Elite Gold + Vision + Adult Dental
Gold · EPO · Ambetter of Alabama · Alabama
At age 40 it costs between $792.12 and $902.46 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 | 53932AL0110015 |
|---|---|
| Insurer | Ambetter of Alabama |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $6,500 |
| Family maximum | $13,000 |
| Primary care visit | $5 |
| Specialist visit | $60 |
| Emergency room | 30% |
| Inpatient stay | 30% |
| Generic drugs | $3 |
| Preferred brand drugs | $50 |
| Specialty drugs | 50% |
| 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 | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Barbour County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Bullock County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Chambers County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Choctaw County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Cleburne County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Coffee County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Covington County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Cullman County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Dallas County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| De Kalb County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Escambia County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Franklin County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Jackson County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Marion County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Marshall County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Perry County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Pickens County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Randolph County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Sumter County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Talladega County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Washington County | $619.82 | $703.49 | $792.12 | $1,106.99 | $1,682.18 |
| Geneva County | $621.05 | $704.88 | $793.69 | $1,109.17 | $1,685.50 |
| Henry County | $621.05 | $704.88 | $793.69 | $1,109.17 | $1,685.50 |
| Houston County | $621.05 | $704.88 | $793.69 | $1,109.17 | $1,685.50 |
| Mobile County | $622.14 | $706.12 | $795.09 | $1,111.13 | $1,688.47 |
| Colbert County | $664.18 | $753.84 | $848.82 | $1,186.22 | $1,802.57 |
| Lauderdale County | $664.18 | $753.84 | $848.82 | $1,186.22 | $1,802.57 |
| Lowndes County | $665.34 | $755.15 | $850.30 | $1,188.29 | $1,805.71 |
| Montgomery County | $665.34 | $755.15 | $850.30 | $1,188.29 | $1,805.71 |
| Jefferson County | $666.50 | $756.47 | $851.78 | $1,190.36 | $1,808.86 |
| Shelby County | $666.50 | $756.47 | $851.78 | $1,190.36 | $1,808.86 |
| Walker County | $666.50 | $756.47 | $851.78 | $1,190.36 | $1,808.86 |
| Lawrence County | $684.66 | $777.08 | $874.98 | $1,222.78 | $1,858.14 |
| Morgan County | $684.66 | $777.08 | $874.98 | $1,222.78 | $1,858.14 |
| Lee County | $685.69 | $778.25 | $876.30 | $1,224.62 | $1,860.93 |
| Limestone County | $693.67 | $787.31 | $886.50 | $1,238.88 | $1,882.60 |
| Madison County | $693.67 | $787.31 | $886.50 | $1,238.88 | $1,882.60 |
| Russell County | $695.93 | $789.86 | $889.38 | $1,242.90 | $1,888.71 |
| Etowah County | $706.16 | $801.48 | $902.46 | $1,261.19 | $1,916.50 |
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.