Standard Gold + Vision + Adult Dental
Gold · EPO · Ambetter of Tennessee · Tennessee
At age 40 it costs between $676.94 and $872.95 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 | 70111TN0120037 |
|---|---|
| Insurer | Ambetter of Tennessee |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 97.32% |
| 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 | $529.70 | $601.20 | $676.94 | $946.02 | $1,437.58 |
| Haywood County | $529.70 | $601.20 | $676.94 | $946.02 | $1,437.58 |
| Lauderdale County | $529.70 | $601.20 | $676.94 | $946.02 | $1,437.58 |
| Shelby County | $529.70 | $601.20 | $676.94 | $946.02 | $1,437.58 |
| Tipton County | $529.70 | $601.20 | $676.94 | $946.02 | $1,437.58 |
| Anderson County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Blount County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Campbell County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Claiborne County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Cocke County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Grainger County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Hamblen County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Jefferson County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Knox County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Loudon County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Monroe County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Morgan County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Roane County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Scott County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Sevier County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Union County | $548.19 | $622.18 | $700.57 | $979.05 | $1,487.76 |
| Bledsoe County | $572.13 | $649.36 | $731.17 | $1,021.81 | $1,552.74 |
| Bradley County | $572.13 | $649.36 | $731.17 | $1,021.81 | $1,552.74 |
| Franklin County | $572.13 | $649.36 | $731.17 | $1,021.81 | $1,552.74 |
| Grundy County | $572.13 | $649.36 | $731.17 | $1,021.81 | $1,552.74 |
| Hamilton County | $572.13 | $649.36 | $731.17 | $1,021.81 | $1,552.74 |
| Marion County | $572.13 | $649.36 | $731.17 | $1,021.81 | $1,552.74 |
| McMinn County | $572.13 | $649.36 | $731.17 | $1,021.81 | $1,552.74 |
| Meigs County | $572.13 | $649.36 | $731.17 | $1,021.81 | $1,552.74 |
| Polk County | $572.13 | $649.36 | $731.17 | $1,021.81 | $1,552.74 |
| Rhea County | $572.13 | $649.36 | $731.17 | $1,021.81 | $1,552.74 |
| Sequatchie County | $572.13 | $649.36 | $731.17 | $1,021.81 | $1,552.74 |
| Carter County | $587.36 | $666.64 | $750.64 | $1,049.01 | $1,594.07 |
| Greene County | $587.36 | $666.64 | $750.64 | $1,049.01 | $1,594.07 |
| Hancock County | $587.36 | $666.64 | $750.64 | $1,049.01 | $1,594.07 |
| Hawkins County | $587.36 | $666.64 | $750.64 | $1,049.01 | $1,594.07 |
| Johnson County | $587.36 | $666.64 | $750.64 | $1,049.01 | $1,594.07 |
| Sullivan County | $587.36 | $666.64 | $750.64 | $1,049.01 | $1,594.07 |
| Unicoi County | $587.36 | $666.64 | $750.64 | $1,049.01 | $1,594.07 |
| Washington County | $587.36 | $666.64 | $750.64 | $1,049.01 | $1,594.07 |
| Benton County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Carroll County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Chester County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Crockett County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Decatur County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Dyer County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Gibson County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Hardeman County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Hardin County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Henderson County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Henry County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Lake County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Madison County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| McNairy County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Obion County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Weakley County | $606.92 | $688.84 | $775.63 | $1,083.94 | $1,647.15 |
| Cheatham County | $639.57 | $725.90 | $817.36 | $1,142.26 | $1,735.77 |
| Davidson County | $639.57 | $725.90 | $817.36 | $1,142.26 | $1,735.77 |
| Montgomery County | $639.57 | $725.90 | $817.36 | $1,142.26 | $1,735.77 |
| Robertson County | $639.57 | $725.90 | $817.36 | $1,142.26 | $1,735.77 |
| Rutherford County | $639.57 | $725.90 | $817.36 | $1,142.26 | $1,735.77 |
| Sumner County | $639.57 | $725.90 | $817.36 | $1,142.26 | $1,735.77 |
| Trousdale County | $639.57 | $725.90 | $817.36 | $1,142.26 | $1,735.77 |
| Williamson County | $639.57 | $725.90 | $817.36 | $1,142.26 | $1,735.77 |
| Wilson County | $639.57 | $725.90 | $817.36 | $1,142.26 | $1,735.77 |
| Cannon County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Clay County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Cumberland County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| DeKalb County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Fentress County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Jackson County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Macon County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Overton County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Pickett County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Putnam County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Smith County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Van Buren County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Warren County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| White County | $652.61 | $740.70 | $834.02 | $1,165.54 | $1,771.16 |
| Bedford County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Coffee County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Dickson County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Giles County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Hickman County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Houston County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Humphreys County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Lawrence County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Lewis County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Lincoln County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Marshall County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Maury County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Moore County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Perry County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Stewart County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
| Wayne County | $683.07 | $775.27 | $872.95 | $1,219.95 | $1,853.83 |
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.