Complete Gold + Vision + Adult Dental
Gold · EPO · Ambetter Health of Delaware · Delaware
At age 40 it costs $810.72 a month before any subsidy.
What CMS publishes about it
| Plan ID | 64004DE0100009 |
|---|---|
| Insurer | Ambetter Health of Delaware |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $1,450 |
| Deductible (family) | $2,900 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,500 |
| Family maximum | $15,000 |
| Primary care visit | $15 |
| Specialist visit | $35 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $30 |
| Specialty drugs | 30% Coinsurance after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 96.20% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-919-3214 · 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.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Kent County | $634.38 | $720.01 | $810.72 | $1,132.98 | $1,721.68 |
| New Castle County | $634.38 | $720.01 | $810.72 | $1,132.98 | $1,721.68 |
| Sussex County | $634.38 | $720.01 | $810.72 | $1,132.98 | $1,721.68 |
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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When this plan’s price or benefits change.
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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.