Standard Gold + Vision + Adult Dental
Gold · EPO · Ambetter of Alabama · Alabama
At age 40 it costs between $687.77 and $783.57 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 | 53932AL0110013 |
|---|---|
| Insurer | Ambetter of Alabama |
| Metal level | Gold |
| Plan type | EPO |
| 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 | 96.09% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-800-442-1623 · TTY 1-800-442-1623 |
Where it is sold, and what it costs there
40 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 |
|---|---|---|---|---|---|
| Baldwin County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Barbour County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Bullock County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Chambers County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Choctaw County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Cleburne County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Coffee County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Covington County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Cullman County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Dallas County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| De Kalb County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Escambia County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Franklin County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Jackson County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Marion County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Marshall County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Perry County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Pickens County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Randolph County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Sumter County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Talladega County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Washington County | $538.17 | $610.81 | $687.77 | $961.15 | $1,460.56 |
| Geneva County | $539.23 | $612.02 | $689.12 | $963.05 | $1,463.44 |
| Henry County | $539.23 | $612.02 | $689.12 | $963.05 | $1,463.44 |
| Houston County | $539.23 | $612.02 | $689.12 | $963.05 | $1,463.44 |
| Mobile County | $540.18 | $613.09 | $690.34 | $964.75 | $1,466.02 |
| Colbert County | $576.68 | $654.53 | $736.99 | $1,029.94 | $1,565.09 |
| Lauderdale County | $576.68 | $654.53 | $736.99 | $1,029.94 | $1,565.09 |
| Lowndes County | $577.69 | $655.67 | $738.28 | $1,031.74 | $1,567.82 |
| Montgomery County | $577.69 | $655.67 | $738.28 | $1,031.74 | $1,567.82 |
| Jefferson County | $578.70 | $656.81 | $739.56 | $1,033.53 | $1,570.56 |
| Shelby County | $578.70 | $656.81 | $739.56 | $1,033.53 | $1,570.56 |
| Walker County | $578.70 | $656.81 | $739.56 | $1,033.53 | $1,570.56 |
| Lawrence County | $594.46 | $674.70 | $759.71 | $1,061.69 | $1,613.34 |
| Morgan County | $594.46 | $674.70 | $759.71 | $1,061.69 | $1,613.34 |
| Lee County | $595.36 | $675.72 | $760.85 | $1,063.29 | $1,615.77 |
| Limestone County | $602.29 | $683.58 | $769.71 | $1,075.67 | $1,634.58 |
| Madison County | $602.29 | $683.58 | $769.71 | $1,075.67 | $1,634.58 |
| Russell County | $604.24 | $685.81 | $772.21 | $1,079.16 | $1,639.89 |
| Etowah County | $613.13 | $695.89 | $783.57 | $1,095.04 | $1,664.01 |
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.