Standard Gold
Gold · PPO · Ambetter of Oklahoma · Oklahoma
At age 40 it costs between $610.23 and $734.54 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 | 62505OK0120021 |
|---|---|
| Insurer | Ambetter of Oklahoma |
| 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 | 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 | $477.50 | $541.95 | $610.23 | $852.80 | $1,295.91 |
| Cleveland County | $477.50 | $541.95 | $610.23 | $852.80 | $1,295.91 |
| Lincoln County | $477.50 | $541.95 | $610.23 | $852.80 | $1,295.91 |
| Logan County | $477.50 | $541.95 | $610.23 | $852.80 | $1,295.91 |
| McClain County | $477.50 | $541.95 | $610.23 | $852.80 | $1,295.91 |
| Oklahoma County | $477.50 | $541.95 | $610.23 | $852.80 | $1,295.91 |
| Creek County | $481.79 | $546.82 | $615.72 | $860.46 | $1,307.55 |
| Okmulgee County | $481.79 | $546.82 | $615.72 | $860.46 | $1,307.55 |
| Osage County | $481.79 | $546.82 | $615.72 | $860.46 | $1,307.55 |
| Rogers County | $481.79 | $546.82 | $615.72 | $860.46 | $1,307.55 |
| Tulsa County | $481.79 | $546.82 | $615.72 | $860.46 | $1,307.55 |
| Wagoner County | $481.79 | $546.82 | $615.72 | $860.46 | $1,307.55 |
| Adair County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Alfalfa County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Atoka County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Blaine County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Caddo County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Carter County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Cherokee County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Choctaw County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Cotton County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Dewey County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Garvin County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Grant County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Greer County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Haskell County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Johnston County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Kingfisher County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Love County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Major County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Mayes County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| McIntosh County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Muskogee County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Okfuskee County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Payne County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Pontotoc County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Pottawatomie County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Pushmataha County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Seminole County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Woods County | $497.98 | $565.19 | $636.40 | $889.37 | $1,351.48 |
| Comanche County | $558.19 | $633.53 | $713.35 | $996.90 | $1,514.89 |
| Le Flore County | $574.76 | $652.35 | $734.54 | $1,026.51 | $1,559.88 |
| Sequoyah County | $574.76 | $652.35 | $734.54 | $1,026.51 | $1,559.88 |
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.