Standard Gold + Vision + Adult Dental
Gold · EPO · Ambetter Health · Missouri
At age 40 it costs between $527.51 and $786.06 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 | 99723MO0110072 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | $412.77 | $468.49 | $527.51 | $737.20 | $1,120.24 |
| Jefferson County | $412.77 | $468.49 | $527.51 | $737.20 | $1,120.24 |
| Lincoln County | $412.77 | $468.49 | $527.51 | $737.20 | $1,120.24 |
| Saint Charles County | $412.77 | $468.49 | $527.51 | $737.20 | $1,120.24 |
| Saint Louis County | $412.77 | $468.49 | $527.51 | $737.20 | $1,120.24 |
| Saint Louis City | $412.77 | $468.49 | $527.51 | $737.20 | $1,120.24 |
| Sainte Genevieve County | $412.77 | $468.49 | $527.51 | $737.20 | $1,120.24 |
| Warren County | $412.77 | $468.49 | $527.51 | $737.20 | $1,120.24 |
| Washington County | $412.77 | $468.49 | $527.51 | $737.20 | $1,120.24 |
| Cass County | $451.03 | $511.91 | $576.40 | $805.52 | $1,224.07 |
| Clay County | $451.03 | $511.91 | $576.40 | $805.52 | $1,224.07 |
| Jackson County | $451.03 | $511.91 | $576.40 | $805.52 | $1,224.07 |
| Platte County | $451.03 | $511.91 | $576.40 | $805.52 | $1,224.07 |
| Barry County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Cedar County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Christian County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Dade County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Dallas County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Douglas County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Greene County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Hickory County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Laclede County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Lawrence County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Ozark County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Polk County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Stone County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Taney County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Webster County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Wright County | $494.77 | $561.56 | $632.31 | $883.65 | $1,342.79 |
| Barton County | $524.87 | $595.72 | $670.77 | $937.41 | $1,424.48 |
| Jasper County | $524.87 | $595.72 | $670.77 | $937.41 | $1,424.48 |
| McDonald County | $524.87 | $595.72 | $670.77 | $937.41 | $1,424.48 |
| Newton County | $524.87 | $595.72 | $670.77 | $937.41 | $1,424.48 |
| Carter County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Crawford County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Dent County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Howell County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Iron County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Oregon County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Phelps County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Pulaski County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Reynolds County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Ripley County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Shannon County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Texas County | $528.50 | $599.83 | $675.41 | $943.88 | $1,434.32 |
| Bates County | $540.33 | $613.26 | $690.53 | $965.01 | $1,466.42 |
| Benton County | $540.33 | $613.26 | $690.53 | $965.01 | $1,466.42 |
| Henry County | $540.33 | $613.26 | $690.53 | $965.01 | $1,466.42 |
| Johnson County | $540.33 | $613.26 | $690.53 | $965.01 | $1,466.42 |
| Lafayette County | $540.33 | $613.26 | $690.53 | $965.01 | $1,466.42 |
| Pettis County | $540.33 | $613.26 | $690.53 | $965.01 | $1,466.42 |
| Saint Clair County | $540.33 | $613.26 | $690.53 | $965.01 | $1,466.42 |
| Saline County | $540.33 | $613.26 | $690.53 | $965.01 | $1,466.42 |
| Vernon County | $540.33 | $613.26 | $690.53 | $965.01 | $1,466.42 |
| Audrain County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Boone County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Callaway County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Camden County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Chariton County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Cole County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Cooper County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Gasconade County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Howard County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Maries County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Miller County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Moniteau County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Monroe County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Montgomery County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Morgan County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Osage County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Randolph County | $564.04 | $640.17 | $720.83 | $1,007.35 | $1,530.77 |
| Bollinger County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| Butler County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| Cape Girardeau County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| Dunklin County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| Madison County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| Mississippi County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| New Madrid County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| Pemiscot County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| Perry County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| Scott County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| Stoddard County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| Wayne County | $589.56 | $669.14 | $753.44 | $1,052.93 | $1,600.03 |
| Andrew County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Atchison County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Buchanan County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Caldwell County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Carroll County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Clinton County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Daviess County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| DeKalb County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Gentry County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Grundy County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Harrison County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Holt County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Livingston County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Mercer County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Nodaway County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Ray County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Worth County | $599.57 | $680.51 | $766.24 | $1,070.82 | $1,627.22 |
| Adair County | $615.08 | $698.10 | $786.06 | $1,098.51 | $1,669.29 |
| Knox County | $615.08 | $698.10 | $786.06 | $1,098.51 | $1,669.29 |
| Linn County | $615.08 | $698.10 | $786.06 | $1,098.51 | $1,669.29 |
| Macon County | $615.08 | $698.10 | $786.06 | $1,098.51 | $1,669.29 |
| Pike County | $615.08 | $698.10 | $786.06 | $1,098.51 | $1,669.29 |
| Putnam County | $615.08 | $698.10 | $786.06 | $1,098.51 | $1,669.29 |
| Ralls County | $615.08 | $698.10 | $786.06 | $1,098.51 | $1,669.29 |
| Shelby County | $615.08 | $698.10 | $786.06 | $1,098.51 | $1,669.29 |
| Sullivan County | $615.08 | $698.10 | $786.06 | $1,098.51 | $1,669.29 |
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.