Elite Gold + Vision + Adult Dental
Gold · PPO · Ambetter of Oklahoma · Oklahoma
At age 40 it costs between $732.51 and $881.72 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 | 62505OK0130017 |
|---|---|
| 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 | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 95.75% |
| 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 | $573.18 | $650.54 | $732.51 | $1,023.68 | $1,555.58 |
| Cleveland County | $573.18 | $650.54 | $732.51 | $1,023.68 | $1,555.58 |
| Lincoln County | $573.18 | $650.54 | $732.51 | $1,023.68 | $1,555.58 |
| Logan County | $573.18 | $650.54 | $732.51 | $1,023.68 | $1,555.58 |
| McClain County | $573.18 | $650.54 | $732.51 | $1,023.68 | $1,555.58 |
| Oklahoma County | $573.18 | $650.54 | $732.51 | $1,023.68 | $1,555.58 |
| Creek County | $578.33 | $656.39 | $739.09 | $1,032.87 | $1,569.55 |
| Okmulgee County | $578.33 | $656.39 | $739.09 | $1,032.87 | $1,569.55 |
| Osage County | $578.33 | $656.39 | $739.09 | $1,032.87 | $1,569.55 |
| Rogers County | $578.33 | $656.39 | $739.09 | $1,032.87 | $1,569.55 |
| Tulsa County | $578.33 | $656.39 | $739.09 | $1,032.87 | $1,569.55 |
| Wagoner County | $578.33 | $656.39 | $739.09 | $1,032.87 | $1,569.55 |
| Adair County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Alfalfa County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Atoka County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Blaine County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Caddo County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Carter County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Cherokee County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Choctaw County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Cotton County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Dewey County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Garvin County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Grant County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Greer County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Haskell County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Johnston County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Kingfisher County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Love County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Major County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Mayes County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| McIntosh County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Muskogee County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Okfuskee County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Payne County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Pontotoc County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Pottawatomie County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Pushmataha County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Seminole County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Woods County | $597.76 | $678.44 | $763.92 | $1,067.57 | $1,622.28 |
| Comanche County | $670.03 | $760.47 | $856.29 | $1,196.66 | $1,818.44 |
| Le Flore County | $689.93 | $783.06 | $881.72 | $1,232.20 | $1,872.44 |
| Sequoyah County | $689.93 | $783.06 | $881.72 | $1,232.20 | $1,872.44 |
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.