Standard Gold + Vision + Adult Dental
Gold · EPO · Ambetter from Louisiana Healthcare Connections · Louisiana
At age 40 it costs between $620.96 and $737.44 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 | 90787LA0020011 |
|---|---|
| Insurer | Ambetter from Louisiana Healthcare Connections |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 2 — 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 | $8,300 |
| Family maximum | $16,600 |
| 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 | $100 |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 97.40% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-635-0450 · TTY 1-833-635-0450 |
Where it is sold, and what it costs there
22 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 |
|---|---|---|---|---|---|
| Bossier Parish | $485.89 | $551.47 | $620.96 | $867.78 | $1,318.68 |
| Caddo Parish | $485.89 | $551.47 | $620.96 | $867.78 | $1,318.68 |
| Jefferson Parish | $499.46 | $566.88 | $638.30 | $892.02 | $1,355.51 |
| Orleans Parish | $499.46 | $566.88 | $638.30 | $892.02 | $1,355.51 |
| Plaquemines Parish | $499.46 | $566.88 | $638.30 | $892.02 | $1,355.51 |
| Saint Bernard Parish | $499.46 | $566.88 | $638.30 | $892.02 | $1,355.51 |
| Saint Charles Parish | $499.46 | $566.88 | $638.30 | $892.02 | $1,355.51 |
| Saint Tammany Parish | $499.46 | $566.88 | $638.30 | $892.02 | $1,355.51 |
| St John The Baptist Parish | $499.46 | $566.88 | $638.30 | $892.02 | $1,355.51 |
| Ascension Parish | $524.70 | $595.53 | $670.56 | $937.10 | $1,424.02 |
| East Baton Rouge Parish | $524.70 | $595.53 | $670.56 | $937.10 | $1,424.02 |
| East Feliciana Parish | $524.70 | $595.53 | $670.56 | $937.10 | $1,424.02 |
| Iberville Parish | $524.70 | $595.53 | $670.56 | $937.10 | $1,424.02 |
| Pointe Coupee Parish | $524.70 | $595.53 | $670.56 | $937.10 | $1,424.02 |
| Saint Helena Parish | $524.70 | $595.53 | $670.56 | $937.10 | $1,424.02 |
| Washington Parish | $524.70 | $595.53 | $670.56 | $937.10 | $1,424.02 |
| West Baton Rouge Parish | $524.70 | $595.53 | $670.56 | $937.10 | $1,424.02 |
| West Feliciana Parish | $524.70 | $595.53 | $670.56 | $937.10 | $1,424.02 |
| Beauregard Parish | $577.04 | $654.92 | $737.44 | $1,030.57 | $1,566.05 |
| Calcasieu Parish | $577.04 | $654.92 | $737.44 | $1,030.57 | $1,566.05 |
| Cameron Parish | $577.04 | $654.92 | $737.44 | $1,030.57 | $1,566.05 |
| Jefferson Davis Parish | $577.04 | $654.92 | $737.44 | $1,030.57 | $1,566.05 |
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.