Standard Gold + Vision + Adult Dental
Gold · EPO · Ambetter from Sunflower Health Plan · Kansas
At age 40 it costs between $630.02 and $831.36 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 | 34368KS0120071 |
|---|---|
| Insurer | Ambetter from Sunflower Health Plan |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | $492.98 | $559.53 | $630.02 | $880.45 | $1,337.93 |
| Leavenworth County | $492.98 | $559.53 | $630.02 | $880.45 | $1,337.93 |
| Miami County | $492.98 | $559.53 | $630.02 | $880.45 | $1,337.93 |
| Wyandotte County | $492.98 | $559.53 | $630.02 | $880.45 | $1,337.93 |
| Clay County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Cloud County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Dickinson County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Ellsworth County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Geary County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Jewell County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Lincoln County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Mitchell County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Morris County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Ottawa County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Republic County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Riley County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Saline County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Washington County | $585.94 | $665.03 | $748.82 | $1,046.47 | $1,590.21 |
| Butler County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Chase County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Chautauqua County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Cowley County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Elk County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Greenwood County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Harper County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Harvey County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Kingman County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Marion County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| McPherson County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Montgomery County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Reno County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Rice County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Sedgwick County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Sumner County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Wilson County | $592.55 | $672.53 | $757.27 | $1,058.28 | $1,608.16 |
| Allen County | $611.82 | $694.40 | $781.89 | $1,092.69 | $1,660.45 |
| Bourbon County | $611.82 | $694.40 | $781.89 | $1,092.69 | $1,660.45 |
| Cherokee County | $611.82 | $694.40 | $781.89 | $1,092.69 | $1,660.45 |
| Crawford County | $611.82 | $694.40 | $781.89 | $1,092.69 | $1,660.45 |
| Labette County | $611.82 | $694.40 | $781.89 | $1,092.69 | $1,660.45 |
| Neosho County | $611.82 | $694.40 | $781.89 | $1,092.69 | $1,660.45 |
| Woodson County | $611.82 | $694.40 | $781.89 | $1,092.69 | $1,660.45 |
| Barber County | $629.11 | $714.03 | $803.99 | $1,123.58 | $1,707.38 |
| Comanche County | $629.11 | $714.03 | $803.99 | $1,123.58 | $1,707.38 |
| Edwards County | $629.11 | $714.03 | $803.99 | $1,123.58 | $1,707.38 |
| Hodgeman County | $629.11 | $714.03 | $803.99 | $1,123.58 | $1,707.38 |
| Kiowa County | $629.11 | $714.03 | $803.99 | $1,123.58 | $1,707.38 |
| Pawnee County | $629.11 | $714.03 | $803.99 | $1,123.58 | $1,707.38 |
| Pratt County | $629.11 | $714.03 | $803.99 | $1,123.58 | $1,707.38 |
| Stafford County | $629.11 | $714.03 | $803.99 | $1,123.58 | $1,707.38 |
| Barton County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Cheyenne County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Decatur County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Ellis County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Gove County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Graham County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Greeley County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Lane County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Logan County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Ness County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Norton County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Osborne County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Phillips County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Rawlins County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Rooks County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Rush County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Russell County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Scott County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Sheridan County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Sherman County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Smith County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Thomas County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Trego County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Wichita County | $635.04 | $720.76 | $811.57 | $1,134.17 | $1,723.48 |
| Anderson County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Atchison County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Brown County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Coffey County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Doniphan County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Douglas County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Franklin County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Jackson County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Jefferson County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Linn County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Lyon County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Marshall County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Nemaha County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Osage County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Pottawatomie County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Shawnee County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
| Wabaunsee County | $650.53 | $738.34 | $831.36 | $1,161.83 | $1,765.51 |
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.