Everyday Gold + Vision + Adult Dental
Gold · EPO · Ambetter from Sunflower Health Plan · Kansas
At age 40 it costs between $637.77 and $841.59 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 | 34368KS0120033 |
|---|---|
| Insurer | Ambetter from Sunflower Health Plan |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $800 |
| Deductible (family) | $1,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,250 |
| Family maximum | $14,500 |
| Primary care visit | $35 |
| Specialist visit | $55 |
| Emergency room | 35% Coinsurance after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $60 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 96.78% |
| 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 | $499.05 | $566.41 | $637.77 | $891.28 | $1,354.39 |
| Leavenworth County | $499.05 | $566.41 | $637.77 | $891.28 | $1,354.39 |
| Miami County | $499.05 | $566.41 | $637.77 | $891.28 | $1,354.39 |
| Wyandotte County | $499.05 | $566.41 | $637.77 | $891.28 | $1,354.39 |
| Clay County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Cloud County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Dickinson County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Ellsworth County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Geary County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Jewell County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Lincoln County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Mitchell County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Morris County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Ottawa County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Republic County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Riley County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Saline County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Washington County | $593.15 | $673.21 | $758.03 | $1,059.35 | $1,609.78 |
| Butler County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Chase County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Chautauqua County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Cowley County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Elk County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Greenwood County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Harper County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Harvey County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Kingman County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Marion County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| McPherson County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Montgomery County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Reno County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Rice County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Sedgwick County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Sumner County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Wilson County | $599.84 | $680.81 | $766.58 | $1,071.30 | $1,627.94 |
| Allen County | $619.35 | $702.95 | $791.51 | $1,106.14 | $1,680.88 |
| Bourbon County | $619.35 | $702.95 | $791.51 | $1,106.14 | $1,680.88 |
| Cherokee County | $619.35 | $702.95 | $791.51 | $1,106.14 | $1,680.88 |
| Crawford County | $619.35 | $702.95 | $791.51 | $1,106.14 | $1,680.88 |
| Labette County | $619.35 | $702.95 | $791.51 | $1,106.14 | $1,680.88 |
| Neosho County | $619.35 | $702.95 | $791.51 | $1,106.14 | $1,680.88 |
| Woodson County | $619.35 | $702.95 | $791.51 | $1,106.14 | $1,680.88 |
| Barber County | $636.85 | $722.82 | $813.88 | $1,137.40 | $1,728.39 |
| Comanche County | $636.85 | $722.82 | $813.88 | $1,137.40 | $1,728.39 |
| Edwards County | $636.85 | $722.82 | $813.88 | $1,137.40 | $1,728.39 |
| Hodgeman County | $636.85 | $722.82 | $813.88 | $1,137.40 | $1,728.39 |
| Kiowa County | $636.85 | $722.82 | $813.88 | $1,137.40 | $1,728.39 |
| Pawnee County | $636.85 | $722.82 | $813.88 | $1,137.40 | $1,728.39 |
| Pratt County | $636.85 | $722.82 | $813.88 | $1,137.40 | $1,728.39 |
| Stafford County | $636.85 | $722.82 | $813.88 | $1,137.40 | $1,728.39 |
| Barton County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Cheyenne County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Decatur County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Ellis County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Gove County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Graham County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Greeley County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Lane County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Logan County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Ness County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Norton County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Osborne County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Phillips County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Rawlins County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Rooks County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Rush County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Russell County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Scott County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Sheridan County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Sherman County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Smith County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Thomas County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Trego County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Wichita County | $642.86 | $729.63 | $821.56 | $1,148.13 | $1,744.69 |
| Anderson County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Atchison County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Brown County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Coffey County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Doniphan County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Douglas County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Franklin County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Jackson County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Jefferson County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Linn County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Lyon County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Marshall County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Nemaha County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Osage County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Pottawatomie County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Shawnee County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
| Wabaunsee County | $658.53 | $747.42 | $841.59 | $1,176.12 | $1,787.23 |
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.
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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.