Everyday Gold + Vision + Adult Dental
Gold · HMO · Ambetter Health · Florida
At age 40 it costs between $607.04 and $1,297.68 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 | 49004FL0020009 |
|---|---|
| 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 | 97.37% |
| 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 | $475 | $539.11 | $607.04 | $848.33 | $1,289.12 |
| Brevard County | $480.11 | $544.91 | $613.57 | $857.46 | $1,302.99 |
| Jefferson County | $501.48 | $569.17 | $640.88 | $895.63 | $1,361 |
| Wakulla County | $506.94 | $575.37 | $647.86 | $905.39 | $1,375.82 |
| Calhoun County | $512.88 | $582.10 | $655.44 | $915.98 | $1,391.92 |
| Leon County | $517.04 | $586.83 | $660.77 | $923.42 | $1,403.23 |
| Sumter County | $517.04 | $586.83 | $660.77 | $923.42 | $1,403.23 |
| Madison County | $524.44 | $595.23 | $670.23 | $936.64 | $1,423.31 |
| Franklin County | $525.09 | $595.97 | $671.05 | $937.79 | $1,425.07 |
| Holmes County | $529.20 | $600.63 | $676.30 | $945.13 | $1,436.22 |
| Liberty County | $536.01 | $608.36 | $685.01 | $957.30 | $1,454.71 |
| Lake County | $537.66 | $610.23 | $687.11 | $960.24 | $1,459.17 |
| Highlands County | $539.71 | $612.56 | $689.74 | $963.91 | $1,464.75 |
| Gadsden County | $545.82 | $619.49 | $697.54 | $974.81 | $1,481.32 |
| Duval County | $547.64 | $621.56 | $699.87 | $978.06 | $1,486.26 |
| Bay County | $548.40 | $622.42 | $700.84 | $979.43 | $1,488.33 |
| Escambia County | $548.99 | $623.09 | $701.59 | $980.48 | $1,489.93 |
| Gulf County | $549.46 | $623.62 | $702.20 | $981.31 | $1,491.20 |
| Polk County | $554.51 | $629.36 | $708.65 | $990.33 | $1,504.91 |
| Hillsborough County | $555.80 | $630.82 | $710.30 | $992.64 | $1,508.41 |
| Pinellas County | $556.80 | $631.96 | $711.58 | $994.42 | $1,511.12 |
| Bradford County | $560.38 | $636.02 | $716.15 | $1,000.82 | $1,520.85 |
| Saint Johns County | $560.56 | $636.22 | $716.38 | $1,001.14 | $1,521.32 |
| Osceola County | $561.14 | $636.89 | $717.13 | $1,002.19 | $1,522.92 |
| Marion County | $561.85 | $637.69 | $718.03 | $1,003.44 | $1,524.83 |
| Citrus County | $564.26 | $640.42 | $721.11 | $1,007.74 | $1,531.36 |
| Charlotte County | $564.49 | $640.69 | $721.41 | $1,008.16 | $1,532 |
| Baker County | $565.55 | $641.89 | $722.76 | $1,010.05 | $1,534.87 |
| Pasco County | $565.90 | $642.29 | $723.21 | $1,010.68 | $1,535.83 |
| Manatee County | $566.66 | $643.15 | $724.18 | $1,012.04 | $1,537.90 |
| Walton County | $570.42 | $647.42 | $728.99 | $1,018.76 | $1,548.10 |
| Desoto County | $572.36 | $649.62 | $731.46 | $1,022.22 | $1,553.36 |
| Okaloosa County | $573.53 | $650.95 | $732.96 | $1,024.31 | $1,556.54 |
| Sarasota County | $576.94 | $654.82 | $737.32 | $1,030.40 | $1,565.79 |
| Orange County | $579.17 | $657.35 | $740.17 | $1,034.38 | $1,571.84 |
| Alachua County | $594.79 | $675.08 | $760.13 | $1,062.28 | $1,614.24 |
| Hernando County | $602.84 | $684.21 | $770.41 | $1,076.65 | $1,636.07 |
| Volusia County | $604.01 | $685.54 | $771.91 | $1,078.74 | $1,639.26 |
| Martin County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Putnam County | $617.34 | $700.67 | $788.95 | $1,102.55 | $1,675.43 |
| Jackson County | $620.86 | $704.67 | $793.45 | $1,108.84 | $1,684.99 |
| Levy County | $622.10 | $706.07 | $795.03 | $1,111.05 | $1,688.34 |
| Okeechobee County | $623.39 | $707.53 | $796.68 | $1,113.35 | $1,691.85 |
| Collier County | $625.03 | $709.40 | $798.78 | $1,116.29 | $1,696.31 |
| Lee County | $631.14 | $716.33 | $806.58 | $1,127.20 | $1,712.88 |
| Santa Rosa County | $632.08 | $717.40 | $807.78 | $1,128.87 | $1,715.43 |
| Suwannee County | $637.01 | $723 | $814.09 | $1,137.68 | $1,728.82 |
| Gilchrist County | $638.24 | $724.40 | $815.66 | $1,139.89 | $1,732.17 |
| Columbia County | $640.18 | $726.59 | $818.14 | $1,143.35 | $1,737.43 |
| Clay County | $645.53 | $732.66 | $824.97 | $1,152.89 | $1,751.93 |
| Dixie County | $650.52 | $738.32 | $831.35 | $1,161.80 | $1,765.47 |
| Palm Beach County | $655.39 | $743.86 | $837.58 | $1,170.51 | $1,778.70 |
| Broward County | $668.60 | $758.85 | $854.46 | $1,194.11 | $1,814.56 |
| Nassau County | $669.01 | $759.32 | $854.99 | $1,194.84 | $1,815.68 |
| Glades County | $697.08 | $791.18 | $890.86 | $1,244.97 | $1,891.85 |
| Seminole County | $703.54 | $798.51 | $899.11 | $1,256.51 | $1,909.38 |
| Hardee County | $712.11 | $808.24 | $910.07 | $1,271.82 | $1,932.65 |
| Saint Lucie County | $721.63 | $819.04 | $922.23 | $1,288.81 | $1,958.47 |
| Washington County | $722.21 | $819.70 | $922.98 | $1,289.86 | $1,960.06 |
| Union County | $763.14 | $866.16 | $975.28 | $1,362.95 | $2,071.14 |
| Lafayette County | $796.44 | $903.94 | $1,017.83 | $1,422.42 | $2,161.50 |
| Hamilton County | $1,015.41 | $1,152.47 | $1,297.68 | $1,813.50 | $2,755.79 |
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.