AmeriHealth Caritas Next Gold Premier + No Referrals
Gold · HMO · AmeriHealth Caritas Next · Delaware
At age 40 it costs $764.98 a month before any subsidy.
What CMS publishes about it
| Plan ID | 72760DE0010009 |
|---|---|
| Insurer | AmeriHealth Caritas Next |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $950 |
| Deductible (family) | $1,900 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,500 |
| Family maximum | $17,000 |
| Primary care visit | $15 |
| Specialist visit | $45 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $60 |
| Specialty drugs | $150 Copay after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.86% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-590-3300 · TTY 711 |
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 | $598.58 | $679.38 | $764.98 | $1,069.05 | $1,624.53 |
| New Castle County | $598.58 | $679.38 | $764.98 | $1,069.05 | $1,624.53 |
| Sussex County | $598.58 | $679.38 | $764.98 | $1,069.05 | $1,624.53 |
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.