Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx — full price in Pima County, Arizona (2026)

Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx (68445AZ0610030), a gold plan from Antidote Health Plan of Arizona, Inc. in Pima County, Arizona, costs $678.13/month full price for a 40-year-old in 2026 — $1440.10 at 60, with a $3,000 deductible and $9,000 out-of-pocket max, per the CMS PY2026 QHP Landscape.

HIOS plan ID: 68445AZ0610030 · Issuer: Antidote Health Plan of Arizona, Inc. · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0

Full-price premium by age (2026)

AgeMonthly premium
21$530.63
27$556.09
30$602.25
40$678.13
50$947.69
60$1440.10

Deductibles & out-of-pocket max (2026)

  • Individual deductible: $3,000
  • Family deductible: $6,000
  • Individual out-of-pocket max: $9,000
  • Family out-of-pocket max: $18,000

Vs. county benchmark

The county benchmark silver premium for a 40-year-old is $448.94/mo. This plan is $678.13/mo at 40 — a difference of $229.19/mo.

The subsidy cliff

In 2026 the enhanced ARP/IRA premium tax credits expire, so households above roughly 400% of the federal poverty level get zero subsidy and pay the full sticker prices listed above. Households under the cliff usually pay far less — how much less depends on income, household size, and county benchmark.

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Other gold plans in Pima County

PlanIssuerPremium @ 40
Imperial Standard GoldImperial Insurance Companies, Inc.$516.16
Imperial Preferred GoldImperial Insurance Companies, Inc.$523.04
Gold SimpleOscar Health Plan, Inc.$540.27
Gold Classic StandardOscar Health Plan, Inc.$543.89
Gold Simple DiabetesOscar Health Plan, Inc.$546.67

Sources

← All plans and costs in Pima County

Reviewed by Jason Burns, Editorial Steward.

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