QHP Index

Bronze Simple Diabetes

Expanded Bronze · HMO · Oscar Health Insurance · Ohio

At age 40 it costs between $363.45 and $412.31 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 ID29341OH0100058
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$150
Emergency room50% Coinsurance after deductible
Inpatient stay50% Coinsurance after deductible
Generic drugs$3
Preferred brand drugs$75 Copay 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 $284.40$322.78 $363.45$507.92 $771.83
Hamilton County $284.40$322.78 $363.45$507.92 $771.83
Warren County $284.40$322.78 $363.45$507.92 $771.83
Brown County $292.20$331.63 $373.41$521.85 $793
Clermont County $292.20$331.63 $373.41$521.85 $793
Clinton County $292.20$331.63 $373.41$521.85 $793
Highland County $292.20$331.63 $373.41$521.85 $793
Coshocton County $306.42$347.77 $391.59$547.24 $831.59
Morgan County $306.42$347.77 $391.59$547.24 $831.59
Perry County $306.42$347.77 $391.59$547.24 $831.59
Champaign County $316.06$358.71 $403.91$564.46 $857.75
Clark County $316.06$358.71 $403.91$564.46 $857.75
Darke County $316.06$358.71 $403.91$564.46 $857.75
Greene County $316.06$358.71 $403.91$564.46 $857.75
Miami County $316.06$358.71 $403.91$564.46 $857.75
Montgomery County $316.06$358.71 $403.91$564.46 $857.75
Preble County $316.06$358.71 $403.91$564.46 $857.75
Shelby County $316.06$358.71 $403.91$564.46 $857.75
Vinton County $316.56$359.29 $404.56$565.37 $859.13
Hocking County $316.63$359.37 $404.64$565.49 $859.31
Delaware County $317.51$360.37 $405.77$567.06 $861.71
Fairfield County $317.51$360.37 $405.77$567.06 $861.71
Fayette County $317.51$360.37 $405.77$567.06 $861.71
Franklin County $317.51$360.37 $405.77$567.06 $861.71
Licking County $317.51$360.37 $405.77$567.06 $861.71
Logan County $317.51$360.37 $405.77$567.06 $861.71
Madison County $317.51$360.37 $405.77$567.06 $861.71
Pickaway County $317.51$360.37 $405.77$567.06 $861.71
Union County $317.51$360.37 $405.77$567.06 $861.71
Lorain County $319.47$362.58 $408.27$570.55 $867.01
Morrow County $322.63$366.18 $412.31$576.21 $875.60

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.