Everyday Gold + Vision + Adult Dental
Gold · HMO · Ambetter from Meridian · Michigan
At age 40 it costs between $431.11 and $662.08 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 | 58594MI0040020 |
|---|---|
| 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 | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 96.45% |
| 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 | $337.34 | $382.87 | $431.11 | $602.47 | $915.51 |
| Lapeer County | $337.34 | $382.87 | $431.11 | $602.47 | $915.51 |
| Saint Clair County | $376.23 | $427.01 | $480.80 | $671.92 | $1,021.05 |
| Sanilac County | $383.68 | $435.47 | $490.33 | $685.23 | $1,041.28 |
| Tuscola County | $383.68 | $435.47 | $490.33 | $685.23 | $1,041.28 |
| Hillsdale County | $389.67 | $442.26 | $497.98 | $695.92 | $1,057.52 |
| Ingham County | $389.67 | $442.26 | $497.98 | $695.92 | $1,057.52 |
| Jackson County | $389.67 | $442.26 | $497.98 | $695.92 | $1,057.52 |
| Ogemaw County | $390.31 | $442.98 | $498.80 | $697.07 | $1,059.26 |
| Oscoda County | $390.31 | $442.98 | $498.80 | $697.07 | $1,059.26 |
| Roscommon County | $390.31 | $442.98 | $498.80 | $697.07 | $1,059.26 |
| Calhoun County | $391.13 | $443.92 | $499.86 | $698.55 | $1,061.51 |
| Kalamazoo County | $391.13 | $443.92 | $499.86 | $698.55 | $1,061.51 |
| Allegan County | $412.33 | $467.98 | $526.94 | $736.40 | $1,119.03 |
| Barry County | $412.33 | $467.98 | $526.94 | $736.40 | $1,119.03 |
| Washtenaw County | $425.09 | $482.46 | $543.25 | $759.19 | $1,153.66 |
| Berrien County | $442.52 | $502.25 | $565.52 | $790.32 | $1,200.97 |
| Cass County | $442.52 | $502.25 | $565.52 | $790.32 | $1,200.97 |
| Saint Joseph County | $442.52 | $502.25 | $565.52 | $790.32 | $1,200.97 |
| Van Buren County | $442.52 | $502.25 | $565.52 | $790.32 | $1,200.97 |
| Kent County | $518.07 | $588 | $662.08 | $925.25 | $1,406.01 |
| Lake County | $518.07 | $588 | $662.08 | $925.25 | $1,406.01 |
| Mason County | $518.07 | $588 | $662.08 | $925.25 | $1,406.01 |
| Mecosta County | $518.07 | $588 | $662.08 | $925.25 | $1,406.01 |
| Montcalm County | $518.07 | $588 | $662.08 | $925.25 | $1,406.01 |
| Muskegon County | $518.07 | $588 | $662.08 | $925.25 | $1,406.01 |
| Newaygo County | $518.07 | $588 | $662.08 | $925.25 | $1,406.01 |
| Oceana County | $518.07 | $588 | $662.08 | $925.25 | $1,406.01 |
| Osceola County | $518.07 | $588 | $662.08 | $925.25 | $1,406.01 |
| Ottawa County | $518.07 | $588 | $662.08 | $925.25 | $1,406.01 |
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.