Capital Health Plan Marketplace Plans Florida 2027 | Thrive

Florida · Insurer

Capital Health Plan Marketplace Plans in Florida

Capital Health Plan is a Tallahassee-area not-for-profit HMO and Blue Cross Blue Shield Association licensee. It sold eight plans in nine Big Bend counties in 2026 and earned 5 CMS stars overall for plan year 2026.

  • Proposed changes are as filed. Final 2027 rates are published when open enrollment starts.

Compare plans for my ZIP codeFree. See your price after tax credits.

9 of 67Florida counties (2026)
HMOPlan type
5 of 5CMS quality rating (2026)
+10.98%Proposed 2027 change

What makes Capital Health Plan different

  1. Coverage is nine counties around Tallahassee only — Calhoun, Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor and Wakulla.

  2. Overall rose from 4 to 5, with 5 stars for member experience and plan administration.

  3. Metropolitan, Centerville Place and Governor's Square offer primary care, imaging, labs and urgent care for members.

  4. Filed about +11% for 2027. 2026 metals include Platinum alongside bronze through gold, plus Amwell telehealth and a $150 wellness reimbursement.

Miami Beach skyline with turquoise water and high-rise towers under a clear blue sky

Is Capital Health Plan a good fit?

A good fit if

  • You live in one of the nine Tallahassee / Big Bend counties
  • You care about CMS quality stars and member experience scores
  • You want access to Capital Health Plan's member-only care centers

Think twice if

  • Not an option in Jacksonville, Orlando, Tampa Bay or South Florida.
  • Strict HMO: confirm Tallahassee Memorial, HCA Florida Capital and your doctors before enrolling.
  • Proposed +10.98% is still a raise; compare after-subsidy quotes.

Good starting points

From its 8 2026 plans statewide, lowest price in any Florida rating area.
BronzeCapital Health Plan HMO Bronze 1100$458/monthAge 40, 2026 premium before tax creditsLowest monthly premium
GoldCapital Health Plan HMO Gold 3000$676/monthAge 40, 2026 premium before tax creditsLowest deductible, $0
PlatinumCapital Health Plan HMO Platinum 4000$900/monthAge 40, 2026 premium before tax credits$10 primary care visits before the deductible

2027 plan-by-plan prices and copays appear here once HealthCare.gov publishes them on November 1.

See my price after tax creditsCompare every insurer in your county and check your doctors.

Capital Health Plan plans and prices

All 2026 Capital Health Plan plans in Florida

Premium is the lowest monthly premium before tax credits across Florida rating areas. OOP max is the out-of-pocket maximum. Costs are in network, for the standard version of each plan.
PlanMetalTypePremium (age 40)DeductibleOOP maxPrimary careSpecialistGeneric RxHSACounties
Capital Health Plan HMO Bronze 1100MetalBronzeTypeHMOPremium (age 40)$458Deductible$8,000OOP max$10,150Primary care$60Specialist$150Generic Rx$35HSANoCounties9
Capital Health Plan HMO Bronze 1000MetalBronzeTypeHMOPremium (age 40)$478Deductible$7,500OOP max$10,000Primary care$50Specialist$100Generic Rx$25HSANoCounties9
Capital Health Plan HMO Silver 2400MetalSilverTypeHMOPremium (age 40)$599Deductible$7,000OOP max$8,900Primary care$40Specialist$80Generic Rx$20HSANoCounties9
Capital Health Plan HMO Silver 2300MetalSilverTypeHMOPremium (age 40)$633Deductible$6,000OOP max$8,900Primary care$40Specialist$80Generic Rx$20HSANoCounties9
Capital Health Plan HMO Silver 2100MetalSilverTypeHMOPremium (age 40)$662Deductible$5,800OOP max$8,500Primary care$30Specialist$60Generic Rx$35HSANoCounties9
Capital Health Plan HMO Gold 3100MetalGoldTypeHMOPremium (age 40)$618Deductible$2,000OOP max$8,200Primary care$30Specialist$60Generic Rx$15HSANoCounties9
Capital Health Plan HMO Gold 3000MetalGoldTypeHMOPremium (age 40)$676Deductible$0OOP max$8,500Primary care$25Specialist$50Generic Rx$15HSANoCounties9
Capital Health Plan HMO Platinum 4000MetalPlatinumTypeHMOPremium (age 40)$900Deductible$0OOP max$5,200Primary care$10Specialist$20Generic Rx$5HSANoCounties9

Good to know

The 135,000+ members figure Capital Health Plan publishes is all lines, not Marketplace-only.

Other Florida Marketplace insurers

Sources

← Florida Marketplace guide and all insurers

Reviewed by Jacob Guidi, licensed health insurance agent (NPN 19902041), Thrive Benefits Group.

Thrive Benefits Group is not HealthCare.gov or a government agency. Premiums shown are before tax credits, for one person age 40, and most people who qualify for tax credits pay less. Your price depends on your county, age, household and income. Plan details can change; the insurer's plan documents are final.