Silver Standard
Silver · HMO · Antidote Health Plan of Ohio, Inc. · Ohio
At age 40 it costs between $566.03 and $694.41 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 | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,200 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $10 |
| 200% to 250% | $3,000 | $7,400 | $40 | $20 |
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 | 31981OH0010020 |
|---|---|
| Insurer | Antidote Health Plan of Ohio, Inc. |
| Metal level | Silver |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | $350 Copay after deductible |
| Adult dental included | No |
| Child dental included | Yes |
| 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 | 1-866-256-2134 · TTY 1-800-750-0750 |
Where it is sold, and what it costs there
51 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 |
|---|---|---|---|---|---|
| Medina County | $442.91 | $502.70 | $566.03 | $791.03 | $1,202.05 |
| Portage County | $442.91 | $502.70 | $566.03 | $791.03 | $1,202.05 |
| Summit County | $442.91 | $502.70 | $566.03 | $791.03 | $1,202.05 |
| Butler County | $455.99 | $517.55 | $582.75 | $814.39 | $1,237.55 |
| Hamilton County | $455.99 | $517.55 | $582.75 | $814.39 | $1,237.55 |
| Warren County | $455.99 | $517.55 | $582.75 | $814.39 | $1,237.55 |
| Mahoning County | $457.86 | $519.67 | $585.14 | $817.73 | $1,242.62 |
| Trumbull County | $457.86 | $519.67 | $585.14 | $817.73 | $1,242.62 |
| Cuyahoga County | $458.33 | $520.20 | $585.74 | $818.57 | $1,243.89 |
| Geauga County | $458.33 | $520.20 | $585.74 | $818.57 | $1,243.89 |
| Lake County | $458.33 | $520.20 | $585.74 | $818.57 | $1,243.89 |
| Lorain County | $458.33 | $520.20 | $585.74 | $818.57 | $1,243.89 |
| Brown County | $460.20 | $522.32 | $588.13 | $821.90 | $1,248.96 |
| Clermont County | $460.20 | $522.32 | $588.13 | $821.90 | $1,248.96 |
| Defiance County | $463.47 | $526.03 | $592.30 | $827.74 | $1,257.84 |
| Lucas County | $463.47 | $526.03 | $592.30 | $827.74 | $1,257.84 |
| Champaign County | $472.81 | $536.64 | $604.25 | $844.43 | $1,283.20 |
| Clark County | $472.81 | $536.64 | $604.25 | $844.43 | $1,283.20 |
| Darke County | $472.81 | $536.64 | $604.25 | $844.43 | $1,283.20 |
| Greene County | $472.81 | $536.64 | $604.25 | $844.43 | $1,283.20 |
| Miami County | $472.81 | $536.64 | $604.25 | $844.43 | $1,283.20 |
| Montgomery County | $472.81 | $536.64 | $604.25 | $844.43 | $1,283.20 |
| Preble County | $472.81 | $536.64 | $604.25 | $844.43 | $1,283.20 |
| Delaware County | $474.68 | $538.76 | $606.63 | $847.77 | $1,288.27 |
| Fairfield County | $474.68 | $538.76 | $606.63 | $847.77 | $1,288.27 |
| Franklin County | $474.68 | $538.76 | $606.63 | $847.77 | $1,288.27 |
| Licking County | $474.68 | $538.76 | $606.63 | $847.77 | $1,288.27 |
| Logan County | $474.68 | $538.76 | $606.63 | $847.77 | $1,288.27 |
| Pickaway County | $474.68 | $538.76 | $606.63 | $847.77 | $1,288.27 |
| Union County | $474.68 | $538.76 | $606.63 | $847.77 | $1,288.27 |
| Carroll County | $479.35 | $544.06 | $612.61 | $856.11 | $1,300.95 |
| Stark County | $479.35 | $544.06 | $612.61 | $856.11 | $1,300.95 |
| Holmes County | $485.42 | $550.95 | $620.37 | $866.96 | $1,317.43 |
| Wayne County | $485.42 | $550.95 | $620.37 | $866.96 | $1,317.43 |
| Gallia County | $489.63 | $555.73 | $625.74 | $874.47 | $1,328.84 |
| Jackson County | $489.63 | $555.73 | $625.74 | $874.47 | $1,328.84 |
| Vinton County | $489.63 | $555.73 | $625.74 | $874.47 | $1,328.84 |
| Seneca County | $494.30 | $561.03 | $631.71 | $882.82 | $1,341.52 |
| Hardin County | $506.45 | $574.81 | $647.24 | $904.51 | $1,374.49 |
| Paulding County | $506.45 | $574.81 | $647.24 | $904.51 | $1,374.49 |
| Putnam County | $506.45 | $574.81 | $647.24 | $904.51 | $1,374.49 |
| Coshocton County | $509.25 | $578 | $650.82 | $909.52 | $1,382.10 |
| Guernsey County | $509.25 | $578 | $650.82 | $909.52 | $1,382.10 |
| Monroe County | $509.25 | $578 | $650.82 | $909.52 | $1,382.10 |
| Morgan County | $509.25 | $578 | $650.82 | $909.52 | $1,382.10 |
| Muskingum County | $509.25 | $578 | $650.82 | $909.52 | $1,382.10 |
| Noble County | $509.25 | $578 | $650.82 | $909.52 | $1,382.10 |
| Perry County | $509.25 | $578 | $650.82 | $909.52 | $1,382.10 |
| Hocking County | $543.36 | $616.71 | $694.41 | $970.43 | $1,474.66 |
| Meigs County | $543.36 | $616.71 | $694.41 | $970.43 | $1,474.66 |
| Washington County | $543.36 | $616.71 | $694.41 | $970.43 | $1,474.66 |
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.