QHP Index

Everyday Bronze + Vision + Adult Dental

Expanded Bronze · EPO · Ambetter Health of Delaware · Delaware

At age 40 it costs $580.01 a month before any subsidy.

What CMS publishes about it

Plan ID64004DE0100002
InsurerAmbetter Health of Delaware
Metal levelExpanded Bronze
Plan typeEPO
Deductible (individual)$8,450
Deductible (family)$16,900
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$10,150
Family maximum$20,300
Primary care visit$40
Specialist visit$90
Emergency room50% Coinsurance after deductible
Inpatient stay50% Coinsurance after deductible
Generic drugs$3
Preferred brand drugs45% Coinsurance after deductible
Specialty drugs50% Coinsurance after deductible
Adult dental includedYes
Child dental includedNo
Share of premium buying essential health benefits96.20%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-833-919-3214 · TTY 1-833-919-3214

Where it is sold, and what it costs there

3 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Kent County $453.85$515.11 $580.01$810.56 $1,231.73
New Castle County $453.85$515.11 $580.01$810.56 $1,231.73
Sussex County $453.85$515.11 $580.01$810.56 $1,231.73

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.