Gold Classic Standard
Gold · HMO · Oscar Health Insurance · Ohio
At age 40 it costs between $481.60 and $546.35 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 | 29341OH0100053 |
|---|---|
| Insurer | Oscar Health Insurance |
| Metal level | Gold |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | $376.85 | $427.71 | $481.60 | $673.04 | $1,022.75 |
| Hamilton County | $376.85 | $427.71 | $481.60 | $673.04 | $1,022.75 |
| Warren County | $376.85 | $427.71 | $481.60 | $673.04 | $1,022.75 |
| Brown County | $387.18 | $439.44 | $494.81 | $691.49 | $1,050.79 |
| Clermont County | $387.18 | $439.44 | $494.81 | $691.49 | $1,050.79 |
| Clinton County | $387.18 | $439.44 | $494.81 | $691.49 | $1,050.79 |
| Highland County | $387.18 | $439.44 | $494.81 | $691.49 | $1,050.79 |
| Coshocton County | $406.03 | $460.83 | $518.89 | $725.14 | $1,101.92 |
| Morgan County | $406.03 | $460.83 | $518.89 | $725.14 | $1,101.92 |
| Perry County | $406.03 | $460.83 | $518.89 | $725.14 | $1,101.92 |
| Champaign County | $418.80 | $475.33 | $535.21 | $747.96 | $1,136.60 |
| Clark County | $418.80 | $475.33 | $535.21 | $747.96 | $1,136.60 |
| Darke County | $418.80 | $475.33 | $535.21 | $747.96 | $1,136.60 |
| Greene County | $418.80 | $475.33 | $535.21 | $747.96 | $1,136.60 |
| Miami County | $418.80 | $475.33 | $535.21 | $747.96 | $1,136.60 |
| Montgomery County | $418.80 | $475.33 | $535.21 | $747.96 | $1,136.60 |
| Preble County | $418.80 | $475.33 | $535.21 | $747.96 | $1,136.60 |
| Shelby County | $418.80 | $475.33 | $535.21 | $747.96 | $1,136.60 |
| Vinton County | $419.47 | $476.09 | $536.07 | $749.16 | $1,138.42 |
| Hocking County | $419.56 | $476.19 | $536.19 | $749.32 | $1,138.66 |
| Delaware County | $420.73 | $477.52 | $537.68 | $751.41 | $1,141.84 |
| Fairfield County | $420.73 | $477.52 | $537.68 | $751.41 | $1,141.84 |
| Fayette County | $420.73 | $477.52 | $537.68 | $751.41 | $1,141.84 |
| Franklin County | $420.73 | $477.52 | $537.68 | $751.41 | $1,141.84 |
| Licking County | $420.73 | $477.52 | $537.68 | $751.41 | $1,141.84 |
| Logan County | $420.73 | $477.52 | $537.68 | $751.41 | $1,141.84 |
| Madison County | $420.73 | $477.52 | $537.68 | $751.41 | $1,141.84 |
| Pickaway County | $420.73 | $477.52 | $537.68 | $751.41 | $1,141.84 |
| Union County | $420.73 | $477.52 | $537.68 | $751.41 | $1,141.84 |
| Lorain County | $423.32 | $480.46 | $540.99 | $756.03 | $1,148.86 |
| Morrow County | $427.52 | $485.22 | $546.35 | $763.53 | $1,160.25 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.