Logo
PlatinumPOS

BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

by Florida Blue HMO (a BlueCross BlueShield FL company) in Florida

How we get our data

Our insurance data is sourced directly from the CMS ACA Marketplace (HIOS), the federal database that insurers are required to report to. We process that data to surface standardized out-of-pocket cost estimates based on three SBC scenarios defined by CMS: having a baby, managing diabetes, and treating a fracture. We update our data annually with each new plan year and link to the original SBC documents so you can verify costs directly with the insurer.

Learn more about our data

Deductible (Individual)

Max Out-of-Pocket

$2,525

Actuarial Value

92%

Service Areas

1

About This Plan

BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) is a Platinum POS plan offered by Florida Blue HMO (a BlueCross BlueShield FL company) in Florida for the 2026 plan year with an actuarial value of 92%. The in-network deductible for an individual is not specified, and the maximum out-of-pocket cost is $2,525.

Compared to the median across 19 other Platinum plans in Florida, this plan's estimated out-of-pocket costs are: having a baby ($460 — 30% below the median); managing diabetes ($1,300 — 86% above the median); treating a fracture ($400 — 43% below the median).

This plan includes disease management programs for Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Pain Management, Pregnancy.

Cost Scenarios

What you'd pay out-of-pocket for three common medical situations with this plan.

Normal delivery

Having a Baby

$460
Total Out-of-Pocket
-30% vs median
Deductible$0
Copayment$400
Coinsurance$0
Limit$60

Type 2, routine care

Managing Diabetes

$1,300
Total Out-of-Pocket
+86% vs median
Deductible$0
Copayment$1,300
Coinsurance$0
Limit$0

ER treatment

Simple Fracture

$400
Total Out-of-Pocket
-43% vs median
Deductible$0
Copayment$200
Coinsurance$200
Limit$0

Deductibles & Out-of-Pocket Maximums

In-NetworkOut-of-Network
IndividualPer PersonPer GroupIndividualPer PersonPer Group
Deductible
MOOP$2,525$2525 per person$5050 per group$12,500$12500 per person$25000 per group
Medical & Drug MOOP Integrated

Plan Features

Plan TypePOS
HSA EligibleNo
Referral Required for SpecialistNo
National NetworkNo
Pregnancy Notice RequiredNo
Out-of-Country CoverageYes
Out-of-Service-Area CoverageYes
Child-Only OfferingAllows Adult and Child-Only
Wellness ProgramNo
Inpatient Copayment Max Days3
Plan Effective Date2026-01-01
Plan Expiration Date2026-12-31

Disease Management Programs

AsthmaDepressionDiabetesHeart DiseaseHigh Blood Pressure & High CholesterolPain ManagementPregnancy

Official Documents

Similar Plans

Need Help Choosing?

Our AI navigator can help you compare this plan against others based on your specific health needs and budget.

Talk to Our AI Navigator

Disclaimer: Our AI navigator provides information collected from trusted sources only and does not constitute licensed insurance advice.

Written by Jayant Panwar | Last reviewed: Q1 2026 | Last updated: January 2026

Insurance Disclaimer: This information is for educational purposes only and does not constitute insurance advice or a recommendation to enroll in this plan. SBC scenarios show standardized cost estimates for normal delivery, routine diabetes care, and emergency fracture treatment — your actual costs will vary based on providers, services, and your specific plan benefits. This is a CMS marketplace plan; other insurance options may be available in Florida. Consult your insurance company for accurate cost estimates and with your healthcare provider for medical decisions.

Data source: CMS ACA Marketplace (HIOS), 2026 plan year. See our data methodology and editorial policy. Found an error? Report an inaccuracy.