Everyday Gold
Gold · EPO · Ambetter Health · Missouri
At age 40 it costs between $518.03 and $771.93 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 | 99723MO0090063 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $800 |
| Deductible (family) | $1,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,250 |
| Family maximum | $14,500 |
| Primary care visit | $35 |
| Specialist visit | $55 |
| Emergency room | 35% Coinsurance after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $60 |
| Specialty drugs | 50% 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 | $405.36 | $460.07 | $518.03 | $723.95 | $1,100.11 |
| Jefferson County | $405.36 | $460.07 | $518.03 | $723.95 | $1,100.11 |
| Lincoln County | $405.36 | $460.07 | $518.03 | $723.95 | $1,100.11 |
| Saint Charles County | $405.36 | $460.07 | $518.03 | $723.95 | $1,100.11 |
| Saint Louis County | $405.36 | $460.07 | $518.03 | $723.95 | $1,100.11 |
| Saint Louis City | $405.36 | $460.07 | $518.03 | $723.95 | $1,100.11 |
| Sainte Genevieve County | $405.36 | $460.07 | $518.03 | $723.95 | $1,100.11 |
| Warren County | $405.36 | $460.07 | $518.03 | $723.95 | $1,100.11 |
| Washington County | $405.36 | $460.07 | $518.03 | $723.95 | $1,100.11 |
| Cass County | $442.93 | $502.71 | $566.05 | $791.05 | $1,202.08 |
| Clay County | $442.93 | $502.71 | $566.05 | $791.05 | $1,202.08 |
| Jackson County | $442.93 | $502.71 | $566.05 | $791.05 | $1,202.08 |
| Platte County | $442.93 | $502.71 | $566.05 | $791.05 | $1,202.08 |
| Barry County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Cedar County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Christian County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Dade County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Dallas County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Douglas County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Greene County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Hickory County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Laclede County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Lawrence County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Ozark County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Polk County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Stone County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Taney County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Webster County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Wright County | $485.88 | $551.47 | $620.95 | $867.77 | $1,318.66 |
| Barton County | $515.44 | $585.02 | $658.72 | $920.56 | $1,398.88 |
| Jasper County | $515.44 | $585.02 | $658.72 | $920.56 | $1,398.88 |
| McDonald County | $515.44 | $585.02 | $658.72 | $920.56 | $1,398.88 |
| Newton County | $515.44 | $585.02 | $658.72 | $920.56 | $1,398.88 |
| Carter County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Crawford County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Dent County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Howell County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Iron County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Oregon County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Phelps County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Pulaski County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Reynolds County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Ripley County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Shannon County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Texas County | $519 | $589.06 | $663.27 | $926.92 | $1,408.55 |
| Bates County | $530.62 | $602.24 | $678.12 | $947.67 | $1,440.08 |
| Benton County | $530.62 | $602.24 | $678.12 | $947.67 | $1,440.08 |
| Henry County | $530.62 | $602.24 | $678.12 | $947.67 | $1,440.08 |
| Johnson County | $530.62 | $602.24 | $678.12 | $947.67 | $1,440.08 |
| Lafayette County | $530.62 | $602.24 | $678.12 | $947.67 | $1,440.08 |
| Pettis County | $530.62 | $602.24 | $678.12 | $947.67 | $1,440.08 |
| Saint Clair County | $530.62 | $602.24 | $678.12 | $947.67 | $1,440.08 |
| Saline County | $530.62 | $602.24 | $678.12 | $947.67 | $1,440.08 |
| Vernon County | $530.62 | $602.24 | $678.12 | $947.67 | $1,440.08 |
| Audrain County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Boone County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Callaway County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Camden County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Chariton County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Cole County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Cooper County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Gasconade County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Howard County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Maries County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Miller County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Moniteau County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Monroe County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Montgomery County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Morgan County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Osage County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Randolph County | $553.90 | $628.67 | $707.87 | $989.25 | $1,503.26 |
| Bollinger County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| Butler County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| Cape Girardeau County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| Dunklin County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| Madison County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| Mississippi County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| New Madrid County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| Pemiscot County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| Perry County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| Scott County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| Stoddard County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| Wayne County | $578.96 | $657.11 | $739.90 | $1,034.01 | $1,571.28 |
| Andrew County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Atchison County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Buchanan County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Caldwell County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Carroll County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Clinton County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Daviess County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| DeKalb County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Gentry County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Grundy County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Harrison County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Holt County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Livingston County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Mercer County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Nodaway County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Ray County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Worth County | $588.80 | $668.28 | $752.47 | $1,051.58 | $1,597.98 |
| Adair County | $604.03 | $685.56 | $771.93 | $1,078.77 | $1,639.30 |
| Knox County | $604.03 | $685.56 | $771.93 | $1,078.77 | $1,639.30 |
| Linn County | $604.03 | $685.56 | $771.93 | $1,078.77 | $1,639.30 |
| Macon County | $604.03 | $685.56 | $771.93 | $1,078.77 | $1,639.30 |
| Pike County | $604.03 | $685.56 | $771.93 | $1,078.77 | $1,639.30 |
| Putnam County | $604.03 | $685.56 | $771.93 | $1,078.77 | $1,639.30 |
| Ralls County | $604.03 | $685.56 | $771.93 | $1,078.77 | $1,639.30 |
| Shelby County | $604.03 | $685.56 | $771.93 | $1,078.77 | $1,639.30 |
| Sullivan County | $604.03 | $685.56 | $771.93 | $1,078.77 | $1,639.30 |
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.