QHP Index

Bronze Simple Chronic Care CKM

Expanded Bronze · HMO · Oscar Health Insurance · Ohio

At age 40 it costs between $367.96 and $417.43 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 ID29341OH0100057
InsurerOscar Health Insurance
Metal levelExpanded Bronze
Plan typeHMO
Deductible (individual)$5,500
Deductible (family)$11,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$10,150
Family maximum$20,300
Primary care visit$50
Specialist visit$165
Emergency room50% Coinsurance after deductible
Inpatient stay50% Coinsurance after deductible
Generic drugs$3
Preferred brand drugs50% Coinsurance after deductible
Specialty drugs50% Coinsurance after deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-855-672-2755

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.

CountyAt 21At 30At 40At 50At 60
Butler County $287.92$326.78 $367.96$514.22 $781.40
Hamilton County $287.92$326.78 $367.96$514.22 $781.40
Warren County $287.92$326.78 $367.96$514.22 $781.40
Brown County $295.82$335.74 $378.04$528.31 $802.82
Clermont County $295.82$335.74 $378.04$528.31 $802.82
Clinton County $295.82$335.74 $378.04$528.31 $802.82
Highland County $295.82$335.74 $378.04$528.31 $802.82
Coshocton County $310.21$352.08 $396.44$554.02 $841.89
Morgan County $310.21$352.08 $396.44$554.02 $841.89
Perry County $310.21$352.08 $396.44$554.02 $841.89
Champaign County $319.98$363.16 $408.92$571.46 $868.39
Clark County $319.98$363.16 $408.92$571.46 $868.39
Darke County $319.98$363.16 $408.92$571.46 $868.39
Greene County $319.98$363.16 $408.92$571.46 $868.39
Miami County $319.98$363.16 $408.92$571.46 $868.39
Montgomery County $319.98$363.16 $408.92$571.46 $868.39
Preble County $319.98$363.16 $408.92$571.46 $868.39
Shelby County $319.98$363.16 $408.92$571.46 $868.39
Vinton County $320.49$363.74 $409.57$572.37 $869.78
Hocking County $320.56$363.82 $409.66$572.49 $869.96
Delaware County $321.45$364.83 $410.80$574.09 $872.39
Fairfield County $321.45$364.83 $410.80$574.09 $872.39
Fayette County $321.45$364.83 $410.80$574.09 $872.39
Franklin County $321.45$364.83 $410.80$574.09 $872.39
Licking County $321.45$364.83 $410.80$574.09 $872.39
Logan County $321.45$364.83 $410.80$574.09 $872.39
Madison County $321.45$364.83 $410.80$574.09 $872.39
Pickaway County $321.45$364.83 $410.80$574.09 $872.39
Union County $321.45$364.83 $410.80$574.09 $872.39
Lorain County $323.43$367.08 $413.33$577.62 $877.75
Morrow County $326.63$370.72 $417.43$583.35 $886.46

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.