QHP Index

Everyday Gold + Vision + Adult Dental

Gold · PPO · Ambetter of Oklahoma · Oklahoma

At age 40 it costs between $647.40 and $779.28 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 ID62505OK0130014
InsurerAmbetter of Oklahoma
Metal levelGold
Plan typePPO
Deductible (individual)$800
Deductible (family)$1,600
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$7,250
Family maximum$14,500
Primary care visit$35
Specialist visit$55
Emergency room35% Coinsurance after deductible
Inpatient stay35% Coinsurance after deductible
Generic drugs$3
Preferred brand drugs$60
Specialty drugs50% Coinsurance after deductible
Adult dental includedYes
Child dental includedNo
Share of premium buying essential health benefits95.75%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-833-492-0679

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.

CountyAt 21At 30At 40At 50At 60
Canadian County $506.59$574.96 $647.40$904.74 $1,374.85
Cleveland County $506.59$574.96 $647.40$904.74 $1,374.85
Lincoln County $506.59$574.96 $647.40$904.74 $1,374.85
Logan County $506.59$574.96 $647.40$904.74 $1,374.85
McClain County $506.59$574.96 $647.40$904.74 $1,374.85
Oklahoma County $506.59$574.96 $647.40$904.74 $1,374.85
Creek County $511.14$580.13 $653.22$912.87 $1,387.20
Okmulgee County $511.14$580.13 $653.22$912.87 $1,387.20
Osage County $511.14$580.13 $653.22$912.87 $1,387.20
Rogers County $511.14$580.13 $653.22$912.87 $1,387.20
Tulsa County $511.14$580.13 $653.22$912.87 $1,387.20
Wagoner County $511.14$580.13 $653.22$912.87 $1,387.20
Adair County $528.31$599.62 $675.17$943.54 $1,433.80
Alfalfa County $528.31$599.62 $675.17$943.54 $1,433.80
Atoka County $528.31$599.62 $675.17$943.54 $1,433.80
Blaine County $528.31$599.62 $675.17$943.54 $1,433.80
Caddo County $528.31$599.62 $675.17$943.54 $1,433.80
Carter County $528.31$599.62 $675.17$943.54 $1,433.80
Cherokee County $528.31$599.62 $675.17$943.54 $1,433.80
Choctaw County $528.31$599.62 $675.17$943.54 $1,433.80
Cotton County $528.31$599.62 $675.17$943.54 $1,433.80
Dewey County $528.31$599.62 $675.17$943.54 $1,433.80
Garvin County $528.31$599.62 $675.17$943.54 $1,433.80
Grant County $528.31$599.62 $675.17$943.54 $1,433.80
Greer County $528.31$599.62 $675.17$943.54 $1,433.80
Haskell County $528.31$599.62 $675.17$943.54 $1,433.80
Johnston County $528.31$599.62 $675.17$943.54 $1,433.80
Kingfisher County $528.31$599.62 $675.17$943.54 $1,433.80
Love County $528.31$599.62 $675.17$943.54 $1,433.80
Major County $528.31$599.62 $675.17$943.54 $1,433.80
Mayes County $528.31$599.62 $675.17$943.54 $1,433.80
McIntosh County $528.31$599.62 $675.17$943.54 $1,433.80
Muskogee County $528.31$599.62 $675.17$943.54 $1,433.80
Okfuskee County $528.31$599.62 $675.17$943.54 $1,433.80
Payne County $528.31$599.62 $675.17$943.54 $1,433.80
Pontotoc County $528.31$599.62 $675.17$943.54 $1,433.80
Pottawatomie County $528.31$599.62 $675.17$943.54 $1,433.80
Pushmataha County $528.31$599.62 $675.17$943.54 $1,433.80
Seminole County $528.31$599.62 $675.17$943.54 $1,433.80
Woods County $528.31$599.62 $675.17$943.54 $1,433.80
Comanche County $592.19$672.12 $756.80$1,057.63 $1,607.17
Le Flore County $609.77$692.08 $779.28$1,089.04 $1,654.90
Sequoyah County $609.77$692.08 $779.28$1,089.04 $1,654.90

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.