Planes del Mercado de Seguros Médicos de la ACA en el condado de Okaloosa, Florida (2026)
El condado de Okaloosa, Florida, tiene 106 planes del Mercado de Seguros Médicos de la ACA de 4 aseguradoras en 2026, con primas mensuales para una persona de 40 años de $527 a $2,023 y un plan de referencia (el segundo plan Plata de menor costo) de $714 al mes. Planes de 2027 para el condado de Okaloosa ya están disponibles: para compararlos e inscribirse, sin costo para usted, llame a United Enrollment Services al 1-866-569-7273.
Tabla de planes
| Aseguradora | Plan | Nivel de metal | 21 años | 40 años | 60 años | Deducible | Máximo de gastos de bolsillo |
|---|---|---|---|---|---|---|---|
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Bronze 26M01-23 (Rewards) | Bronce | $432.90 | $553.25 | $1,174.89 | $10,125 | $10,150 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Bronze 24L01-01 (Rewards) | Bronce | $492.40 | $629.29 | $1,336.37 | $6,150 | $10,150 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Bronze 24K01-05 (Rewards) | Bronce | $531.16 | $678.82 | $1,441.57 | $6,150 | $10,150 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Bronze 24J01-06 (Rewards) | Bronce | $654.40 | $836.32 | $1,776.04 | $6,150 | $10,150 |
| Ambetter Health | Everyday Bronze | Bronce ampliado | $412.34 | $526.95 | $1,119.06 | $8,450 | $10,150 |
| Ambetter Health | Standard Expanded Bronze | Bronce ampliado | $413.60 | $528.57 | $1,122.48 | $7,500 | $10,000 |
| Ambetter Health | Everyday Bronze + Vision + Adult Dental | Bronce ampliado | $423.49 | $541.21 | $1,149.33 | $8,450 | $10,150 |
| Ambetter Health | Standard Expanded Bronze + Vision + Adult Dental | Bronce ampliado | $424.79 | $542.87 | $1,152.85 | $7,500 | $10,000 |
| Oscar Health Maintenance Organization of Florida | Bronze Simple Breathe Easy with Enhanced COPD Benefits | Bronce ampliado | $456.29 | $583.12 | $1,238.33 | $9,000 | $10,600 |
| Ambetter Health | Elite Bronze | Bronce ampliado | $470.98 | $601.90 | $1,278.22 | $0 | $10,500 |
| Oscar Health Maintenance Organization of Florida | Bronze Classic Standard | Bronce ampliado | $481.19 | $614.95 | $1,305.93 | $7,500 | $10,000 |
| Ambetter Health | Elite Bronze + Vision + Adult Dental | Bronce ampliado | $483.73 | $618.19 | $1,312.81 | $0 | $10,500 |
| Oscar Health Maintenance Organization of Florida | Bronze Classic 4700 | Bronce ampliado | $485.16 | $620.02 | $1,316.69 | $4,700 | $10,150 |
| Oscar Health Maintenance Organization of Florida | Bronze Simple Diabetes | Bronce ampliado | $487.16 | $622.58 | $1,322.13 | $5,500 | $10,150 |
| Oscar Health Maintenance Organization of Florida | Bronze Simple Chronic Care CKM | Bronce ampliado | $493.11 | $630.18 | $1,338.28 | $5,500 | $10,150 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Bronze 2219 ($75 PCP Visits / Rewards) | Bronce ampliado | $493.16 | $630.26 | $1,338.44 | $2,625 | $10,150 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Bronze 2312S ($50 PCP Visits / Rewards) | Bronce ampliado | $493.88 | $631.18 | $1,340.39 | $7,500 | $10,000 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Bronze 1601 (3 PCP Visits for $0 then $25 / $75 Specialist Visits / Rewards) | Bronce ampliado | $499.41 | $638.25 | $1,355.40 | $6,000 | $10,150 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) | Bronce ampliado | $510.98 | $653.03 | $1,386.80 | $7,500 | $10,000 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) | Bronce ampliado | $515.36 | $658.63 | $1,398.69 | $6,650 | $7,400 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) | Bronce ampliado | $519.00 | $663.28 | $1,408.57 | $6,500 | $10,000 |
| Oscar Health Maintenance Organization of Florida | Bronze Elite + PCP Saver Plus | Bronce ampliado | $523.26 | $668.71 | $1,420.09 | $0 | $10,600 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Bronze 2129 ($35 PCP Visits / $75 Specialist Visits / Rewards) | Bronce ampliado | $533.30 | $681.56 | $1,447.38 | $0 | $10,150 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Bronze 2129V ($35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards) | Bronce ampliado | $536.60 | $685.77 | $1,456.33 | $0 | $10,150 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) | Bronce ampliado | $541.23 | $691.69 | $1,468.90 | $0 | $9,900 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Bronze 2129E ($35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards) | Bronce ampliado | $543.37 | $694.43 | $1,474.71 | $0 | $10,150 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) | Bronce ampliado | $544.10 | $695.36 | $1,476.69 | $0 | $9,900 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) | Bronce ampliado | $549.83 | $702.68 | $1,492.24 | $0 | $9,900 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) | Bronce ampliado | $560.87 | $716.79 | $1,522.20 | $6,650 | $7,400 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) | Bronce ampliado | $560.96 | $716.91 | $1,522.45 | $7,500 | $10,000 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) | Bronce ampliado | $573.74 | $733.24 | $1,557.13 | $6,500 | $10,000 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) | Bronce ampliado | $606.34 | $774.90 | $1,645.61 | $0 | $9,900 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) | Bronce ampliado | $678.99 | $867.75 | $1,842.78 | $7,500 | $10,000 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) | Bronce ampliado | $685.00 | $875.43 | $1,859.09 | $6,650 | $7,400 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) | Bronce ampliado | $689.95 | $881.76 | $1,872.52 | $6,500 | $10,000 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) | Bronce ampliado | $720.66 | $921.00 | $1,955.87 | $0 | $9,900 |
| Ambetter Health | Standard Gold | Oro | $546.59 | $698.53 | $1,483.42 | $2,000 | $8,200 |
| Ambetter Health | Everyday Gold | Oro | $558.43 | $713.66 | $1,515.54 | $800 | $7,250 |
| Ambetter Health | Standard Gold + Vision + Adult Dental | Oro | $561.38 | $717.43 | $1,523.56 | $2,000 | $8,200 |
| Oscar Health Maintenance Organization of Florida | Gold Simple | Oro | $567.60 | $725.38 | $1,540.44 | $3,000 | $9,950 |
| Ambetter Health | Everyday Gold + Vision + Adult Dental | Oro | $573.53 | $732.96 | $1,556.54 | $800 | $7,250 |
| Ambetter Health | Complete Gold | Oro | $577.09 | $737.50 | $1,566.18 | $1,450 | $7,500 |
| Ambetter Health | Complete Gold + Vision + Adult Dental | Oro | $592.70 | $757.46 | $1,608.56 | $1,450 | $7,500 |
| Oscar Health Maintenance Organization of Florida | Gold Classic Standard | Oro | $596.25 | $762.00 | $1,618.20 | $2,000 | $8,200 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Gold 2314S ($30 PCP Visits / $60 Specialist Visits / Rewards) | Oro | $718.56 | $918.32 | $1,950.17 | $2,000 | $8,200 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Gold 1605 ($0 Labs / Rewards) | Oro | $730.80 | $933.96 | $1,983.39 | $940 | $4,500 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Gold 2344S ($30 PCP Visits / $60 Specialist Visits / Rewards) | Oro | $742.17 | $948.49 | $2,014.25 | $2,000 | $8,200 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Gold 24M05-74 ($0 Deductible / $25 PCP Visits / $60 Specialist Visits / Rewards) | Oro | $756.76 | $967.14 | $2,053.85 | $0 | $6,550 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Gold 1835 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) | Oro | $759.73 | $970.93 | $2,061.91 | $1,500 | $6,450 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Gold 1535 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) | Oro | $779.77 | $996.55 | $2,116.30 | $0 | $6,250 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Gold 1535V ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Adult Vision / Rewards) | Oro | $782.66 | $1,000.24 | $2,124.14 | $0 | $6,250 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) | Oro | $835.63 | $1,067.94 | $2,267.90 | $2,000 | $8,200 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) | Oro | $856.21 | $1,094.24 | $2,323.75 | $1,500 | $6,450 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) | Oro | $886.27 | $1,132.65 | $2,405.34 | $0 | $6,250 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) | Oro | $1,111.86 | $1,420.96 | $3,017.59 | $2,000 | $8,200 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) | Oro | $1,138.27 | $1,454.71 | $3,089.26 | $1,500 | $6,450 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) | Oro | $1,169.20 | $1,494.24 | $3,173.21 | $0 | $6,250 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) | Platino | $972.19 | $1,242.46 | $2,638.52 | $1,000 | $4,000 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Platinum 24M05-75 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) | Platino | $979.20 | $1,251.42 | $2,657.55 | $0 | $2,250 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) | Platino | $999.15 | $1,276.91 | $2,711.69 | $0 | $2,525 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Platinum 24M05-00S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) | Platino | $1,025.76 | $1,310.92 | $2,783.91 | $0 | $5,200 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) | Platino | $1,041.27 | $1,330.74 | $2,826.01 | $0 | $5,200 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) | Platino | $1,045.71 | $1,336.42 | $2,838.06 | $1,000 | $4,000 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) | Platino | $1,085.51 | $1,387.28 | $2,946.07 | $0 | $2,525 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) | Platino | $1,137.58 | $1,453.83 | $3,087.39 | $0 | $5,200 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) | Platino | $1,476.64 | $1,887.15 | $4,007.60 | $1,000 | $4,000 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) | Platino | $1,519.17 | $1,941.50 | $4,123.03 | $0 | $2,525 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) | Platino | $1,582.96 | $2,023.02 | $4,296.15 | $0 | $5,200 |
| Ambetter Health | Clarity Silver | Plata | $523.63 | $669.18 | $1,421.10 | $8,000 | $8,400 |
| Ambetter Health | Standard Silver | Plata | $558.52 | $713.78 | $1,515.80 | $6,000 | $8,900 |
| Ambetter Health | Focused Silver | Plata | $565.25 | $722.38 | $1,534.07 | $6,300 | $8,400 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 26M06-03 ($5 PCP Visits / $5 Labs / Rewards) | Plata | $567.77 | $725.61 | $1,540.93 | $9,500 | $10,150 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 26M06-03V ($5 PCP Visits / $5 Labs / Adult Vision / Rewards) | Plata | $571.19 | $729.98 | $1,550.21 | $9,500 | $10,150 |
| Ambetter Health | Standard Silver + Vision + Adult Dental | Plata | $573.63 | $733.09 | $1,556.81 | $6,000 | $8,900 |
| Ambetter Health | Enhanced Diabetes Care Silver with $0 Drug Options | Plata | $574.61 | $734.34 | $1,559.47 | $5,000 | $8,650 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 25M06-02 ($0 Labs / $50 PCP Visits / Rewards) | Plata | $576.58 | $736.87 | $1,564.84 | $7,000 | $9,150 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 26M06-03E ($5 PCP Visits / $5 Labs / Adult Dental & Vision / Rewards) | Plata | $578.01 | $738.70 | $1,568.72 | $9,500 | $10,150 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 25M06-02V ($0 Labs / $50 PCP Visits / Adult Vision / Rewards) | Plata | $579.87 | $741.07 | $1,573.77 | $7,000 | $9,150 |
| Ambetter Health | Focused Silver + Vision + Adult Dental | Plata | $580.55 | $741.93 | $1,575.58 | $6,300 | $8,400 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 25M06-02E ($0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards) | Plata | $586.67 | $749.76 | $1,592.22 | $7,000 | $9,150 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 24M06-76 ($50 PCP Visits / $15 Labs / Rewards) | Plata | $589.28 | $753.10 | $1,599.31 | $6,500 | $9,200 |
| Ambetter Health | Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental | Plata | $590.16 | $754.21 | $1,601.66 | $5,000 | $8,650 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 24M06-76V ($50 PCP Visits / $15 Labs / Adult Vision / Rewards) | Plata | $592.57 | $757.30 | $1,608.23 | $6,500 | $9,200 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 2237 ($60 PCP Visits / Rewards) | Plata | $595.60 | $761.18 | $1,616.46 | $3,150 | $8,675 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 2237V ($60 PCP Visits / Adult Vision / Rewards) | Plata | $598.87 | $765.36 | $1,625.33 | $3,150 | $8,675 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 24M06-76E ($50 PCP Visits / $15 Labs / Adult Dental & Vision / Rewards) | Plata | $599.36 | $765.98 | $1,626.66 | $6,500 | $9,200 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 2237E ($60 PCP Visits / Adult Dental & Vision / Rewards) | Plata | $605.67 | $774.05 | $1,643.79 | $3,150 | $8,675 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | myBlue Silver 2313S ($40 PCP Visits / $80 Specialist Visits / Rewards) | Plata | $605.93 | $774.38 | $1,644.49 | $6,000 | $8,900 |
| Oscar Health Maintenance Organization of Florida | Silver Simple PCP Saver | Plata | $622.41 | $795.43 | $1,689.20 | $5,000 | $9,250 |
| Oscar Health Maintenance Organization of Florida | Silver Classic Standard | Plata | $627.97 | $802.54 | $1,704.29 | $6,000 | $8,900 |
| Oscar Health Maintenance Organization of Florida | Silver Simple Breathe Easy with Enhanced COPD Benefits | Plata | $628.10 | $802.70 | $1,704.64 | $6,200 | $9,600 |
| Oscar Health Maintenance Organization of Florida | Silver Simple Diabetes | Plata | $628.33 | $802.99 | $1,705.25 | $6,500 | $10,000 |
| Oscar Health Maintenance Organization of Florida | Silver Simple Women's Health with Menopause Benefits | Plata | $628.95 | $803.78 | $1,706.94 | $6,000 | $10,150 |
| Oscar Health Maintenance Organization of Florida | Silver Simple Chronic Care CKM | Plata | $629.55 | $804.56 | $1,708.58 | $5,900 | $10,150 |
| Oscar Health Maintenance Organization of Florida | Silver Elite | Plata | $636.38 | $813.28 | $1,727.12 | $5,000 | $9,750 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Silver 1443 ($10 Labs / Rewards) | Plata | $659.95 | $843.42 | $1,791.10 | $4,000 | $8,100 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Silver 1443V ($10 Labs / Adult Vision / Rewards) | Plata | $662.86 | $847.14 | $1,799.00 | $4,000 | $8,100 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Silver 1443E ($10 Labs / Adult Dental & Vision / Rewards) | Plata | $668.67 | $854.56 | $1,814.77 | $4,000 | $8,100 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Silver 2343S ($40 PCP Visits / $80 Specialist Visits / Rewards) | Plata | $670.89 | $857.40 | $1,820.80 | $6,000 | $8,900 |
| Florida Blue (BlueCross BlueShield FL) | BlueSelect Silver 1456 ($50 PCP Visits / Rewards) | Plata | $678.47 | $867.08 | $1,841.37 | $3,125 | $8,100 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Silver 24K01-02 ($10 Labs / Rewards) | Plata | $731.15 | $934.41 | $1,984.34 | $4,000 | $8,100 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Silver 24K01-32S ($40 PCP Visits / $80 Specialist Visits / Rewards) | Plata | $755.79 | $965.90 | $2,051.21 | $6,000 | $8,900 |
| Florida Blue HMO (a BlueCross BlueShield FL company) | BlueCare Silver 24K01-06 ($50 PCP Visits / Rewards) | Plata | $765.53 | $978.35 | $2,077.65 | $3,125 | $8,100 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Silver 24J01-03 ($10 Labs / Rewards) | Plata | $1,057.96 | $1,352.07 | $2,871.30 | $4,000 | $8,100 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) | Plata | $1,130.00 | $1,444.14 | $3,066.82 | $6,000 | $8,900 |
| Florida Blue (BlueCross BlueShield FL) | BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) | Plata | $1,143.11 | $1,460.89 | $3,102.40 | $3,125 | $8,100 |
Reducciones de costos compartidos (CSR)
Los planes Plata de este condado tienen los costos compartidos estándar que se muestran arriba. Si los ingresos de su hogar están entre el 100% y el 250% del nivel federal de pobreza, HealthCare.gov aplica automáticamente variantes de los planes Plata con reducciones de costos compartidos (CSR) que bajan los deducibles, los copagos y el máximo anual de gastos de bolsillo; el nombre del plan no cambia, pero sí las cifras de su Resumen de Beneficios.
Contexto de los subsidios para 2026
Los créditos tributarios ampliados para la prima de la American Rescue Plan Act y la Inflation Reduction Act vencieron el 31 de diciembre de 2025, por lo que en el año del plan 2026 vuelve la estructura de subsidios de la ACA anterior a 2021: los hogares con ingresos superiores al 400% del nivel federal de pobreza no reciben crédito tributario para la prima, y los hogares de menores ingresos pagan una parte mayor de la prima del plan de referencia (consulte el informe del Congressional Research Service R48290 y el seguimiento de primas 2026 de KFF). Estas cifras describen las reglas; nada en esta página es una recomendación.
Fuentes
- PY2026 QHP Landscape, Individual Market Medical — archivo de uso público de CMS, publicado en mayo de 2026. Todas las cifras de planes, primas, deducibles y gastos de bolsillo de esta página provienen de este archivo.
- HealthCare.gov — Mercado de Seguros Médicos federal oficial donde se venden estos planes.