Standard Gold + Vision + Adult Dental
Gold · HMO · Ambetter Health · Indiana
At age 40 it costs between $584.55 and $830.58 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 | 35065IN0050012 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Gold |
| Plan type | HMO |
| 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 | 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 | $457.41 | $519.15 | $584.55 | $816.91 | $1,241.38 |
| Hancock County | $457.41 | $519.15 | $584.55 | $816.91 | $1,241.38 |
| Henry County | $457.41 | $519.15 | $584.55 | $816.91 | $1,241.38 |
| Madison County | $457.41 | $519.15 | $584.55 | $816.91 | $1,241.38 |
| Union County | $457.41 | $519.15 | $584.55 | $816.91 | $1,241.38 |
| Wayne County | $457.41 | $519.15 | $584.55 | $816.91 | $1,241.38 |
| Blackford County | $474.40 | $538.43 | $606.27 | $847.26 | $1,287.50 |
| Dearborn County | $474.40 | $538.43 | $606.27 | $847.26 | $1,287.50 |
| Delaware County | $474.40 | $538.43 | $606.27 | $847.26 | $1,287.50 |
| Franklin County | $474.40 | $538.43 | $606.27 | $847.26 | $1,287.50 |
| Grant County | $474.40 | $538.43 | $606.27 | $847.26 | $1,287.50 |
| Jay County | $474.40 | $538.43 | $606.27 | $847.26 | $1,287.50 |
| Ohio County | $474.40 | $538.43 | $606.27 | $847.26 | $1,287.50 |
| Randolph County | $474.40 | $538.43 | $606.27 | $847.26 | $1,287.50 |
| Ripley County | $474.40 | $538.43 | $606.27 | $847.26 | $1,287.50 |
| Switzerland County | $474.40 | $538.43 | $606.27 | $847.26 | $1,287.50 |
| Clark County | $477.80 | $542.29 | $610.62 | $853.33 | $1,296.72 |
| Crawford County | $477.80 | $542.29 | $610.62 | $853.33 | $1,296.72 |
| Floyd County | $477.80 | $542.29 | $610.62 | $853.33 | $1,296.72 |
| Harrison County | $477.80 | $542.29 | $610.62 | $853.33 | $1,296.72 |
| Jefferson County | $477.80 | $542.29 | $610.62 | $853.33 | $1,296.72 |
| Scott County | $477.80 | $542.29 | $610.62 | $853.33 | $1,296.72 |
| Washington County | $477.80 | $542.29 | $610.62 | $853.33 | $1,296.72 |
| Boone County | $479.12 | $543.79 | $612.30 | $855.69 | $1,300.30 |
| Hamilton County | $479.12 | $543.79 | $612.30 | $855.69 | $1,300.30 |
| Hendricks County | $479.12 | $543.79 | $612.30 | $855.69 | $1,300.30 |
| Marion County | $479.12 | $543.79 | $612.30 | $855.69 | $1,300.30 |
| Morgan County | $479.12 | $543.79 | $612.30 | $855.69 | $1,300.30 |
| Shelby County | $479.12 | $543.79 | $612.30 | $855.69 | $1,300.30 |
| Daviess County | $500.42 | $567.97 | $639.53 | $893.74 | $1,358.12 |
| Dubois County | $500.42 | $567.97 | $639.53 | $893.74 | $1,358.12 |
| Greene County | $500.42 | $567.97 | $639.53 | $893.74 | $1,358.12 |
| Knox County | $500.42 | $567.97 | $639.53 | $893.74 | $1,358.12 |
| Martin County | $500.42 | $567.97 | $639.53 | $893.74 | $1,358.12 |
| Orange County | $500.42 | $567.97 | $639.53 | $893.74 | $1,358.12 |
| Perry County | $500.42 | $567.97 | $639.53 | $893.74 | $1,358.12 |
| Pike County | $500.42 | $567.97 | $639.53 | $893.74 | $1,358.12 |
| Spencer County | $500.42 | $567.97 | $639.53 | $893.74 | $1,358.12 |
| Clay County | $511.79 | $580.87 | $654.05 | $914.03 | $1,388.96 |
| Parke County | $511.79 | $580.87 | $654.05 | $914.03 | $1,388.96 |
| Sullivan County | $511.79 | $580.87 | $654.05 | $914.03 | $1,388.96 |
| Vermillion County | $511.79 | $580.87 | $654.05 | $914.03 | $1,388.96 |
| Vigo County | $511.79 | $580.87 | $654.05 | $914.03 | $1,388.96 |
| Bartholomew County | $520.82 | $591.11 | $665.59 | $930.16 | $1,413.47 |
| Decatur County | $520.82 | $591.11 | $665.59 | $930.16 | $1,413.47 |
| Jackson County | $520.82 | $591.11 | $665.59 | $930.16 | $1,413.47 |
| Jennings County | $520.82 | $591.11 | $665.59 | $930.16 | $1,413.47 |
| Rush County | $520.82 | $591.11 | $665.59 | $930.16 | $1,413.47 |
| Adams County | $521.93 | $592.38 | $667.02 | $932.15 | $1,416.50 |
| Dekalb County | $521.93 | $592.38 | $667.02 | $932.15 | $1,416.50 |
| Huntington County | $521.93 | $592.38 | $667.02 | $932.15 | $1,416.50 |
| Lagrange County | $521.93 | $592.38 | $667.02 | $932.15 | $1,416.50 |
| Noble County | $521.93 | $592.38 | $667.02 | $932.15 | $1,416.50 |
| Steuben County | $521.93 | $592.38 | $667.02 | $932.15 | $1,416.50 |
| Wabash County | $521.93 | $592.38 | $667.02 | $932.15 | $1,416.50 |
| Wells County | $521.93 | $592.38 | $667.02 | $932.15 | $1,416.50 |
| Whitley County | $521.93 | $592.38 | $667.02 | $932.15 | $1,416.50 |
| Allen County | $525.33 | $596.24 | $671.36 | $938.22 | $1,425.72 |
| Elkhart County | $525.33 | $596.24 | $671.36 | $938.22 | $1,425.72 |
| Kosciusko County | $525.33 | $596.24 | $671.36 | $938.22 | $1,425.72 |
| Marshall County | $525.33 | $596.24 | $671.36 | $938.22 | $1,425.72 |
| St. Joseph County | $525.33 | $596.24 | $671.36 | $938.22 | $1,425.72 |
| Starke County | $525.33 | $596.24 | $671.36 | $938.22 | $1,425.72 |
| Brown County | $569.51 | $646.39 | $727.83 | $1,017.13 | $1,545.63 |
| Cass County | $569.51 | $646.39 | $727.83 | $1,017.13 | $1,545.63 |
| Fulton County | $569.51 | $646.39 | $727.83 | $1,017.13 | $1,545.63 |
| Howard County | $569.51 | $646.39 | $727.83 | $1,017.13 | $1,545.63 |
| Johnson County | $569.51 | $646.39 | $727.83 | $1,017.13 | $1,545.63 |
| Lawrence County | $569.51 | $646.39 | $727.83 | $1,017.13 | $1,545.63 |
| Miami County | $569.51 | $646.39 | $727.83 | $1,017.13 | $1,545.63 |
| Monroe County | $569.51 | $646.39 | $727.83 | $1,017.13 | $1,545.63 |
| Owen County | $569.51 | $646.39 | $727.83 | $1,017.13 | $1,545.63 |
| Pulaski County | $569.51 | $646.39 | $727.83 | $1,017.13 | $1,545.63 |
| Gibson County | $584.22 | $663.08 | $746.63 | $1,043.41 | $1,585.56 |
| Posey County | $584.22 | $663.08 | $746.63 | $1,043.41 | $1,585.56 |
| Vanderburgh County | $584.22 | $663.08 | $746.63 | $1,043.41 | $1,585.56 |
| Warrick County | $584.22 | $663.08 | $746.63 | $1,043.41 | $1,585.56 |
| LaPorte County | $606.85 | $688.76 | $775.54 | $1,083.81 | $1,646.96 |
| Lake County | $606.85 | $688.76 | $775.54 | $1,083.81 | $1,646.96 |
| Porter County | $606.85 | $688.76 | $775.54 | $1,083.81 | $1,646.96 |
| Carroll County | $624.96 | $709.31 | $798.68 | $1,116.16 | $1,696.11 |
| Clinton County | $624.96 | $709.31 | $798.68 | $1,116.16 | $1,696.11 |
| Fountain County | $624.96 | $709.31 | $798.68 | $1,116.16 | $1,696.11 |
| Montgomery County | $624.96 | $709.31 | $798.68 | $1,116.16 | $1,696.11 |
| Putnam County | $624.96 | $709.31 | $798.68 | $1,116.16 | $1,696.11 |
| Tippecanoe County | $624.96 | $709.31 | $798.68 | $1,116.16 | $1,696.11 |
| Tipton County | $624.96 | $709.31 | $798.68 | $1,116.16 | $1,696.11 |
| Benton County | $649.91 | $737.64 | $830.58 | $1,160.73 | $1,763.84 |
| Jasper County | $649.91 | $737.64 | $830.58 | $1,160.73 | $1,763.84 |
| Newton County | $649.91 | $737.64 | $830.58 | $1,160.73 | $1,763.84 |
| Warren County | $649.91 | $737.64 | $830.58 | $1,160.73 | $1,763.84 |
| White County | $649.91 | $737.64 | $830.58 | $1,160.73 | $1,763.84 |
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.