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.
What makes Capital Health Plan different
Coverage is nine counties around Tallahassee only — Calhoun, Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor and Wakulla.
Overall rose from 4 to 5, with 5 stars for member experience and plan administration.
Metropolitan, Centerville Place and Governor's Square offer primary care, imaging, labs and urgent care for members.
Filed about +11% for 2027. 2026 metals include Platinum alongside bronze through gold, plus Amwell telehealth and a $150 wellness reimbursement.

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.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
| Plan | Metal | Type | Premium (age 40) | Deductible | OOP max | Primary care | Specialist | Generic Rx | HSA | Counties |
|---|---|---|---|---|---|---|---|---|---|---|
| Capital Health Plan HMO Bronze 1100 | MetalBronze | TypeHMO | Premium (age 40)$458 | Deductible$8,000 | OOP max$10,150 | Primary care$60 | Specialist$150 | Generic Rx$35 | HSANo | Counties9 |
| Capital Health Plan HMO Bronze 1000 | MetalBronze | TypeHMO | Premium (age 40)$478 | Deductible$7,500 | OOP max$10,000 | Primary care$50 | Specialist$100 | Generic Rx$25 | HSANo | Counties9 |
| Capital Health Plan HMO Silver 2400 | MetalSilver | TypeHMO | Premium (age 40)$599 | Deductible$7,000 | OOP max$8,900 | Primary care$40 | Specialist$80 | Generic Rx$20 | HSANo | Counties9 |
| Capital Health Plan HMO Silver 2300 | MetalSilver | TypeHMO | Premium (age 40)$633 | Deductible$6,000 | OOP max$8,900 | Primary care$40 | Specialist$80 | Generic Rx$20 | HSANo | Counties9 |
| Capital Health Plan HMO Silver 2100 | MetalSilver | TypeHMO | Premium (age 40)$662 | Deductible$5,800 | OOP max$8,500 | Primary care$30 | Specialist$60 | Generic Rx$35 | HSANo | Counties9 |
| Capital Health Plan HMO Gold 3100 | MetalGold | TypeHMO | Premium (age 40)$618 | Deductible$2,000 | OOP max$8,200 | Primary care$30 | Specialist$60 | Generic Rx$15 | HSANo | Counties9 |
| Capital Health Plan HMO Gold 3000 | MetalGold | TypeHMO | Premium (age 40)$676 | Deductible$0 | OOP max$8,500 | Primary care$25 | Specialist$50 | Generic Rx$15 | HSANo | Counties9 |
| Capital Health Plan HMO Platinum 4000 | MetalPlatinum | TypeHMO | Premium (age 40)$900 | Deductible$0 | OOP max$5,200 | Primary care$10 | Specialist$20 | Generic Rx$5 | HSANo | Counties9 |
Good to know
The 135,000+ members figure Capital Health Plan publishes is all lines, not Marketplace-only.
Other Florida Marketplace insurers
- Florida Blue HMO
- AvMed
- Ambetter
- Oscar
- Florida Blue
- Health First
- Florida Health Care Plans
- UnitedHealthcare
- Wellpoint
- AmeriHealth Caritas Next
Sources
- Capital Health Plan Part II rate filing justification, 2027, July 14, 2026
- Capital Health Plan Individual & Family Plans, accessed October 7, 2026
- CMS Nationwide QRS PUF PY2026, October 2025
- Capital Health Plan NCQA commercial rating release, October 13, 2025
- CMS State-based Exchange Public Use Files, plan year 2026, checked October 4, 2026
← 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.