MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold)
Gold · HMO · Mending Health · Oklahoma
At age 40 it costs between $782.72 and $839.38 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 | 58944OK0010009 |
|---|---|
| Insurer | Mending Health |
| Metal level | Gold |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | $612.46 | $695.14 | $782.72 | $1,093.85 | $1,662.21 |
| Cleveland County | $612.46 | $695.14 | $782.72 | $1,093.85 | $1,662.21 |
| Grady County | $612.46 | $695.14 | $782.72 | $1,093.85 | $1,662.21 |
| Lincoln County | $612.46 | $695.14 | $782.72 | $1,093.85 | $1,662.21 |
| Logan County | $612.46 | $695.14 | $782.72 | $1,093.85 | $1,662.21 |
| McClain County | $612.46 | $695.14 | $782.72 | $1,093.85 | $1,662.21 |
| Oklahoma County | $612.46 | $695.14 | $782.72 | $1,093.85 | $1,662.21 |
| Creek County | $616.18 | $699.36 | $787.48 | $1,100.50 | $1,672.31 |
| Okmulgee County | $616.18 | $699.36 | $787.48 | $1,100.50 | $1,672.31 |
| Osage County | $616.18 | $699.36 | $787.48 | $1,100.50 | $1,672.31 |
| Pawnee County | $616.18 | $699.36 | $787.48 | $1,100.50 | $1,672.31 |
| Rogers County | $616.18 | $699.36 | $787.48 | $1,100.50 | $1,672.31 |
| Tulsa County | $616.18 | $699.36 | $787.48 | $1,100.50 | $1,672.31 |
| Wagoner County | $616.18 | $699.36 | $787.48 | $1,100.50 | $1,672.31 |
| Comanche County | $643.93 | $730.86 | $822.94 | $1,150.05 | $1,747.61 |
| Alfalfa County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Caddo County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Carter County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Delaware County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Garfield County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Jackson County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Johnston County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Kay County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Kiowa County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Major County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Murray County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Okfuskee County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Payne County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Pittsburg County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Pontotoc County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Pottawatomie County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Seminole County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Stephens County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Washington County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Woods County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
| Woodward County | $656.79 | $745.46 | $839.38 | $1,173.03 | $1,782.53 |
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.