Everyday Gold + Vision + Adult Dental
Starting at
$871
/month before subsidy
Everyday Gold + Vision + Adult Dental is a 2026 Gold HMO health insurance plan from Ambetter Health, sold on the ACA Marketplace in Florida under plan ID 49004FL0020022. The monthly premium starts at $871 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $800 ($1,600 for a family), and the individual out-of-pocket maximum is $7,250 ($14,500 for a family). After the deductible, coinsurance is 35% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 49004FL0020022
- Plan year
- 2026
- State
- Florida
- Metal level
- Gold
- Plan type
- HMO
- HSA-eligible
- No
Individual Deductible
$800
Family: $1,600
Out-of-Pocket Max
$7,250
Family: $14,500
Coinsurance
35%
You pay after deductible
Network Type
HMO
FLN001
Medical Services
Prescription Drugs
Having a baby
Normal delivery
$4,160
your estimated cost
- Deductible
- $800
- Copays
- $500
- Coinsurance
- $2,800
Managing type 2 diabetes
A year of routine care
$2,220
your estimated cost
- Deductible
- $800
- Copays
- $1,400
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$1,600
your estimated cost
- Deductible
- $800
- Copays
- $200
- Coinsurance
- $600
Enter your ZIP code first to search nearby doctors.
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
$1,475/month
Annual Premium
$10,452
OOP Maximum
$7,250
💡 What this means:
With a $800 deductible, you pay 100% of costs until you've spent that much. After that, you pay 35% (coinsurance) until you hit $7,250 total. Then insurance covers everything else for the year.
More plans from Ambetter Health in Florida
Frequently asked questions about Everyday Gold + Vision + Adult Dental
How much does Everyday Gold + Vision + Adult Dental cost per month?
Everyday Gold + Vision + Adult Dental from Ambetter Health starts at $871 per month before any subsidy in Florida. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.
What is the deductible for Everyday Gold + Vision + Adult Dental?
The individual medical deductible is $800, and the family deductible is $1,600. 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 Everyday Gold + Vision + Adult Dental?
The most you would pay in a year for covered in-network care is $7,250 for an individual and $14,500 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Everyday Gold + Vision + Adult Dental HSA-eligible?
No. Everyday Gold + Vision + Adult 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 Everyday Gold + Vision + Adult Dental use?
Everyday Gold + Vision + Adult 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.