Complete Gold + Vision + Adult Dental
Gold · HMO · Ambetter Health · Florida
At age 40 it costs between $627.32 and $1,341.04 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 | 49004FL0020010 |
|---|---|
| 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 | 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 | $490.87 | $557.13 | $627.32 | $876.68 | $1,332.20 |
| Brevard County | $496.15 | $563.12 | $634.07 | $886.11 | $1,346.53 |
| Jefferson County | $518.24 | $588.19 | $662.30 | $925.56 | $1,406.48 |
| Wakulla County | $523.88 | $594.60 | $669.51 | $935.64 | $1,421.80 |
| Calhoun County | $530.01 | $601.55 | $677.34 | $946.59 | $1,438.43 |
| Leon County | $534.32 | $606.44 | $682.85 | $954.28 | $1,450.12 |
| Sumter County | $534.32 | $606.44 | $682.85 | $954.28 | $1,450.12 |
| Madison County | $541.97 | $615.12 | $692.62 | $967.94 | $1,470.87 |
| Franklin County | $542.64 | $615.88 | $693.48 | $969.13 | $1,472.69 |
| Holmes County | $546.88 | $620.70 | $698.90 | $976.72 | $1,484.21 |
| Liberty County | $553.92 | $628.69 | $707.90 | $989.29 | $1,503.32 |
| Lake County | $555.62 | $630.62 | $710.07 | $992.32 | $1,507.93 |
| Highlands County | $557.75 | $633.03 | $712.79 | $996.12 | $1,513.69 |
| Gadsden County | $564.06 | $640.19 | $720.85 | $1,007.39 | $1,530.82 |
| Duval County | $565.94 | $642.33 | $723.26 | $1,010.75 | $1,535.93 |
| Bay County | $566.73 | $643.22 | $724.26 | $1,012.16 | $1,538.07 |
| Escambia County | $567.33 | $643.91 | $725.04 | $1,013.24 | $1,539.72 |
| Gulf County | $567.82 | $644.46 | $725.66 | $1,014.11 | $1,541.03 |
| Polk County | $573.04 | $650.39 | $732.33 | $1,023.43 | $1,555.20 |
| Hillsborough County | $574.37 | $651.90 | $734.04 | $1,025.81 | $1,558.82 |
| Pinellas County | $575.40 | $653.07 | $735.35 | $1,027.65 | $1,561.62 |
| Bradford County | $579.11 | $657.27 | $740.08 | $1,034.27 | $1,571.67 |
| Saint Johns County | $579.29 | $657.48 | $740.32 | $1,034.59 | $1,572.16 |
| Osceola County | $579.89 | $658.17 | $741.09 | $1,035.67 | $1,573.81 |
| Marion County | $580.62 | $659 | $742.02 | $1,036.97 | $1,575.78 |
| Citrus County | $583.11 | $661.82 | $745.20 | $1,041.42 | $1,582.54 |
| Charlotte County | $583.35 | $662.10 | $745.51 | $1,041.85 | $1,583.19 |
| Baker County | $584.45 | $663.33 | $746.91 | $1,043.80 | $1,586.16 |
| Pasco County | $584.81 | $663.75 | $747.37 | $1,044.45 | $1,587.15 |
| Manatee County | $585.60 | $664.64 | $748.38 | $1,045.86 | $1,589.29 |
| Walton County | $589.48 | $669.05 | $753.35 | $1,052.80 | $1,599.83 |
| Desoto County | $591.49 | $671.32 | $755.91 | $1,056.37 | $1,605.26 |
| Okaloosa County | $592.70 | $672.70 | $757.46 | $1,058.54 | $1,608.56 |
| Sarasota County | $596.22 | $676.70 | $761.95 | $1,064.83 | $1,618.11 |
| Orange County | $598.52 | $679.31 | $764.90 | $1,068.95 | $1,624.37 |
| Alachua County | $614.67 | $697.63 | $785.53 | $1,097.78 | $1,668.18 |
| Hernando County | $622.98 | $707.07 | $796.16 | $1,112.62 | $1,690.74 |
| Volusia County | $624.19 | $708.45 | $797.71 | $1,114.79 | $1,694.03 |
| Martin County | $625.95 | $710.45 | $799.96 | $1,117.93 | $1,698.81 |
| Putnam County | $637.97 | $724.08 | $815.31 | $1,139.39 | $1,731.42 |
| Jackson County | $641.61 | $728.22 | $819.96 | $1,145.90 | $1,741.30 |
| Levy County | $642.88 | $729.66 | $821.59 | $1,148.17 | $1,744.76 |
| Okeechobee County | $644.22 | $731.18 | $823.30 | $1,150.56 | $1,748.38 |
| Collier County | $645.92 | $733.11 | $825.47 | $1,153.59 | $1,752.99 |
| Lee County | $652.23 | $740.27 | $833.54 | $1,164.86 | $1,770.12 |
| Santa Rosa County | $653.20 | $741.37 | $834.78 | $1,166.60 | $1,772.76 |
| Suwannee County | $658.30 | $747.16 | $841.29 | $1,175.70 | $1,786.59 |
| Gilchrist County | $659.57 | $748.60 | $842.92 | $1,177.98 | $1,790.05 |
| Columbia County | $661.57 | $750.87 | $845.48 | $1,181.55 | $1,795.48 |
| Clay County | $667.10 | $757.14 | $852.54 | $1,191.42 | $1,810.47 |
| Dixie County | $672.25 | $763 | $859.13 | $1,200.63 | $1,824.47 |
| Palm Beach County | $677.29 | $768.71 | $865.56 | $1,209.62 | $1,838.14 |
| Broward County | $690.94 | $784.21 | $883.01 | $1,234.01 | $1,875.20 |
| Nassau County | $691.37 | $784.69 | $883.56 | $1,234.77 | $1,876.35 |
| Glades County | $720.38 | $817.61 | $920.63 | $1,286.57 | $1,955.07 |
| Seminole County | $727.05 | $825.19 | $929.16 | $1,298.49 | $1,973.19 |
| Hardee County | $735.91 | $835.25 | $940.48 | $1,314.32 | $1,997.23 |
| Saint Lucie County | $745.74 | $846.40 | $953.04 | $1,331.88 | $2,023.91 |
| Washington County | $746.35 | $847.09 | $953.82 | $1,332.96 | $2,025.56 |
| Union County | $788.64 | $895.10 | $1,007.87 | $1,408.50 | $2,140.35 |
| Lafayette County | $823.05 | $934.15 | $1,051.85 | $1,469.95 | $2,233.73 |
| Hamilton County | $1,049.34 | $1,190.99 | $1,341.04 | $1,874.10 | $2,847.87 |
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.