CommunityCare Gold L21
Gold · HMO · CommunityCare · Oklahoma
At age 40 it costs between $635.02 and $666.86 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 | 98905OK0130041 |
|---|---|
| Insurer | CommunityCare |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $3,800 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,500 |
| Family maximum | $15,000 |
| Primary care visit | $30 |
| Specialist visit | $50 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | $45 |
| Specialty drugs | $300 Copay after deductible |
| 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 | 1-800-777-4890 · TTY 1-800-722-0353 |
Where it is sold, and what it costs there
26 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 |
|---|---|---|---|---|---|
| Cherokee County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Craig County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Creek County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Delaware County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Hughes County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Kingfisher County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Mayes County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| McIntosh County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Muskogee County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Nowata County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Okmulgee County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Osage County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Ottawa County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Pawnee County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Payne County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Pittsburg County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Pottawatomie County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Rogers County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Tulsa County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Wagoner County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Washington County | $496.88 | $563.96 | $635.02 | $887.43 | $1,348.54 |
| Canadian County | $521.80 | $592.25 | $666.86 | $931.94 | $1,416.17 |
| Cleveland County | $521.80 | $592.25 | $666.86 | $931.94 | $1,416.17 |
| Lincoln County | $521.80 | $592.25 | $666.86 | $931.94 | $1,416.17 |
| Logan County | $521.80 | $592.25 | $666.86 | $931.94 | $1,416.17 |
| Oklahoma County | $521.80 | $592.25 | $666.86 | $931.94 | $1,416.17 |
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.