Standard Expanded Bronze + Vision + Adult Dental
Expanded Bronze · HMO · Ambetter from Arizona Complete Health · Arizona
At age 40 it costs between $483.37 and $666.32 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 | 91450AZ0180104 |
|---|---|
| Insurer | Ambetter from Arizona Complete Health |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $7,500 |
| Deductible (family) | $15,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,000 |
| Family maximum | $20,000 |
| Primary care visit | $50 |
| Specialist visit | $100 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | $500 Copay after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 97.45% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-888-926-5057 · TTY 1-888-926-5057 |
Where it is sold, and what it costs there
9 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 |
|---|---|---|---|---|---|
| Pima County | $378.22 | $429.28 | $483.37 | $675.51 | $1,026.50 |
| Santa Cruz County | $378.22 | $429.28 | $483.37 | $675.51 | $1,026.50 |
| Maricopa County | $379.61 | $430.86 | $485.15 | $677.99 | $1,030.27 |
| Gila County | $392.53 | $445.52 | $501.65 | $701.05 | $1,065.32 |
| Pinal County | $392.53 | $445.52 | $501.65 | $701.05 | $1,065.32 |
| Cochise County | $468.09 | $531.29 | $598.22 | $836.02 | $1,270.41 |
| Graham County | $468.09 | $531.29 | $598.22 | $836.02 | $1,270.41 |
| Greenlee County | $468.09 | $531.29 | $598.22 | $836.02 | $1,270.41 |
| Coconino County | $521.38 | $591.77 | $666.32 | $931.18 | $1,415.02 |
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.