Everyday Gold + Vision + Adult Dental
Gold · EPO · Ambetter Health · Missouri
At age 40 it costs between $533.69 and $795.27 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 | 99723MO0110063 |
|---|---|
| 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 | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 97.07% |
| 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 | $417.61 | $473.98 | $533.69 | $745.83 | $1,133.37 |
| Jefferson County | $417.61 | $473.98 | $533.69 | $745.83 | $1,133.37 |
| Lincoln County | $417.61 | $473.98 | $533.69 | $745.83 | $1,133.37 |
| Saint Charles County | $417.61 | $473.98 | $533.69 | $745.83 | $1,133.37 |
| Saint Louis County | $417.61 | $473.98 | $533.69 | $745.83 | $1,133.37 |
| Saint Louis City | $417.61 | $473.98 | $533.69 | $745.83 | $1,133.37 |
| Sainte Genevieve County | $417.61 | $473.98 | $533.69 | $745.83 | $1,133.37 |
| Warren County | $417.61 | $473.98 | $533.69 | $745.83 | $1,133.37 |
| Washington County | $417.61 | $473.98 | $533.69 | $745.83 | $1,133.37 |
| Cass County | $456.32 | $517.91 | $583.16 | $814.96 | $1,238.41 |
| Clay County | $456.32 | $517.91 | $583.16 | $814.96 | $1,238.41 |
| Jackson County | $456.32 | $517.91 | $583.16 | $814.96 | $1,238.41 |
| Platte County | $456.32 | $517.91 | $583.16 | $814.96 | $1,238.41 |
| Barry County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Cedar County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Christian County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Dade County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Dallas County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Douglas County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Greene County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Hickory County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Laclede County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Lawrence County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Ozark County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Polk County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Stone County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Taney County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Webster County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Wright County | $500.57 | $568.14 | $639.72 | $894 | $1,358.52 |
| Barton County | $531.02 | $602.70 | $678.63 | $948.39 | $1,441.17 |
| Jasper County | $531.02 | $602.70 | $678.63 | $948.39 | $1,441.17 |
| McDonald County | $531.02 | $602.70 | $678.63 | $948.39 | $1,441.17 |
| Newton County | $531.02 | $602.70 | $678.63 | $948.39 | $1,441.17 |
| Carter County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Crawford County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Dent County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Howell County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Iron County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Oregon County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Phelps County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Pulaski County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Reynolds County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Ripley County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Shannon County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Texas County | $534.69 | $606.86 | $683.32 | $954.94 | $1,451.12 |
| Bates County | $546.66 | $620.45 | $698.62 | $976.32 | $1,483.61 |
| Benton County | $546.66 | $620.45 | $698.62 | $976.32 | $1,483.61 |
| Henry County | $546.66 | $620.45 | $698.62 | $976.32 | $1,483.61 |
| Johnson County | $546.66 | $620.45 | $698.62 | $976.32 | $1,483.61 |
| Lafayette County | $546.66 | $620.45 | $698.62 | $976.32 | $1,483.61 |
| Pettis County | $546.66 | $620.45 | $698.62 | $976.32 | $1,483.61 |
| Saint Clair County | $546.66 | $620.45 | $698.62 | $976.32 | $1,483.61 |
| Saline County | $546.66 | $620.45 | $698.62 | $976.32 | $1,483.61 |
| Vernon County | $546.66 | $620.45 | $698.62 | $976.32 | $1,483.61 |
| Audrain County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Boone County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Callaway County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Camden County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Chariton County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Cole County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Cooper County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Gasconade County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Howard County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Maries County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Miller County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Moniteau County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Monroe County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Montgomery County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Morgan County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Osage County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Randolph County | $570.65 | $647.67 | $729.27 | $1,019.15 | $1,548.70 |
| Bollinger County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| Butler County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| Cape Girardeau County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| Dunklin County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| Madison County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| Mississippi County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| New Madrid County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| Pemiscot County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| Perry County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| Scott County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| Stoddard County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| Wayne County | $596.46 | $676.98 | $762.27 | $1,065.27 | $1,618.78 |
| Andrew County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Atchison County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Buchanan County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Caldwell County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Carroll County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Clinton County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Daviess County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| DeKalb County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Gentry County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Grundy County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Harrison County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Holt County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Livingston County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Mercer County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Nodaway County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Ray County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Worth County | $606.60 | $688.48 | $775.22 | $1,083.37 | $1,646.28 |
| Adair County | $622.28 | $706.28 | $795.27 | $1,111.38 | $1,688.85 |
| Knox County | $622.28 | $706.28 | $795.27 | $1,111.38 | $1,688.85 |
| Linn County | $622.28 | $706.28 | $795.27 | $1,111.38 | $1,688.85 |
| Macon County | $622.28 | $706.28 | $795.27 | $1,111.38 | $1,688.85 |
| Pike County | $622.28 | $706.28 | $795.27 | $1,111.38 | $1,688.85 |
| Putnam County | $622.28 | $706.28 | $795.27 | $1,111.38 | $1,688.85 |
| Ralls County | $622.28 | $706.28 | $795.27 | $1,111.38 | $1,688.85 |
| Shelby County | $622.28 | $706.28 | $795.27 | $1,111.38 | $1,688.85 |
| Sullivan County | $622.28 | $706.28 | $795.27 | $1,111.38 | $1,688.85 |
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.