Elite Gold
Gold · EPO · Ambetter from Sunflower Health Plan · Kansas
At age 40 it costs between $688.50 and $908.54 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 34368KS0110066 |
|---|---|
| Insurer | Ambetter from Sunflower Health Plan |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $6,500 |
| Family maximum | $13,000 |
| Primary care visit | $5 |
| Specialist visit | $60 |
| Emergency room | 30% |
| Inpatient stay | 30% |
| Generic drugs | $3 |
| Preferred brand drugs | $50 |
| Specialty drugs | 50% |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-844-518-9505 · TTY 1-844-518-9505 |
Where it is sold, and what it costs there
91 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Johnson County | $538.75 | $611.46 | $688.50 | $962.18 | $1,462.13 |
| Leavenworth County | $538.75 | $611.46 | $688.50 | $962.18 | $1,462.13 |
| Miami County | $538.75 | $611.46 | $688.50 | $962.18 | $1,462.13 |
| Wyandotte County | $538.75 | $611.46 | $688.50 | $962.18 | $1,462.13 |
| Clay County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Cloud County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Dickinson County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Ellsworth County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Geary County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Jewell County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Lincoln County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Mitchell County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Morris County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Ottawa County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Republic County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Riley County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Saline County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Washington County | $640.33 | $726.76 | $818.33 | $1,143.61 | $1,737.83 |
| Butler County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Chase County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Chautauqua County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Cowley County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Elk County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Greenwood County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Harper County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Harvey County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Kingman County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Marion County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| McPherson County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Montgomery County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Reno County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Rice County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Sedgwick County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Sumner County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Wilson County | $647.55 | $734.96 | $827.56 | $1,156.52 | $1,757.44 |
| Allen County | $668.61 | $758.86 | $854.47 | $1,194.12 | $1,814.59 |
| Bourbon County | $668.61 | $758.86 | $854.47 | $1,194.12 | $1,814.59 |
| Cherokee County | $668.61 | $758.86 | $854.47 | $1,194.12 | $1,814.59 |
| Crawford County | $668.61 | $758.86 | $854.47 | $1,194.12 | $1,814.59 |
| Labette County | $668.61 | $758.86 | $854.47 | $1,194.12 | $1,814.59 |
| Neosho County | $668.61 | $758.86 | $854.47 | $1,194.12 | $1,814.59 |
| Woodson County | $668.61 | $758.86 | $854.47 | $1,194.12 | $1,814.59 |
| Barber County | $687.51 | $780.31 | $878.62 | $1,227.87 | $1,865.87 |
| Comanche County | $687.51 | $780.31 | $878.62 | $1,227.87 | $1,865.87 |
| Edwards County | $687.51 | $780.31 | $878.62 | $1,227.87 | $1,865.87 |
| Hodgeman County | $687.51 | $780.31 | $878.62 | $1,227.87 | $1,865.87 |
| Kiowa County | $687.51 | $780.31 | $878.62 | $1,227.87 | $1,865.87 |
| Pawnee County | $687.51 | $780.31 | $878.62 | $1,227.87 | $1,865.87 |
| Pratt County | $687.51 | $780.31 | $878.62 | $1,227.87 | $1,865.87 |
| Stafford County | $687.51 | $780.31 | $878.62 | $1,227.87 | $1,865.87 |
| Barton County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Cheyenne County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Decatur County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Ellis County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Gove County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Graham County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Greeley County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Lane County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Logan County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Ness County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Norton County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Osborne County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Phillips County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Rawlins County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Rooks County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Rush County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Russell County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Scott County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Sheridan County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Sherman County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Smith County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Thomas County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Trego County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Wichita County | $693.99 | $787.67 | $886.91 | $1,239.45 | $1,883.47 |
| Anderson County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Atchison County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Brown County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Coffey County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Doniphan County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Douglas County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Franklin County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Jackson County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Jefferson County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Linn County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Lyon County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Marshall County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Nemaha County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Osage County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Pottawatomie County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Shawnee County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
| Wabaunsee County | $710.91 | $806.88 | $908.54 | $1,269.67 | $1,929.39 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.