Complete Gold
Gold · HMO · Ambetter Health · Florida
At age 40 it costs between $610.80 and $1,305.71 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 | 49004FL0010011 |
|---|---|
| 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 | 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 | 1-877-687-1169 · TTY 1-800-955-8770 |
Where it is sold, and what it costs there
62 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 |
|---|---|---|---|---|---|
| Indian River County | $477.94 | $542.45 | $610.80 | $853.59 | $1,297.11 |
| Brevard County | $483.08 | $548.29 | $617.37 | $862.77 | $1,311.06 |
| Jefferson County | $504.59 | $572.70 | $644.85 | $901.18 | $1,369.43 |
| Wakulla County | $510.08 | $578.93 | $651.88 | $910.99 | $1,384.34 |
| Calhoun County | $516.05 | $585.71 | $659.50 | $921.65 | $1,400.54 |
| Leon County | $520.25 | $590.47 | $664.86 | $929.14 | $1,411.92 |
| Sumter County | $520.25 | $590.47 | $664.86 | $929.14 | $1,411.92 |
| Madison County | $527.69 | $598.92 | $674.38 | $942.44 | $1,432.13 |
| Franklin County | $528.34 | $599.66 | $675.21 | $943.60 | $1,433.89 |
| Holmes County | $532.48 | $604.35 | $680.49 | $950.99 | $1,445.12 |
| Liberty County | $539.33 | $612.13 | $689.25 | $963.23 | $1,463.72 |
| Lake County | $540.99 | $614.01 | $691.37 | $966.18 | $1,468.21 |
| Highlands County | $543.05 | $616.35 | $694.01 | $969.88 | $1,473.82 |
| Gadsden County | $549.20 | $623.33 | $701.86 | $980.85 | $1,490.50 |
| Duval County | $551.03 | $625.41 | $704.20 | $984.12 | $1,495.47 |
| Bay County | $551.80 | $626.28 | $705.18 | $985.49 | $1,497.55 |
| Escambia County | $552.39 | $626.95 | $705.94 | $986.55 | $1,499.16 |
| Gulf County | $552.86 | $627.49 | $706.54 | $987.39 | $1,500.44 |
| Polk County | $557.94 | $633.25 | $713.04 | $996.47 | $1,514.23 |
| Hillsborough County | $559.24 | $634.73 | $714.70 | $998.79 | $1,517.76 |
| Pinellas County | $560.25 | $635.87 | $715.98 | $1,000.58 | $1,520.48 |
| Bradford County | $563.85 | $639.96 | $720.59 | $1,007.02 | $1,530.26 |
| Saint Johns County | $564.03 | $640.16 | $720.82 | $1,007.34 | $1,530.75 |
| Osceola County | $564.62 | $640.83 | $721.57 | $1,008.39 | $1,532.35 |
| Marion County | $565.33 | $641.64 | $722.48 | $1,009.66 | $1,534.27 |
| Citrus County | $567.75 | $644.39 | $725.57 | $1,013.98 | $1,540.85 |
| Charlotte County | $567.99 | $644.65 | $725.87 | $1,014.41 | $1,541.49 |
| Baker County | $569.05 | $645.86 | $727.23 | $1,016.31 | $1,544.38 |
| Pasco County | $569.40 | $646.26 | $727.69 | $1,016.94 | $1,545.34 |
| Manatee County | $570.17 | $647.14 | $728.67 | $1,018.31 | $1,547.42 |
| Walton County | $573.95 | $651.43 | $733.50 | $1,025.06 | $1,557.69 |
| Desoto County | $575.90 | $653.64 | $735.99 | $1,028.55 | $1,562.98 |
| Okaloosa County | $577.09 | $654.98 | $737.50 | $1,030.66 | $1,566.18 |
| Sarasota County | $580.51 | $658.87 | $741.88 | $1,036.78 | $1,575.48 |
| Orange County | $582.76 | $661.42 | $744.75 | $1,040.79 | $1,581.58 |
| Alachua County | $598.47 | $679.26 | $764.84 | $1,068.86 | $1,624.23 |
| Hernando County | $606.57 | $688.44 | $775.18 | $1,083.31 | $1,646.20 |
| Volusia County | $607.75 | $689.79 | $776.69 | $1,085.42 | $1,649.41 |
| Martin County | $609.46 | $691.73 | $778.88 | $1,088.48 | $1,654.06 |
| Putnam County | $621.16 | $705.01 | $793.83 | $1,109.38 | $1,685.81 |
| Jackson County | $624.71 | $709.03 | $798.36 | $1,115.71 | $1,695.43 |
| Levy County | $625.95 | $710.44 | $799.95 | $1,117.93 | $1,698.80 |
| Okeechobee County | $627.25 | $711.92 | $801.61 | $1,120.25 | $1,702.33 |
| Collier County | $628.90 | $713.79 | $803.72 | $1,123.20 | $1,706.81 |
| Lee County | $635.05 | $720.77 | $811.58 | $1,134.18 | $1,723.49 |
| Santa Rosa County | $635.99 | $721.84 | $812.79 | $1,135.87 | $1,726.06 |
| Suwannee County | $640.96 | $727.47 | $819.13 | $1,144.73 | $1,739.53 |
| Gilchrist County | $642.20 | $728.88 | $820.71 | $1,146.95 | $1,742.89 |
| Columbia County | $644.15 | $731.09 | $823.21 | $1,150.43 | $1,748.19 |
| Clay County | $649.52 | $737.20 | $830.08 | $1,160.03 | $1,762.78 |
| Dixie County | $654.55 | $742.90 | $836.50 | $1,169 | $1,776.41 |
| Palm Beach County | $659.45 | $748.46 | $842.76 | $1,177.76 | $1,789.72 |
| Broward County | $672.74 | $763.55 | $859.75 | $1,201.50 | $1,825.80 |
| Nassau County | $673.16 | $764.02 | $860.28 | $1,202.24 | $1,826.92 |
| Glades County | $701.40 | $796.08 | $896.38 | $1,252.68 | $1,903.57 |
| Seminole County | $707.90 | $803.45 | $904.68 | $1,264.29 | $1,921.21 |
| Hardee County | $716.52 | $813.24 | $915.71 | $1,279.70 | $1,944.62 |
| Saint Lucie County | $726.10 | $824.11 | $927.94 | $1,296.79 | $1,970.60 |
| Washington County | $726.69 | $824.78 | $928.69 | $1,297.85 | $1,972.20 |
| Union County | $767.87 | $871.52 | $981.32 | $1,371.40 | $2,083.97 |
| Lafayette County | $801.37 | $909.54 | $1,024.14 | $1,431.23 | $2,174.89 |
| Hamilton County | $1,021.69 | $1,159.61 | $1,305.71 | $1,824.73 | $2,772.85 |
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.