Complete Gold
Gold · EPO · Ambetter Health · Missouri
At age 40 it costs between $535.47 and $797.92 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 | 99723MO0090016 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $1,450 |
| Deductible (family) | $2,900 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,700 |
| Family maximum | $15,400 |
| Primary care visit | $15 |
| Specialist visit | $35 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $30 |
| Specialty drugs | 30% Coinsurance 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 | 1-855-650-3789 · TTY 1-855-650-3789 |
Where it is sold, and what it costs there
109 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 |
|---|---|---|---|---|---|
| Franklin County | $419 | $475.56 | $535.47 | $748.32 | $1,137.14 |
| Jefferson County | $419 | $475.56 | $535.47 | $748.32 | $1,137.14 |
| Lincoln County | $419 | $475.56 | $535.47 | $748.32 | $1,137.14 |
| Saint Charles County | $419 | $475.56 | $535.47 | $748.32 | $1,137.14 |
| Saint Louis County | $419 | $475.56 | $535.47 | $748.32 | $1,137.14 |
| Saint Louis City | $419 | $475.56 | $535.47 | $748.32 | $1,137.14 |
| Sainte Genevieve County | $419 | $475.56 | $535.47 | $748.32 | $1,137.14 |
| Warren County | $419 | $475.56 | $535.47 | $748.32 | $1,137.14 |
| Washington County | $419 | $475.56 | $535.47 | $748.32 | $1,137.14 |
| Cass County | $457.84 | $519.63 | $585.10 | $817.68 | $1,242.54 |
| Clay County | $457.84 | $519.63 | $585.10 | $817.68 | $1,242.54 |
| Jackson County | $457.84 | $519.63 | $585.10 | $817.68 | $1,242.54 |
| Platte County | $457.84 | $519.63 | $585.10 | $817.68 | $1,242.54 |
| Barry County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Cedar County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Christian County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Dade County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Dallas County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Douglas County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Greene County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Hickory County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Laclede County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Lawrence County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Ozark County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Polk County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Stone County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Taney County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Webster County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Wright County | $502.24 | $570.03 | $641.85 | $896.98 | $1,363.05 |
| Barton County | $532.79 | $604.71 | $680.90 | $951.55 | $1,445.97 |
| Jasper County | $532.79 | $604.71 | $680.90 | $951.55 | $1,445.97 |
| McDonald County | $532.79 | $604.71 | $680.90 | $951.55 | $1,445.97 |
| Newton County | $532.79 | $604.71 | $680.90 | $951.55 | $1,445.97 |
| Carter County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Crawford County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Dent County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Howell County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Iron County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Oregon County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Phelps County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Pulaski County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Reynolds County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Ripley County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Shannon County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Texas County | $536.47 | $608.88 | $685.60 | $958.12 | $1,455.96 |
| Bates County | $548.48 | $622.51 | $700.95 | $979.57 | $1,488.55 |
| Benton County | $548.48 | $622.51 | $700.95 | $979.57 | $1,488.55 |
| Henry County | $548.48 | $622.51 | $700.95 | $979.57 | $1,488.55 |
| Johnson County | $548.48 | $622.51 | $700.95 | $979.57 | $1,488.55 |
| Lafayette County | $548.48 | $622.51 | $700.95 | $979.57 | $1,488.55 |
| Pettis County | $548.48 | $622.51 | $700.95 | $979.57 | $1,488.55 |
| Saint Clair County | $548.48 | $622.51 | $700.95 | $979.57 | $1,488.55 |
| Saline County | $548.48 | $622.51 | $700.95 | $979.57 | $1,488.55 |
| Vernon County | $548.48 | $622.51 | $700.95 | $979.57 | $1,488.55 |
| Audrain County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Boone County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Callaway County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Camden County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Chariton County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Cole County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Cooper County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Gasconade County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Howard County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Maries County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Miller County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Moniteau County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Monroe County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Montgomery County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Morgan County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Osage County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Randolph County | $572.55 | $649.83 | $731.70 | $1,022.55 | $1,553.86 |
| Bollinger County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| Butler County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| Cape Girardeau County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| Dunklin County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| Madison County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| Mississippi County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| New Madrid County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| Pemiscot County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| Perry County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| Scott County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| Stoddard County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| Wayne County | $598.45 | $679.23 | $764.81 | $1,068.82 | $1,624.17 |
| Andrew County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Atchison County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Buchanan County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Caldwell County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Carroll County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Clinton County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Daviess County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| DeKalb County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Gentry County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Grundy County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Harrison County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Holt County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Livingston County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Mercer County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Nodaway County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Ray County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Worth County | $608.62 | $690.77 | $777.80 | $1,086.98 | $1,651.77 |
| Adair County | $624.36 | $708.63 | $797.92 | $1,115.08 | $1,694.48 |
| Knox County | $624.36 | $708.63 | $797.92 | $1,115.08 | $1,694.48 |
| Linn County | $624.36 | $708.63 | $797.92 | $1,115.08 | $1,694.48 |
| Macon County | $624.36 | $708.63 | $797.92 | $1,115.08 | $1,694.48 |
| Pike County | $624.36 | $708.63 | $797.92 | $1,115.08 | $1,694.48 |
| Putnam County | $624.36 | $708.63 | $797.92 | $1,115.08 | $1,694.48 |
| Ralls County | $624.36 | $708.63 | $797.92 | $1,115.08 | $1,694.48 |
| Shelby County | $624.36 | $708.63 | $797.92 | $1,115.08 | $1,694.48 |
| Sullivan County | $624.36 | $708.63 | $797.92 | $1,115.08 | $1,694.48 |
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.