Elite Gold
Gold · HMO · Ambetter from Meridian · Michigan
At age 40 it costs between $468.99 and $720.26 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 | 58594MI0030021 |
|---|---|
| Insurer | Ambetter from Meridian |
| Metal level | Gold |
| Plan type | HMO |
| 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 | 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 | $366.98 | $416.51 | $468.99 | $655.41 | $995.96 |
| Lapeer County | $366.98 | $416.51 | $468.99 | $655.41 | $995.96 |
| Saint Clair County | $409.28 | $464.53 | $523.05 | $730.96 | $1,110.77 |
| Sanilac County | $417.39 | $473.73 | $533.41 | $745.45 | $1,132.78 |
| Tuscola County | $417.39 | $473.73 | $533.41 | $745.45 | $1,132.78 |
| Hillsdale County | $423.90 | $481.12 | $541.74 | $757.07 | $1,150.45 |
| Ingham County | $423.90 | $481.12 | $541.74 | $757.07 | $1,150.45 |
| Jackson County | $423.90 | $481.12 | $541.74 | $757.07 | $1,150.45 |
| Ogemaw County | $424.60 | $481.91 | $542.63 | $758.32 | $1,152.34 |
| Oscoda County | $424.60 | $481.91 | $542.63 | $758.32 | $1,152.34 |
| Roscommon County | $424.60 | $481.91 | $542.63 | $758.32 | $1,152.34 |
| Calhoun County | $425.50 | $482.93 | $543.78 | $759.93 | $1,154.78 |
| Kalamazoo County | $425.50 | $482.93 | $543.78 | $759.93 | $1,154.78 |
| Allegan County | $448.56 | $509.10 | $573.24 | $801.10 | $1,217.36 |
| Barry County | $448.56 | $509.10 | $573.24 | $801.10 | $1,217.36 |
| Washtenaw County | $462.44 | $524.86 | $590.99 | $825.90 | $1,255.03 |
| Berrien County | $481.40 | $546.38 | $615.22 | $859.76 | $1,306.49 |
| Cass County | $481.40 | $546.38 | $615.22 | $859.76 | $1,306.49 |
| Saint Joseph County | $481.40 | $546.38 | $615.22 | $859.76 | $1,306.49 |
| Van Buren County | $481.40 | $546.38 | $615.22 | $859.76 | $1,306.49 |
| Kent County | $563.59 | $639.66 | $720.26 | $1,006.56 | $1,529.56 |
| Lake County | $563.59 | $639.66 | $720.26 | $1,006.56 | $1,529.56 |
| Mason County | $563.59 | $639.66 | $720.26 | $1,006.56 | $1,529.56 |
| Mecosta County | $563.59 | $639.66 | $720.26 | $1,006.56 | $1,529.56 |
| Montcalm County | $563.59 | $639.66 | $720.26 | $1,006.56 | $1,529.56 |
| Muskegon County | $563.59 | $639.66 | $720.26 | $1,006.56 | $1,529.56 |
| Newaygo County | $563.59 | $639.66 | $720.26 | $1,006.56 | $1,529.56 |
| Oceana County | $563.59 | $639.66 | $720.26 | $1,006.56 | $1,529.56 |
| Osceola County | $563.59 | $639.66 | $720.26 | $1,006.56 | $1,529.56 |
| Ottawa County | $563.59 | $639.66 | $720.26 | $1,006.56 | $1,529.56 |
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.