Elite Gold
Gold · EPO · Ambetter of Tennessee · Tennessee
At age 40 it costs between $747.98 and $964.56 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 | 70111TN0110031 |
|---|---|
| Insurer | Ambetter of Tennessee |
| Metal level | Gold |
| Plan type | EPO |
| 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 | 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 | 1-833-709-4735 |
Where it is sold, and what it costs there
95 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 |
|---|---|---|---|---|---|
| Fayette County | $585.28 | $664.28 | $747.98 | $1,045.30 | $1,588.43 |
| Haywood County | $585.28 | $664.28 | $747.98 | $1,045.30 | $1,588.43 |
| Lauderdale County | $585.28 | $664.28 | $747.98 | $1,045.30 | $1,588.43 |
| Shelby County | $585.28 | $664.28 | $747.98 | $1,045.30 | $1,588.43 |
| Tipton County | $585.28 | $664.28 | $747.98 | $1,045.30 | $1,588.43 |
| Anderson County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Blount County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Campbell County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Claiborne County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Cocke County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Grainger County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Hamblen County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Jefferson County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Knox County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Loudon County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Monroe County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Morgan County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Roane County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Scott County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Sevier County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Union County | $605.71 | $687.47 | $774.09 | $1,081.79 | $1,643.88 |
| Bledsoe County | $632.17 | $717.50 | $807.90 | $1,129.03 | $1,715.68 |
| Bradley County | $632.17 | $717.50 | $807.90 | $1,129.03 | $1,715.68 |
| Franklin County | $632.17 | $717.50 | $807.90 | $1,129.03 | $1,715.68 |
| Grundy County | $632.17 | $717.50 | $807.90 | $1,129.03 | $1,715.68 |
| Hamilton County | $632.17 | $717.50 | $807.90 | $1,129.03 | $1,715.68 |
| Marion County | $632.17 | $717.50 | $807.90 | $1,129.03 | $1,715.68 |
| McMinn County | $632.17 | $717.50 | $807.90 | $1,129.03 | $1,715.68 |
| Meigs County | $632.17 | $717.50 | $807.90 | $1,129.03 | $1,715.68 |
| Polk County | $632.17 | $717.50 | $807.90 | $1,129.03 | $1,715.68 |
| Rhea County | $632.17 | $717.50 | $807.90 | $1,129.03 | $1,715.68 |
| Sequatchie County | $632.17 | $717.50 | $807.90 | $1,129.03 | $1,715.68 |
| Carter County | $649 | $736.60 | $829.40 | $1,159.09 | $1,761.35 |
| Greene County | $649 | $736.60 | $829.40 | $1,159.09 | $1,761.35 |
| Hancock County | $649 | $736.60 | $829.40 | $1,159.09 | $1,761.35 |
| Hawkins County | $649 | $736.60 | $829.40 | $1,159.09 | $1,761.35 |
| Johnson County | $649 | $736.60 | $829.40 | $1,159.09 | $1,761.35 |
| Sullivan County | $649 | $736.60 | $829.40 | $1,159.09 | $1,761.35 |
| Unicoi County | $649 | $736.60 | $829.40 | $1,159.09 | $1,761.35 |
| Washington County | $649 | $736.60 | $829.40 | $1,159.09 | $1,761.35 |
| Benton County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Carroll County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Chester County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Crockett County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Decatur County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Dyer County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Gibson County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Hardeman County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Hardin County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Henderson County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Henry County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Lake County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Madison County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| McNairy County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Obion County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Weakley County | $670.60 | $761.13 | $857.02 | $1,197.68 | $1,819.99 |
| Cheatham County | $706.69 | $802.08 | $903.13 | $1,262.12 | $1,917.92 |
| Davidson County | $706.69 | $802.08 | $903.13 | $1,262.12 | $1,917.92 |
| Montgomery County | $706.69 | $802.08 | $903.13 | $1,262.12 | $1,917.92 |
| Robertson County | $706.69 | $802.08 | $903.13 | $1,262.12 | $1,917.92 |
| Rutherford County | $706.69 | $802.08 | $903.13 | $1,262.12 | $1,917.92 |
| Sumner County | $706.69 | $802.08 | $903.13 | $1,262.12 | $1,917.92 |
| Trousdale County | $706.69 | $802.08 | $903.13 | $1,262.12 | $1,917.92 |
| Williamson County | $706.69 | $802.08 | $903.13 | $1,262.12 | $1,917.92 |
| Wilson County | $706.69 | $802.08 | $903.13 | $1,262.12 | $1,917.92 |
| Cannon County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Clay County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Cumberland County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| DeKalb County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Fentress County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Jackson County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Macon County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Overton County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Pickett County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Putnam County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Smith County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Van Buren County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Warren County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| White County | $721.09 | $818.43 | $921.54 | $1,287.85 | $1,957.01 |
| Bedford County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Coffee County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Dickson County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Giles County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Hickman County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Houston County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Humphreys County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Lawrence County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Lewis County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Lincoln County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Marshall County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Maury County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Moore County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Perry County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Stewart County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
| Wayne County | $754.75 | $856.63 | $964.56 | $1,347.96 | $2,048.36 |
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.