Gold Elite Saver Plus
Gold · HMO · Oscar Health Insurance · Ohio
At age 40 it costs between $525.47 and $596.11 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 | 29341OH0100035 |
|---|---|
| Insurer | Oscar Health Insurance |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $250 |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | No Charge |
| Specialist visit | $25 |
| Emergency room | $600 |
| Inpatient stay | $1,100 Copay per Day |
| Generic drugs | $3 |
| Preferred brand drugs | $75 Copay after deductible |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-855-672-2755 |
Where it is sold, and what it costs there
31 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 |
|---|---|---|---|---|---|
| Butler County | $411.17 | $466.67 | $525.47 | $734.34 | $1,115.90 |
| Hamilton County | $411.17 | $466.67 | $525.47 | $734.34 | $1,115.90 |
| Warren County | $411.17 | $466.67 | $525.47 | $734.34 | $1,115.90 |
| Brown County | $422.45 | $479.46 | $539.87 | $754.47 | $1,146.49 |
| Clermont County | $422.45 | $479.46 | $539.87 | $754.47 | $1,146.49 |
| Clinton County | $422.45 | $479.46 | $539.87 | $754.47 | $1,146.49 |
| Highland County | $422.45 | $479.46 | $539.87 | $754.47 | $1,146.49 |
| Coshocton County | $443 | $502.80 | $566.15 | $791.19 | $1,202.29 |
| Morgan County | $443 | $502.80 | $566.15 | $791.19 | $1,202.29 |
| Perry County | $443 | $502.80 | $566.15 | $791.19 | $1,202.29 |
| Champaign County | $456.94 | $518.62 | $583.96 | $816.08 | $1,240.12 |
| Clark County | $456.94 | $518.62 | $583.96 | $816.08 | $1,240.12 |
| Darke County | $456.94 | $518.62 | $583.96 | $816.08 | $1,240.12 |
| Greene County | $456.94 | $518.62 | $583.96 | $816.08 | $1,240.12 |
| Miami County | $456.94 | $518.62 | $583.96 | $816.08 | $1,240.12 |
| Montgomery County | $456.94 | $518.62 | $583.96 | $816.08 | $1,240.12 |
| Preble County | $456.94 | $518.62 | $583.96 | $816.08 | $1,240.12 |
| Shelby County | $456.94 | $518.62 | $583.96 | $816.08 | $1,240.12 |
| Vinton County | $457.67 | $519.45 | $584.90 | $817.39 | $1,242.10 |
| Hocking County | $457.77 | $519.56 | $585.02 | $817.56 | $1,242.37 |
| Delaware County | $459.05 | $521.01 | $586.65 | $819.84 | $1,245.83 |
| Fairfield County | $459.05 | $521.01 | $586.65 | $819.84 | $1,245.83 |
| Fayette County | $459.05 | $521.01 | $586.65 | $819.84 | $1,245.83 |
| Franklin County | $459.05 | $521.01 | $586.65 | $819.84 | $1,245.83 |
| Licking County | $459.05 | $521.01 | $586.65 | $819.84 | $1,245.83 |
| Logan County | $459.05 | $521.01 | $586.65 | $819.84 | $1,245.83 |
| Madison County | $459.05 | $521.01 | $586.65 | $819.84 | $1,245.83 |
| Pickaway County | $459.05 | $521.01 | $586.65 | $819.84 | $1,245.83 |
| Union County | $459.05 | $521.01 | $586.65 | $819.84 | $1,245.83 |
| Lorain County | $461.87 | $524.21 | $590.26 | $824.89 | $1,253.50 |
| Morrow County | $466.45 | $529.41 | $596.11 | $833.07 | $1,265.92 |
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.