Elite Gold
Gold · PPO · Ambetter of Oklahoma · Oklahoma
At age 40 it costs between $702.58 and $845.70 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 | 62505OK0120016 |
|---|---|
| Insurer | Ambetter of Oklahoma |
| Metal level | Gold |
| Plan type | PPO |
| 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 | 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 | 1-833-492-0679 |
Where it is sold, and what it costs there
43 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 | $549.76 | $623.97 | $702.58 | $981.86 | $1,492.03 |
| Cleveland County | $549.76 | $623.97 | $702.58 | $981.86 | $1,492.03 |
| Lincoln County | $549.76 | $623.97 | $702.58 | $981.86 | $1,492.03 |
| Logan County | $549.76 | $623.97 | $702.58 | $981.86 | $1,492.03 |
| McClain County | $549.76 | $623.97 | $702.58 | $981.86 | $1,492.03 |
| Oklahoma County | $549.76 | $623.97 | $702.58 | $981.86 | $1,492.03 |
| Creek County | $554.70 | $629.58 | $708.90 | $990.68 | $1,505.44 |
| Okmulgee County | $554.70 | $629.58 | $708.90 | $990.68 | $1,505.44 |
| Osage County | $554.70 | $629.58 | $708.90 | $990.68 | $1,505.44 |
| Rogers County | $554.70 | $629.58 | $708.90 | $990.68 | $1,505.44 |
| Tulsa County | $554.70 | $629.58 | $708.90 | $990.68 | $1,505.44 |
| Wagoner County | $554.70 | $629.58 | $708.90 | $990.68 | $1,505.44 |
| Adair County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Alfalfa County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Atoka County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Blaine County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Caddo County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Carter County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Cherokee County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Choctaw County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Cotton County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Dewey County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Garvin County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Grant County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Greer County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Haskell County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Johnston County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Kingfisher County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Love County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Major County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Mayes County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| McIntosh County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Muskogee County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Okfuskee County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Payne County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Pontotoc County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Pottawatomie County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Pushmataha County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Seminole County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Woods County | $573.34 | $650.73 | $732.71 | $1,023.96 | $1,556.01 |
| Comanche County | $642.66 | $729.41 | $821.31 | $1,147.77 | $1,744.16 |
| Le Flore County | $661.75 | $751.07 | $845.70 | $1,181.86 | $1,795.95 |
| Sequoyah County | $661.75 | $751.07 | $845.70 | $1,181.86 | $1,795.95 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.