Elite Gold + Vision + Adult Dental
Gold · HMO · Ambetter from Meridian · Michigan
At age 40 it costs between $486.24 and $746.75 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 | 58594MI0040023 |
|---|---|
| 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 | 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 | $380.48 | $431.83 | $486.24 | $679.52 | $1,032.60 |
| Lapeer County | $380.48 | $431.83 | $486.24 | $679.52 | $1,032.60 |
| Saint Clair County | $424.34 | $481.62 | $542.29 | $757.85 | $1,151.63 |
| Sanilac County | $432.75 | $491.16 | $553.04 | $772.87 | $1,174.45 |
| Tuscola County | $432.75 | $491.16 | $553.04 | $772.87 | $1,174.45 |
| Hillsdale County | $439.50 | $498.82 | $561.67 | $784.93 | $1,192.77 |
| Ingham County | $439.50 | $498.82 | $561.67 | $784.93 | $1,192.77 |
| Jackson County | $439.50 | $498.82 | $561.67 | $784.93 | $1,192.77 |
| Ogemaw County | $440.22 | $499.64 | $562.59 | $786.21 | $1,194.73 |
| Oscoda County | $440.22 | $499.64 | $562.59 | $786.21 | $1,194.73 |
| Roscommon County | $440.22 | $499.64 | $562.59 | $786.21 | $1,194.73 |
| Calhoun County | $441.15 | $500.70 | $563.78 | $787.88 | $1,197.26 |
| Kalamazoo County | $441.15 | $500.70 | $563.78 | $787.88 | $1,197.26 |
| Allegan County | $465.06 | $527.83 | $594.33 | $830.58 | $1,262.14 |
| Barry County | $465.06 | $527.83 | $594.33 | $830.58 | $1,262.14 |
| Washtenaw County | $479.45 | $544.17 | $612.73 | $856.28 | $1,301.20 |
| Berrien County | $499.11 | $566.48 | $637.85 | $891.39 | $1,354.56 |
| Cass County | $499.11 | $566.48 | $637.85 | $891.39 | $1,354.56 |
| Saint Joseph County | $499.11 | $566.48 | $637.85 | $891.39 | $1,354.56 |
| Van Buren County | $499.11 | $566.48 | $637.85 | $891.39 | $1,354.56 |
| Kent County | $584.32 | $663.20 | $746.75 | $1,043.59 | $1,585.83 |
| Lake County | $584.32 | $663.20 | $746.75 | $1,043.59 | $1,585.83 |
| Mason County | $584.32 | $663.20 | $746.75 | $1,043.59 | $1,585.83 |
| Mecosta County | $584.32 | $663.20 | $746.75 | $1,043.59 | $1,585.83 |
| Montcalm County | $584.32 | $663.20 | $746.75 | $1,043.59 | $1,585.83 |
| Muskegon County | $584.32 | $663.20 | $746.75 | $1,043.59 | $1,585.83 |
| Newaygo County | $584.32 | $663.20 | $746.75 | $1,043.59 | $1,585.83 |
| Oceana County | $584.32 | $663.20 | $746.75 | $1,043.59 | $1,585.83 |
| Osceola County | $584.32 | $663.20 | $746.75 | $1,043.59 | $1,585.83 |
| Ottawa County | $584.32 | $663.20 | $746.75 | $1,043.59 | $1,585.83 |
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.