Standard Gold
Gold · PPO · Ambetter from Arkansas Health & Wellness · Arkansas
At age 40 it costs $688.85 a month before any subsidy.
What CMS publishes about it
| Plan ID | 62141AR0080034 |
|---|---|
| Insurer | Ambetter from Arkansas Health & Wellness |
| Metal level | Gold |
| Plan type | PPO |
| 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 | 99.96% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-877-617-0390 · TTY 1-877-617-0392 |
Where it is sold, and what it costs there
75 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 |
|---|---|---|---|---|---|
| Arkansas County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Ashley County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Baxter County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Benton County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Boone County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Bradley County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Calhoun County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Carroll County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Chicot County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Clark County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Clay County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Cleburne County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Cleveland County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Columbia County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Conway County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Craighead County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Crawford County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Crittenden County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Cross County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Dallas County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Desha County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Drew County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Faulkner County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Franklin County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Fulton County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Garland County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Grant County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Greene County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Hempstead County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Hot Spring County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Howard County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Independence County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Izard County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Jackson County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Jefferson County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Johnson County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Lafayette County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Lawrence County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Lee County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Lincoln County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Little River County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Logan County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Lonoke County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Madison County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Marion County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Miller County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Mississippi County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Monroe County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Montgomery County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Nevada County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Newton County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Ouachita County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Perry County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Phillips County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Pike County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Poinsett County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Polk County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Pope County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Prairie County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Pulaski County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Randolph County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Saint Francis County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Saline County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Scott County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Searcy County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Sebastian County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Sevier County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Sharp County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Stone County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Union County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Van Buren County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Washington County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| White County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Woodruff County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
| Yell County | $539.02 | $611.77 | $688.85 | $962.67 | $1,462.87 |
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.