Elite Gold + Vision + Adult Dental
Gold · HMO · Ambetter Health · Indiana
At age 40 it costs between $657.68 and $934.48 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 | 35065IN0050006 |
|---|---|
| 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 | 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 | $514.63 | $584.09 | $657.68 | $919.11 | $1,396.68 |
| Hancock County | $514.63 | $584.09 | $657.68 | $919.11 | $1,396.68 |
| Henry County | $514.63 | $584.09 | $657.68 | $919.11 | $1,396.68 |
| Madison County | $514.63 | $584.09 | $657.68 | $919.11 | $1,396.68 |
| Union County | $514.63 | $584.09 | $657.68 | $919.11 | $1,396.68 |
| Wayne County | $514.63 | $584.09 | $657.68 | $919.11 | $1,396.68 |
| Blackford County | $533.75 | $605.79 | $682.12 | $953.26 | $1,448.57 |
| Dearborn County | $533.75 | $605.79 | $682.12 | $953.26 | $1,448.57 |
| Delaware County | $533.75 | $605.79 | $682.12 | $953.26 | $1,448.57 |
| Franklin County | $533.75 | $605.79 | $682.12 | $953.26 | $1,448.57 |
| Grant County | $533.75 | $605.79 | $682.12 | $953.26 | $1,448.57 |
| Jay County | $533.75 | $605.79 | $682.12 | $953.26 | $1,448.57 |
| Ohio County | $533.75 | $605.79 | $682.12 | $953.26 | $1,448.57 |
| Randolph County | $533.75 | $605.79 | $682.12 | $953.26 | $1,448.57 |
| Ripley County | $533.75 | $605.79 | $682.12 | $953.26 | $1,448.57 |
| Switzerland County | $533.75 | $605.79 | $682.12 | $953.26 | $1,448.57 |
| Clark County | $537.57 | $610.13 | $687.01 | $960.09 | $1,458.94 |
| Crawford County | $537.57 | $610.13 | $687.01 | $960.09 | $1,458.94 |
| Floyd County | $537.57 | $610.13 | $687.01 | $960.09 | $1,458.94 |
| Harrison County | $537.57 | $610.13 | $687.01 | $960.09 | $1,458.94 |
| Jefferson County | $537.57 | $610.13 | $687.01 | $960.09 | $1,458.94 |
| Scott County | $537.57 | $610.13 | $687.01 | $960.09 | $1,458.94 |
| Washington County | $537.57 | $610.13 | $687.01 | $960.09 | $1,458.94 |
| Boone County | $539.06 | $611.82 | $688.90 | $962.74 | $1,462.97 |
| Hamilton County | $539.06 | $611.82 | $688.90 | $962.74 | $1,462.97 |
| Hendricks County | $539.06 | $611.82 | $688.90 | $962.74 | $1,462.97 |
| Marion County | $539.06 | $611.82 | $688.90 | $962.74 | $1,462.97 |
| Morgan County | $539.06 | $611.82 | $688.90 | $962.74 | $1,462.97 |
| Shelby County | $539.06 | $611.82 | $688.90 | $962.74 | $1,462.97 |
| Daviess County | $563.03 | $639.02 | $719.54 | $1,005.55 | $1,528.03 |
| Dubois County | $563.03 | $639.02 | $719.54 | $1,005.55 | $1,528.03 |
| Greene County | $563.03 | $639.02 | $719.54 | $1,005.55 | $1,528.03 |
| Knox County | $563.03 | $639.02 | $719.54 | $1,005.55 | $1,528.03 |
| Martin County | $563.03 | $639.02 | $719.54 | $1,005.55 | $1,528.03 |
| Orange County | $563.03 | $639.02 | $719.54 | $1,005.55 | $1,528.03 |
| Perry County | $563.03 | $639.02 | $719.54 | $1,005.55 | $1,528.03 |
| Pike County | $563.03 | $639.02 | $719.54 | $1,005.55 | $1,528.03 |
| Spencer County | $563.03 | $639.02 | $719.54 | $1,005.55 | $1,528.03 |
| Clay County | $575.81 | $653.53 | $735.87 | $1,028.38 | $1,562.72 |
| Parke County | $575.81 | $653.53 | $735.87 | $1,028.38 | $1,562.72 |
| Sullivan County | $575.81 | $653.53 | $735.87 | $1,028.38 | $1,562.72 |
| Vermillion County | $575.81 | $653.53 | $735.87 | $1,028.38 | $1,562.72 |
| Vigo County | $575.81 | $653.53 | $735.87 | $1,028.38 | $1,562.72 |
| Bartholomew County | $585.97 | $665.06 | $748.86 | $1,046.52 | $1,590.29 |
| Decatur County | $585.97 | $665.06 | $748.86 | $1,046.52 | $1,590.29 |
| Jackson County | $585.97 | $665.06 | $748.86 | $1,046.52 | $1,590.29 |
| Jennings County | $585.97 | $665.06 | $748.86 | $1,046.52 | $1,590.29 |
| Rush County | $585.97 | $665.06 | $748.86 | $1,046.52 | $1,590.29 |
| Adams County | $587.23 | $666.49 | $750.46 | $1,048.77 | $1,593.70 |
| Dekalb County | $587.23 | $666.49 | $750.46 | $1,048.77 | $1,593.70 |
| Huntington County | $587.23 | $666.49 | $750.46 | $1,048.77 | $1,593.70 |
| Lagrange County | $587.23 | $666.49 | $750.46 | $1,048.77 | $1,593.70 |
| Noble County | $587.23 | $666.49 | $750.46 | $1,048.77 | $1,593.70 |
| Steuben County | $587.23 | $666.49 | $750.46 | $1,048.77 | $1,593.70 |
| Wabash County | $587.23 | $666.49 | $750.46 | $1,048.77 | $1,593.70 |
| Wells County | $587.23 | $666.49 | $750.46 | $1,048.77 | $1,593.70 |
| Whitley County | $587.23 | $666.49 | $750.46 | $1,048.77 | $1,593.70 |
| Allen County | $591.05 | $670.83 | $755.35 | $1,055.60 | $1,604.08 |
| Elkhart County | $591.05 | $670.83 | $755.35 | $1,055.60 | $1,604.08 |
| Kosciusko County | $591.05 | $670.83 | $755.35 | $1,055.60 | $1,604.08 |
| Marshall County | $591.05 | $670.83 | $755.35 | $1,055.60 | $1,604.08 |
| St. Joseph County | $591.05 | $670.83 | $755.35 | $1,055.60 | $1,604.08 |
| Starke County | $591.05 | $670.83 | $755.35 | $1,055.60 | $1,604.08 |
| Brown County | $640.76 | $727.25 | $818.88 | $1,144.38 | $1,738.99 |
| Cass County | $640.76 | $727.25 | $818.88 | $1,144.38 | $1,738.99 |
| Fulton County | $640.76 | $727.25 | $818.88 | $1,144.38 | $1,738.99 |
| Howard County | $640.76 | $727.25 | $818.88 | $1,144.38 | $1,738.99 |
| Johnson County | $640.76 | $727.25 | $818.88 | $1,144.38 | $1,738.99 |
| Lawrence County | $640.76 | $727.25 | $818.88 | $1,144.38 | $1,738.99 |
| Miami County | $640.76 | $727.25 | $818.88 | $1,144.38 | $1,738.99 |
| Monroe County | $640.76 | $727.25 | $818.88 | $1,144.38 | $1,738.99 |
| Owen County | $640.76 | $727.25 | $818.88 | $1,144.38 | $1,738.99 |
| Pulaski County | $640.76 | $727.25 | $818.88 | $1,144.38 | $1,738.99 |
| Gibson County | $657.31 | $746.04 | $840.03 | $1,173.94 | $1,783.91 |
| Posey County | $657.31 | $746.04 | $840.03 | $1,173.94 | $1,783.91 |
| Vanderburgh County | $657.31 | $746.04 | $840.03 | $1,173.94 | $1,783.91 |
| Warrick County | $657.31 | $746.04 | $840.03 | $1,173.94 | $1,783.91 |
| LaPorte County | $682.76 | $774.93 | $872.56 | $1,219.40 | $1,852.99 |
| Lake County | $682.76 | $774.93 | $872.56 | $1,219.40 | $1,852.99 |
| Porter County | $682.76 | $774.93 | $872.56 | $1,219.40 | $1,852.99 |
| Carroll County | $703.14 | $798.05 | $898.60 | $1,255.79 | $1,908.29 |
| Clinton County | $703.14 | $798.05 | $898.60 | $1,255.79 | $1,908.29 |
| Fountain County | $703.14 | $798.05 | $898.60 | $1,255.79 | $1,908.29 |
| Montgomery County | $703.14 | $798.05 | $898.60 | $1,255.79 | $1,908.29 |
| Putnam County | $703.14 | $798.05 | $898.60 | $1,255.79 | $1,908.29 |
| Tippecanoe County | $703.14 | $798.05 | $898.60 | $1,255.79 | $1,908.29 |
| Tipton County | $703.14 | $798.05 | $898.60 | $1,255.79 | $1,908.29 |
| Benton County | $731.22 | $829.92 | $934.48 | $1,305.94 | $1,984.50 |
| Jasper County | $731.22 | $829.92 | $934.48 | $1,305.94 | $1,984.50 |
| Newton County | $731.22 | $829.92 | $934.48 | $1,305.94 | $1,984.50 |
| Warren County | $731.22 | $829.92 | $934.48 | $1,305.94 | $1,984.50 |
| White County | $731.22 | $829.92 | $934.48 | $1,305.94 | $1,984.50 |
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.