans in Pinellas County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Gold Elite Saver Plus | with AdventHealth | Oscar Health Maintenance Organization of Florida | $589.96 |
| Gold Classic Standard | with AdventHealth | Oscar Health Maintenance Organization of Florida | $618.02 |
| Gold Classic Standard | Oscar Health Maintenance Organization of Florida | $648.86 |
| Standard Gold | Ambetter Health | $678.15 |
| Everyday Gold | Ambetter Health | $692.83 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 21525FL0010023 in FIPS 12103.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Pinellas County
Reviewed by Jason Burns, Editorial Steward.