Everyday Gold + Vision + Adult Dental
Gold · HMO · Ambetter Health · Iowa
At age 40 it costs between $520.05 and $637.14 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 | 48286IA0020016 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $800 |
| Deductible (family) | $1,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,250 |
| Family maximum | $14,500 |
| Primary care visit | $35 |
| Specialist visit | $55 |
| Emergency room | 35% Coinsurance after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $60 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 95.93% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-919-3213 · TTY 1-833-919-3213 |
Where it is sold, and what it costs there
58 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 |
|---|---|---|---|---|---|
| Boone County | $406.94 | $461.86 | $520.05 | $726.77 | $1,104.40 |
| Hardin County | $406.94 | $461.86 | $520.05 | $726.77 | $1,104.40 |
| Tama County | $406.94 | $461.86 | $520.05 | $726.77 | $1,104.40 |
| Jasper County | $418.94 | $475.49 | $535.39 | $748.21 | $1,136.98 |
| Madison County | $418.94 | $475.49 | $535.39 | $748.21 | $1,136.98 |
| Marion County | $418.94 | $475.49 | $535.39 | $748.21 | $1,136.98 |
| Polk County | $418.94 | $475.49 | $535.39 | $748.21 | $1,136.98 |
| Warren County | $418.94 | $475.49 | $535.39 | $748.21 | $1,136.98 |
| Benton County | $430.94 | $489.11 | $550.73 | $769.65 | $1,169.55 |
| Buchanan County | $430.94 | $489.11 | $550.73 | $769.65 | $1,169.55 |
| Cedar County | $430.94 | $489.11 | $550.73 | $769.65 | $1,169.55 |
| Clinton County | $430.94 | $489.11 | $550.73 | $769.65 | $1,169.55 |
| Dubuque County | $430.94 | $489.11 | $550.73 | $769.65 | $1,169.55 |
| Jackson County | $430.94 | $489.11 | $550.73 | $769.65 | $1,169.55 |
| Linn County | $430.94 | $489.11 | $550.73 | $769.65 | $1,169.55 |
| Scott County | $430.94 | $489.11 | $550.73 | $769.65 | $1,169.55 |
| Cherokee County | $442.95 | $502.73 | $566.07 | $791.09 | $1,202.13 |
| Crawford County | $442.95 | $502.73 | $566.07 | $791.09 | $1,202.13 |
| Ida County | $442.95 | $502.73 | $566.07 | $791.09 | $1,202.13 |
| Monona County | $442.95 | $502.73 | $566.07 | $791.09 | $1,202.13 |
| Palo Alto County | $442.95 | $502.73 | $566.07 | $791.09 | $1,202.13 |
| Sioux County | $442.95 | $502.73 | $566.07 | $791.09 | $1,202.13 |
| Woodbury County | $442.95 | $502.73 | $566.07 | $791.09 | $1,202.13 |
| Appanoose County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Davis County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Henry County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Jefferson County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Keokuk County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Lee County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Louisa County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Mahaska County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Monroe County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Van Buren County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Washington County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Wayne County | $459.28 | $521.27 | $586.94 | $820.25 | $1,246.45 |
| Butler County | $476.75 | $541.10 | $609.27 | $851.46 | $1,293.87 |
| Cerro Gordo County | $476.75 | $541.10 | $609.27 | $851.46 | $1,293.87 |
| Chickasaw County | $476.75 | $541.10 | $609.27 | $851.46 | $1,293.87 |
| Fayette County | $476.75 | $541.10 | $609.27 | $851.46 | $1,293.87 |
| Floyd County | $476.75 | $541.10 | $609.27 | $851.46 | $1,293.87 |
| Franklin County | $476.75 | $541.10 | $609.27 | $851.46 | $1,293.87 |
| Hancock County | $476.75 | $541.10 | $609.27 | $851.46 | $1,293.87 |
| Kossuth County | $476.75 | $541.10 | $609.27 | $851.46 | $1,293.87 |
| Winnebago County | $476.75 | $541.10 | $609.27 | $851.46 | $1,293.87 |
| Worth County | $476.75 | $541.10 | $609.27 | $851.46 | $1,293.87 |
| Adair County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Audubon County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Cass County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Decatur County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Fremont County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Mills County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Montgomery County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Page County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Pottawattamie County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Ringgold County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Shelby County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Taylor County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
| Union County | $498.55 | $565.84 | $637.14 | $890.39 | $1,353.04 |
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.