Ambetter from Fidelis Care Gold for Children, Child-Only, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental
Starting at
$—
/month before subsidy
Ambetter from Fidelis Care Gold for Children, Child-Only, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental is a 2026 Gold HMO health insurance plan from Issuer 25303, sold on the ACA Marketplace in New York under plan ID 25303NY0070001. The individual medical deductible is $775 ($775 for a family), and the individual out-of-pocket maximum is $10,150 ($10,150 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 25303NY0070001
- Plan year
- 2026
- State
- New York
- Metal level
- Gold
- Plan type
- HMO
- HSA-eligible
- No
Individual Deductible
$775
Family: $775
Out-of-Pocket Max
$10,150
Family: $10,150
Coinsurance
20%
You pay after deductible
Network Type
HMO
NYN001
Medical Services
Prescription Drugs
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This Gold HMO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.
Consider this plan if you:
- Have ongoing health conditions requiring regular care
- Take multiple prescription medications
- Prefer lower costs at the time of service
- Want peace of mind with comprehensive coverage
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$846/month
Annual Premium
$0
OOP Maximum
$10,150
💡 What this means:
With a $775 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $10,150 total. Then insurance covers everything else for the year.
More plans from Issuer 25303 in New York
- Ambetter from Fidelis Care Catastrophic, Catastrophic, ST, INN, Fidelis Care HBX Network, Free Telemedicine Prgroam, Pediatric Dentalfrom $185/mo
- Ambetter from Fidelis Care Bronze for Children, Child-Only, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental
- Ambetter from Fidelis Care Bronze HSA, Bronze, ST, INN, Fidelis Care HBX Network, Dep25, Free Telemedicine Program, Pediatric Dentalfrom $434/mo
- Ambetter from Fidelis Care Bronze HSA, Bronze, ST, INN, Fidelis Care HBX Network, Dep29, Free Telemedicine Program, Pediatric Dentalfrom $455/mo
- Ambetter from Fidelis Care Bronze, Bronze, ST, INN, Fidelis Care HBX Network, Dep25, Free Telemedicine Program, Pediatric Dentalfrom $448/mo
- Ambetter from Fidelis Care Bronze, Bronze, ST, INN, Fidelis Care HBX Network, Dep29, Free Telemedicine Program, Pediatric Dentalfrom $471/mo
- Ambetter from Fidelis Care Silver for Children, Child-Only, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental
- Ambetter from Fidelis Care Silver One, Silver, NS, INN, Fidelis Care HBX Network, Dep25, Free Telemedicine Program, Family Dentalfrom $807/mo
Frequently asked questions about Ambetter from Fidelis Care Gold for Children, Child-Only, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental
What is the deductible for Ambetter from Fidelis Care Gold for Children, Child-Only, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental?
The individual medical deductible is $775, and the family deductible is $775. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.
What is the out-of-pocket maximum for Ambetter from Fidelis Care Gold for Children, Child-Only, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental?
The most you would pay in a year for covered in-network care is $10,150 for an individual and $10,150 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Ambetter from Fidelis Care Gold for Children, Child-Only, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental HSA-eligible?
No. Ambetter from Fidelis Care Gold for Children, Child-Only, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.
What type of network does Ambetter from Fidelis Care Gold for Children, Child-Only, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental use?
Ambetter from Fidelis Care Gold for Children, Child-Only, ST, INN, Fidelis Care HBX Network, Free Telemedicine Program, Pediatric Dental is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
Important Notice
Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.