Silver Simple Chronic Care CKM
Silver · HMO · Oscar Health Insurance · Ohio
At age 40 it costs between $488.21 and $553.84 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $5,900 | $10,150 | No Charge | $3 |
| up to 150% of the federal poverty level | $0 | $1,400 | No Charge | No Charge |
| 150% to 200% | $800 | $3,350 | No Charge | No Charge |
| 200% to 250% | $5,500 | $8,200 | No Charge | $3 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 29341OH0100060 |
|---|---|
| Insurer | Oscar Health Insurance |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $5,900 |
| Deductible (family) | $11,800 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,150 |
| Family maximum | $20,300 |
| Primary care visit | No Charge |
| Specialist visit | $35 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| 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 | $382.02 | $433.58 | $488.21 | $682.27 | $1,036.77 |
| Hamilton County | $382.02 | $433.58 | $488.21 | $682.27 | $1,036.77 |
| Warren County | $382.02 | $433.58 | $488.21 | $682.27 | $1,036.77 |
| Brown County | $392.49 | $445.47 | $501.59 | $700.97 | $1,065.20 |
| Clermont County | $392.49 | $445.47 | $501.59 | $700.97 | $1,065.20 |
| Clinton County | $392.49 | $445.47 | $501.59 | $700.97 | $1,065.20 |
| Highland County | $392.49 | $445.47 | $501.59 | $700.97 | $1,065.20 |
| Coshocton County | $411.59 | $467.15 | $526 | $735.09 | $1,117.03 |
| Morgan County | $411.59 | $467.15 | $526 | $735.09 | $1,117.03 |
| Perry County | $411.59 | $467.15 | $526 | $735.09 | $1,117.03 |
| Champaign County | $424.54 | $481.85 | $542.55 | $758.22 | $1,152.18 |
| Clark County | $424.54 | $481.85 | $542.55 | $758.22 | $1,152.18 |
| Darke County | $424.54 | $481.85 | $542.55 | $758.22 | $1,152.18 |
| Greene County | $424.54 | $481.85 | $542.55 | $758.22 | $1,152.18 |
| Miami County | $424.54 | $481.85 | $542.55 | $758.22 | $1,152.18 |
| Montgomery County | $424.54 | $481.85 | $542.55 | $758.22 | $1,152.18 |
| Preble County | $424.54 | $481.85 | $542.55 | $758.22 | $1,152.18 |
| Shelby County | $424.54 | $481.85 | $542.55 | $758.22 | $1,152.18 |
| Vinton County | $425.22 | $482.62 | $543.42 | $759.43 | $1,154.03 |
| Hocking County | $425.31 | $482.72 | $543.54 | $759.59 | $1,154.27 |
| Delaware County | $426.50 | $484.07 | $545.05 | $761.71 | $1,157.49 |
| Fairfield County | $426.50 | $484.07 | $545.05 | $761.71 | $1,157.49 |
| Fayette County | $426.50 | $484.07 | $545.05 | $761.71 | $1,157.49 |
| Franklin County | $426.50 | $484.07 | $545.05 | $761.71 | $1,157.49 |
| Licking County | $426.50 | $484.07 | $545.05 | $761.71 | $1,157.49 |
| Logan County | $426.50 | $484.07 | $545.05 | $761.71 | $1,157.49 |
| Madison County | $426.50 | $484.07 | $545.05 | $761.71 | $1,157.49 |
| Pickaway County | $426.50 | $484.07 | $545.05 | $761.71 | $1,157.49 |
| Union County | $426.50 | $484.07 | $545.05 | $761.71 | $1,157.49 |
| Lorain County | $429.12 | $487.04 | $548.41 | $766.40 | $1,164.61 |
| Morrow County | $433.38 | $491.87 | $553.84 | $774 | $1,176.16 |
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.