Everyday Gold
Gold · HMO · Ambetter from Meridian · Michigan
At age 40 it costs between $415.81 and $638.59 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 | 58594MI0030020 |
|---|---|
| Insurer | Ambetter from Meridian |
| 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 | 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 | 1-833-993-2426 · TTY 1-833-993-2426 |
Where it is sold, and what it costs there
30 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 |
|---|---|---|---|---|---|
| Genesee County | $325.37 | $369.28 | $415.81 | $581.09 | $883.03 |
| Lapeer County | $325.37 | $369.28 | $415.81 | $581.09 | $883.03 |
| Saint Clair County | $362.88 | $411.85 | $463.74 | $648.08 | $984.82 |
| Sanilac County | $370.07 | $420.01 | $472.93 | $660.92 | $1,004.33 |
| Tuscola County | $370.07 | $420.01 | $472.93 | $660.92 | $1,004.33 |
| Hillsdale County | $375.84 | $426.57 | $480.31 | $671.23 | $1,020 |
| Ingham County | $375.84 | $426.57 | $480.31 | $671.23 | $1,020 |
| Jackson County | $375.84 | $426.57 | $480.31 | $671.23 | $1,020 |
| Ogemaw County | $376.46 | $427.27 | $481.10 | $672.33 | $1,021.68 |
| Oscoda County | $376.46 | $427.27 | $481.10 | $672.33 | $1,021.68 |
| Roscommon County | $376.46 | $427.27 | $481.10 | $672.33 | $1,021.68 |
| Calhoun County | $377.26 | $428.17 | $482.12 | $673.76 | $1,023.84 |
| Kalamazoo County | $377.26 | $428.17 | $482.12 | $673.76 | $1,023.84 |
| Allegan County | $397.70 | $451.37 | $508.24 | $710.27 | $1,079.32 |
| Barry County | $397.70 | $451.37 | $508.24 | $710.27 | $1,079.32 |
| Washtenaw County | $410.01 | $465.34 | $523.97 | $732.25 | $1,112.73 |
| Berrien County | $426.82 | $484.43 | $545.46 | $762.28 | $1,158.35 |
| Cass County | $426.82 | $484.43 | $545.46 | $762.28 | $1,158.35 |
| Saint Joseph County | $426.82 | $484.43 | $545.46 | $762.28 | $1,158.35 |
| Van Buren County | $426.82 | $484.43 | $545.46 | $762.28 | $1,158.35 |
| Kent County | $499.69 | $567.13 | $638.59 | $892.42 | $1,356.12 |
| Lake County | $499.69 | $567.13 | $638.59 | $892.42 | $1,356.12 |
| Mason County | $499.69 | $567.13 | $638.59 | $892.42 | $1,356.12 |
| Mecosta County | $499.69 | $567.13 | $638.59 | $892.42 | $1,356.12 |
| Montcalm County | $499.69 | $567.13 | $638.59 | $892.42 | $1,356.12 |
| Muskegon County | $499.69 | $567.13 | $638.59 | $892.42 | $1,356.12 |
| Newaygo County | $499.69 | $567.13 | $638.59 | $892.42 | $1,356.12 |
| Oceana County | $499.69 | $567.13 | $638.59 | $892.42 | $1,356.12 |
| Osceola County | $499.69 | $567.13 | $638.59 | $892.42 | $1,356.12 |
| Ottawa County | $499.69 | $567.13 | $638.59 | $892.42 | $1,356.12 |
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.