Everyday Gold + Vision + Adult Dental — full price in Macon County, Tennessee (2026)
Everyday Gold + Vision + Adult Dental (70111TN0120030), a gold plan from Ambetter of Tennessee in Macon County, Tennessee, costs $845.73/month full price for a 40-year-old in 2026 — $1796.02 at 60, with a $800 deductible and $7,250 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 70111TN0120030 · Issuer: Ambetter of Tennessee · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0
Full-price premium by age (2026)
| Age | Monthly premium |
|---|---|
| 21 | $661.77 |
| 27 | $693.53 |
| 30 | $751.10 |
| 40 | $845.73 |
| 50 | $1181.91 |
| 60 | $1796.02 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $800
- Family deductible: $1,600
- Individual out-of-pocket max: $7,250
- Family out-of-pocket max: $14,500
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $793.80/mo. This plan is $845.73/mo at 40 — a difference of $51.93/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 Macon County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| UHC Gold Advantage (Virtual Urgent Care, No Referrals) | UnitedHealthcare | $804.21 |
| UHC Gold Standard (No Referrals) | UnitedHealthcare | $808.63 |
| Standard Gold | Ambetter of Tennessee | $811.69 |
| Everyday Gold | Ambetter of Tennessee | $823.08 |
| UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) | UnitedHealthcare | $824.66 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 70111TN0120030 in FIPS 47111.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Macon County
Reviewed by Jason Burns, Editorial Steward.