Bronze Simple Diabetes — full price in Saint Johns County, Florida (2026)
Bronze Simple Diabetes (21525FL0020006), a expanded bronze plan from Oscar Health Maintenance Organization of Florida in Saint Johns County, Florida, costs $581.08/month full price for a 40-year-old in 2026 — $1234.00 at 60, with a $5,500 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 21525FL0020006 · 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 | $454.69 |
| 27 | $476.50 |
| 30 | $516.06 |
| 40 | $581.08 |
| 50 | $812.05 |
| 60 | $1234.00 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $5,500
- Family deductible: $11,000
- Individual out-of-pocket max: $10,150
- Family out-of-pocket max: $20,300
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $697.47/mo. This plan is $581.08/mo at 40 — a difference of $-116.39/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 expanded bronze plans in Saint Johns County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Gym Access IND Bronze HMO 1340 | Florida Health Care Plans | $480.95 |
| Everyday Bronze | Ambetter Health | $515.03 |
| Standard Expanded Bronze | Ambetter Health | $516.61 |
| Gym Access IND Bronze HMO OA Standard 2450 | Florida Health Care Plans | $526.19 |
| Everyday Bronze + Vision + Adult Dental | Ambetter Health | $528.97 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 21525FL0020006 in FIPS 12109.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Saint Johns County
Reviewed by Jason Burns, Editorial Steward.