Elite Gold
Gold · HMO · Ambetter Health · Indiana
At age 40 it costs between $640.79 and $910.48 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 | 35065IN0040007 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Gold |
| Plan type | HMO |
| 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 | 1-877-687-1182 · TTY 1-800-743-3333 |
Where it is sold, and what it costs there
92 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 |
|---|---|---|---|---|---|
| Fayette County | $501.41 | $569.09 | $640.79 | $895.50 | $1,360.80 |
| Hancock County | $501.41 | $569.09 | $640.79 | $895.50 | $1,360.80 |
| Henry County | $501.41 | $569.09 | $640.79 | $895.50 | $1,360.80 |
| Madison County | $501.41 | $569.09 | $640.79 | $895.50 | $1,360.80 |
| Union County | $501.41 | $569.09 | $640.79 | $895.50 | $1,360.80 |
| Wayne County | $501.41 | $569.09 | $640.79 | $895.50 | $1,360.80 |
| Blackford County | $520.04 | $590.23 | $664.60 | $928.77 | $1,411.36 |
| Dearborn County | $520.04 | $590.23 | $664.60 | $928.77 | $1,411.36 |
| Delaware County | $520.04 | $590.23 | $664.60 | $928.77 | $1,411.36 |
| Franklin County | $520.04 | $590.23 | $664.60 | $928.77 | $1,411.36 |
| Grant County | $520.04 | $590.23 | $664.60 | $928.77 | $1,411.36 |
| Jay County | $520.04 | $590.23 | $664.60 | $928.77 | $1,411.36 |
| Ohio County | $520.04 | $590.23 | $664.60 | $928.77 | $1,411.36 |
| Randolph County | $520.04 | $590.23 | $664.60 | $928.77 | $1,411.36 |
| Ripley County | $520.04 | $590.23 | $664.60 | $928.77 | $1,411.36 |
| Switzerland County | $520.04 | $590.23 | $664.60 | $928.77 | $1,411.36 |
| Clark County | $523.77 | $594.46 | $669.36 | $935.43 | $1,421.47 |
| Crawford County | $523.77 | $594.46 | $669.36 | $935.43 | $1,421.47 |
| Floyd County | $523.77 | $594.46 | $669.36 | $935.43 | $1,421.47 |
| Harrison County | $523.77 | $594.46 | $669.36 | $935.43 | $1,421.47 |
| Jefferson County | $523.77 | $594.46 | $669.36 | $935.43 | $1,421.47 |
| Scott County | $523.77 | $594.46 | $669.36 | $935.43 | $1,421.47 |
| Washington County | $523.77 | $594.46 | $669.36 | $935.43 | $1,421.47 |
| Boone County | $525.21 | $596.10 | $671.21 | $938.01 | $1,425.40 |
| Hamilton County | $525.21 | $596.10 | $671.21 | $938.01 | $1,425.40 |
| Hendricks County | $525.21 | $596.10 | $671.21 | $938.01 | $1,425.40 |
| Marion County | $525.21 | $596.10 | $671.21 | $938.01 | $1,425.40 |
| Morgan County | $525.21 | $596.10 | $671.21 | $938.01 | $1,425.40 |
| Shelby County | $525.21 | $596.10 | $671.21 | $938.01 | $1,425.40 |
| Daviess County | $548.57 | $622.61 | $701.05 | $979.72 | $1,488.78 |
| Dubois County | $548.57 | $622.61 | $701.05 | $979.72 | $1,488.78 |
| Greene County | $548.57 | $622.61 | $701.05 | $979.72 | $1,488.78 |
| Knox County | $548.57 | $622.61 | $701.05 | $979.72 | $1,488.78 |
| Martin County | $548.57 | $622.61 | $701.05 | $979.72 | $1,488.78 |
| Orange County | $548.57 | $622.61 | $701.05 | $979.72 | $1,488.78 |
| Perry County | $548.57 | $622.61 | $701.05 | $979.72 | $1,488.78 |
| Pike County | $548.57 | $622.61 | $701.05 | $979.72 | $1,488.78 |
| Spencer County | $548.57 | $622.61 | $701.05 | $979.72 | $1,488.78 |
| Clay County | $561.02 | $636.75 | $716.97 | $1,001.97 | $1,522.59 |
| Parke County | $561.02 | $636.75 | $716.97 | $1,001.97 | $1,522.59 |
| Sullivan County | $561.02 | $636.75 | $716.97 | $1,001.97 | $1,522.59 |
| Vermillion County | $561.02 | $636.75 | $716.97 | $1,001.97 | $1,522.59 |
| Vigo County | $561.02 | $636.75 | $716.97 | $1,001.97 | $1,522.59 |
| Bartholomew County | $570.92 | $647.98 | $729.62 | $1,019.64 | $1,549.45 |
| Decatur County | $570.92 | $647.98 | $729.62 | $1,019.64 | $1,549.45 |
| Jackson County | $570.92 | $647.98 | $729.62 | $1,019.64 | $1,549.45 |
| Jennings County | $570.92 | $647.98 | $729.62 | $1,019.64 | $1,549.45 |
| Rush County | $570.92 | $647.98 | $729.62 | $1,019.64 | $1,549.45 |
| Adams County | $572.14 | $649.37 | $731.19 | $1,021.83 | $1,552.77 |
| Dekalb County | $572.14 | $649.37 | $731.19 | $1,021.83 | $1,552.77 |
| Huntington County | $572.14 | $649.37 | $731.19 | $1,021.83 | $1,552.77 |
| Lagrange County | $572.14 | $649.37 | $731.19 | $1,021.83 | $1,552.77 |
| Noble County | $572.14 | $649.37 | $731.19 | $1,021.83 | $1,552.77 |
| Steuben County | $572.14 | $649.37 | $731.19 | $1,021.83 | $1,552.77 |
| Wabash County | $572.14 | $649.37 | $731.19 | $1,021.83 | $1,552.77 |
| Wells County | $572.14 | $649.37 | $731.19 | $1,021.83 | $1,552.77 |
| Whitley County | $572.14 | $649.37 | $731.19 | $1,021.83 | $1,552.77 |
| Allen County | $575.87 | $653.60 | $735.95 | $1,028.48 | $1,562.88 |
| Elkhart County | $575.87 | $653.60 | $735.95 | $1,028.48 | $1,562.88 |
| Kosciusko County | $575.87 | $653.60 | $735.95 | $1,028.48 | $1,562.88 |
| Marshall County | $575.87 | $653.60 | $735.95 | $1,028.48 | $1,562.88 |
| St. Joseph County | $575.87 | $653.60 | $735.95 | $1,028.48 | $1,562.88 |
| Starke County | $575.87 | $653.60 | $735.95 | $1,028.48 | $1,562.88 |
| Brown County | $624.30 | $708.57 | $797.84 | $1,114.98 | $1,694.33 |
| Cass County | $624.30 | $708.57 | $797.84 | $1,114.98 | $1,694.33 |
| Fulton County | $624.30 | $708.57 | $797.84 | $1,114.98 | $1,694.33 |
| Howard County | $624.30 | $708.57 | $797.84 | $1,114.98 | $1,694.33 |
| Johnson County | $624.30 | $708.57 | $797.84 | $1,114.98 | $1,694.33 |
| Lawrence County | $624.30 | $708.57 | $797.84 | $1,114.98 | $1,694.33 |
| Miami County | $624.30 | $708.57 | $797.84 | $1,114.98 | $1,694.33 |
| Monroe County | $624.30 | $708.57 | $797.84 | $1,114.98 | $1,694.33 |
| Owen County | $624.30 | $708.57 | $797.84 | $1,114.98 | $1,694.33 |
| Pulaski County | $624.30 | $708.57 | $797.84 | $1,114.98 | $1,694.33 |
| Gibson County | $640.43 | $726.87 | $818.45 | $1,143.79 | $1,738.09 |
| Posey County | $640.43 | $726.87 | $818.45 | $1,143.79 | $1,738.09 |
| Vanderburgh County | $640.43 | $726.87 | $818.45 | $1,143.79 | $1,738.09 |
| Warrick County | $640.43 | $726.87 | $818.45 | $1,143.79 | $1,738.09 |
| LaPorte County | $665.23 | $755.02 | $850.15 | $1,188.08 | $1,805.40 |
| Lake County | $665.23 | $755.02 | $850.15 | $1,188.08 | $1,805.40 |
| Porter County | $665.23 | $755.02 | $850.15 | $1,188.08 | $1,805.40 |
| Carroll County | $685.08 | $777.55 | $875.52 | $1,223.53 | $1,859.28 |
| Clinton County | $685.08 | $777.55 | $875.52 | $1,223.53 | $1,859.28 |
| Fountain County | $685.08 | $777.55 | $875.52 | $1,223.53 | $1,859.28 |
| Montgomery County | $685.08 | $777.55 | $875.52 | $1,223.53 | $1,859.28 |
| Putnam County | $685.08 | $777.55 | $875.52 | $1,223.53 | $1,859.28 |
| Tippecanoe County | $685.08 | $777.55 | $875.52 | $1,223.53 | $1,859.28 |
| Tipton County | $685.08 | $777.55 | $875.52 | $1,223.53 | $1,859.28 |
| Benton County | $712.44 | $808.61 | $910.48 | $1,272.40 | $1,933.53 |
| Jasper County | $712.44 | $808.61 | $910.48 | $1,272.40 | $1,933.53 |
| Newton County | $712.44 | $808.61 | $910.48 | $1,272.40 | $1,933.53 |
| Warren County | $712.44 | $808.61 | $910.48 | $1,272.40 | $1,933.53 |
| White County | $712.44 | $808.61 | $910.48 | $1,272.40 | $1,933.53 |
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.