Complete Gold + Vision + Adult Dental
Gold · HMO · Ambetter Health · Indiana
At age 40 it costs between $609.02 and $865.34 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 | 35065IN0050003 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $1,450 |
| Deductible (family) | $2,900 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,500 |
| Family maximum | $15,000 |
| Primary care visit | $15 |
| Specialist visit | $35 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $30 |
| Specialty drugs | 30% Coinsurance after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 97.25% |
| 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 | $476.55 | $540.88 | $609.02 | $851.11 | $1,293.34 |
| Hancock County | $476.55 | $540.88 | $609.02 | $851.11 | $1,293.34 |
| Henry County | $476.55 | $540.88 | $609.02 | $851.11 | $1,293.34 |
| Madison County | $476.55 | $540.88 | $609.02 | $851.11 | $1,293.34 |
| Union County | $476.55 | $540.88 | $609.02 | $851.11 | $1,293.34 |
| Wayne County | $476.55 | $540.88 | $609.02 | $851.11 | $1,293.34 |
| Blackford County | $494.26 | $560.97 | $631.65 | $882.73 | $1,341.39 |
| Dearborn County | $494.26 | $560.97 | $631.65 | $882.73 | $1,341.39 |
| Delaware County | $494.26 | $560.97 | $631.65 | $882.73 | $1,341.39 |
| Franklin County | $494.26 | $560.97 | $631.65 | $882.73 | $1,341.39 |
| Grant County | $494.26 | $560.97 | $631.65 | $882.73 | $1,341.39 |
| Jay County | $494.26 | $560.97 | $631.65 | $882.73 | $1,341.39 |
| Ohio County | $494.26 | $560.97 | $631.65 | $882.73 | $1,341.39 |
| Randolph County | $494.26 | $560.97 | $631.65 | $882.73 | $1,341.39 |
| Ripley County | $494.26 | $560.97 | $631.65 | $882.73 | $1,341.39 |
| Switzerland County | $494.26 | $560.97 | $631.65 | $882.73 | $1,341.39 |
| Clark County | $497.80 | $564.99 | $636.17 | $889.05 | $1,351 |
| Crawford County | $497.80 | $564.99 | $636.17 | $889.05 | $1,351 |
| Floyd County | $497.80 | $564.99 | $636.17 | $889.05 | $1,351 |
| Harrison County | $497.80 | $564.99 | $636.17 | $889.05 | $1,351 |
| Jefferson County | $497.80 | $564.99 | $636.17 | $889.05 | $1,351 |
| Scott County | $497.80 | $564.99 | $636.17 | $889.05 | $1,351 |
| Washington County | $497.80 | $564.99 | $636.17 | $889.05 | $1,351 |
| Boone County | $499.17 | $566.55 | $637.93 | $891.51 | $1,354.73 |
| Hamilton County | $499.17 | $566.55 | $637.93 | $891.51 | $1,354.73 |
| Hendricks County | $499.17 | $566.55 | $637.93 | $891.51 | $1,354.73 |
| Marion County | $499.17 | $566.55 | $637.93 | $891.51 | $1,354.73 |
| Morgan County | $499.17 | $566.55 | $637.93 | $891.51 | $1,354.73 |
| Shelby County | $499.17 | $566.55 | $637.93 | $891.51 | $1,354.73 |
| Daviess County | $521.37 | $591.74 | $666.30 | $931.15 | $1,414.97 |
| Dubois County | $521.37 | $591.74 | $666.30 | $931.15 | $1,414.97 |
| Greene County | $521.37 | $591.74 | $666.30 | $931.15 | $1,414.97 |
| Knox County | $521.37 | $591.74 | $666.30 | $931.15 | $1,414.97 |
| Martin County | $521.37 | $591.74 | $666.30 | $931.15 | $1,414.97 |
| Orange County | $521.37 | $591.74 | $666.30 | $931.15 | $1,414.97 |
| Perry County | $521.37 | $591.74 | $666.30 | $931.15 | $1,414.97 |
| Pike County | $521.37 | $591.74 | $666.30 | $931.15 | $1,414.97 |
| Spencer County | $521.37 | $591.74 | $666.30 | $931.15 | $1,414.97 |
| Clay County | $533.21 | $605.18 | $681.43 | $952.29 | $1,447.10 |
| Parke County | $533.21 | $605.18 | $681.43 | $952.29 | $1,447.10 |
| Sullivan County | $533.21 | $605.18 | $681.43 | $952.29 | $1,447.10 |
| Vermillion County | $533.21 | $605.18 | $681.43 | $952.29 | $1,447.10 |
| Vigo County | $533.21 | $605.18 | $681.43 | $952.29 | $1,447.10 |
| Bartholomew County | $542.62 | $615.86 | $693.45 | $969.09 | $1,472.63 |
| Decatur County | $542.62 | $615.86 | $693.45 | $969.09 | $1,472.63 |
| Jackson County | $542.62 | $615.86 | $693.45 | $969.09 | $1,472.63 |
| Jennings County | $542.62 | $615.86 | $693.45 | $969.09 | $1,472.63 |
| Rush County | $542.62 | $615.86 | $693.45 | $969.09 | $1,472.63 |
| Adams County | $543.78 | $617.18 | $694.94 | $971.17 | $1,475.79 |
| Dekalb County | $543.78 | $617.18 | $694.94 | $971.17 | $1,475.79 |
| Huntington County | $543.78 | $617.18 | $694.94 | $971.17 | $1,475.79 |
| Lagrange County | $543.78 | $617.18 | $694.94 | $971.17 | $1,475.79 |
| Noble County | $543.78 | $617.18 | $694.94 | $971.17 | $1,475.79 |
| Steuben County | $543.78 | $617.18 | $694.94 | $971.17 | $1,475.79 |
| Wabash County | $543.78 | $617.18 | $694.94 | $971.17 | $1,475.79 |
| Wells County | $543.78 | $617.18 | $694.94 | $971.17 | $1,475.79 |
| Whitley County | $543.78 | $617.18 | $694.94 | $971.17 | $1,475.79 |
| Allen County | $547.32 | $621.20 | $699.46 | $977.49 | $1,485.40 |
| Elkhart County | $547.32 | $621.20 | $699.46 | $977.49 | $1,485.40 |
| Kosciusko County | $547.32 | $621.20 | $699.46 | $977.49 | $1,485.40 |
| Marshall County | $547.32 | $621.20 | $699.46 | $977.49 | $1,485.40 |
| St. Joseph County | $547.32 | $621.20 | $699.46 | $977.49 | $1,485.40 |
| Starke County | $547.32 | $621.20 | $699.46 | $977.49 | $1,485.40 |
| Brown County | $593.35 | $673.44 | $758.29 | $1,059.71 | $1,610.33 |
| Cass County | $593.35 | $673.44 | $758.29 | $1,059.71 | $1,610.33 |
| Fulton County | $593.35 | $673.44 | $758.29 | $1,059.71 | $1,610.33 |
| Howard County | $593.35 | $673.44 | $758.29 | $1,059.71 | $1,610.33 |
| Johnson County | $593.35 | $673.44 | $758.29 | $1,059.71 | $1,610.33 |
| Lawrence County | $593.35 | $673.44 | $758.29 | $1,059.71 | $1,610.33 |
| Miami County | $593.35 | $673.44 | $758.29 | $1,059.71 | $1,610.33 |
| Monroe County | $593.35 | $673.44 | $758.29 | $1,059.71 | $1,610.33 |
| Owen County | $593.35 | $673.44 | $758.29 | $1,059.71 | $1,610.33 |
| Pulaski County | $593.35 | $673.44 | $758.29 | $1,059.71 | $1,610.33 |
| Gibson County | $608.68 | $690.84 | $777.88 | $1,087.08 | $1,651.92 |
| Posey County | $608.68 | $690.84 | $777.88 | $1,087.08 | $1,651.92 |
| Vanderburgh County | $608.68 | $690.84 | $777.88 | $1,087.08 | $1,651.92 |
| Warrick County | $608.68 | $690.84 | $777.88 | $1,087.08 | $1,651.92 |
| LaPorte County | $632.25 | $717.59 | $808 | $1,129.18 | $1,715.89 |
| Lake County | $632.25 | $717.59 | $808 | $1,129.18 | $1,715.89 |
| Porter County | $632.25 | $717.59 | $808 | $1,129.18 | $1,715.89 |
| Carroll County | $651.12 | $739 | $832.11 | $1,162.87 | $1,767.10 |
| Clinton County | $651.12 | $739 | $832.11 | $1,162.87 | $1,767.10 |
| Fountain County | $651.12 | $739 | $832.11 | $1,162.87 | $1,767.10 |
| Montgomery County | $651.12 | $739 | $832.11 | $1,162.87 | $1,767.10 |
| Putnam County | $651.12 | $739 | $832.11 | $1,162.87 | $1,767.10 |
| Tippecanoe County | $651.12 | $739 | $832.11 | $1,162.87 | $1,767.10 |
| Tipton County | $651.12 | $739 | $832.11 | $1,162.87 | $1,767.10 |
| Benton County | $677.12 | $768.52 | $865.34 | $1,209.31 | $1,837.67 |
| Jasper County | $677.12 | $768.52 | $865.34 | $1,209.31 | $1,837.67 |
| Newton County | $677.12 | $768.52 | $865.34 | $1,209.31 | $1,837.67 |
| Warren County | $677.12 | $768.52 | $865.34 | $1,209.31 | $1,837.67 |
| White County | $677.12 | $768.52 | $865.34 | $1,209.31 | $1,837.67 |
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.