MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health)
Gold · HMO · Mending Health · Oklahoma
At age 40 it costs between $692.16 and $742.26 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 | 58944OK0010006 |
|---|---|
| Insurer | Mending Health |
| 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 | $8,800 |
| Family maximum | $17,600 |
| Primary care visit | No Charge |
| Specialist visit | $35 |
| Emergency room | 50% |
| Inpatient stay | 50% |
| Generic drugs | $15 |
| Preferred brand drugs | $50 |
| Specialty drugs | $200 |
| 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 | 1-877-522-5151 · TTY 1-877-522-5151 |
Where it is sold, and what it costs there
36 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 |
|---|---|---|---|---|---|
| Canadian County | $541.60 | $614.71 | $692.16 | $967.29 | $1,469.90 |
| Cleveland County | $541.60 | $614.71 | $692.16 | $967.29 | $1,469.90 |
| Grady County | $541.60 | $614.71 | $692.16 | $967.29 | $1,469.90 |
| Lincoln County | $541.60 | $614.71 | $692.16 | $967.29 | $1,469.90 |
| Logan County | $541.60 | $614.71 | $692.16 | $967.29 | $1,469.90 |
| McClain County | $541.60 | $614.71 | $692.16 | $967.29 | $1,469.90 |
| Oklahoma County | $541.60 | $614.71 | $692.16 | $967.29 | $1,469.90 |
| Creek County | $544.89 | $618.45 | $696.37 | $973.17 | $1,478.83 |
| Okmulgee County | $544.89 | $618.45 | $696.37 | $973.17 | $1,478.83 |
| Osage County | $544.89 | $618.45 | $696.37 | $973.17 | $1,478.83 |
| Pawnee County | $544.89 | $618.45 | $696.37 | $973.17 | $1,478.83 |
| Rogers County | $544.89 | $618.45 | $696.37 | $973.17 | $1,478.83 |
| Tulsa County | $544.89 | $618.45 | $696.37 | $973.17 | $1,478.83 |
| Wagoner County | $544.89 | $618.45 | $696.37 | $973.17 | $1,478.83 |
| Comanche County | $569.42 | $646.30 | $727.72 | $1,016.99 | $1,545.42 |
| Alfalfa County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Caddo County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Carter County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Delaware County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Garfield County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Jackson County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Johnston County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Kay County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Kiowa County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Major County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Murray County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Okfuskee County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Payne County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Pittsburg County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Pontotoc County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Pottawatomie County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Seminole County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Stephens County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Washington County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Woods County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
| Woodward County | $580.80 | $659.21 | $742.26 | $1,037.31 | $1,576.29 |
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.