Gold Standard
Gold · HMO · Antidote Health Plan of Ohio, Inc. · Ohio
At age 40 it costs between $743.89 and $912.60 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 | 31981OH0010030 |
|---|---|
| Insurer | Antidote Health Plan of Ohio, Inc. |
| 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 | 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 | $582.08 | $660.65 | $743.89 | $1,039.58 | $1,579.74 |
| Portage County | $582.08 | $660.65 | $743.89 | $1,039.58 | $1,579.74 |
| Summit County | $582.08 | $660.65 | $743.89 | $1,039.58 | $1,579.74 |
| Butler County | $599.27 | $680.16 | $765.86 | $1,070.29 | $1,626.40 |
| Hamilton County | $599.27 | $680.16 | $765.86 | $1,070.29 | $1,626.40 |
| Warren County | $599.27 | $680.16 | $765.86 | $1,070.29 | $1,626.40 |
| Mahoning County | $601.72 | $682.95 | $769 | $1,074.67 | $1,633.07 |
| Trumbull County | $601.72 | $682.95 | $769 | $1,074.67 | $1,633.07 |
| Cuyahoga County | $602.34 | $683.65 | $769.78 | $1,075.77 | $1,634.73 |
| Geauga County | $602.34 | $683.65 | $769.78 | $1,075.77 | $1,634.73 |
| Lake County | $602.34 | $683.65 | $769.78 | $1,075.77 | $1,634.73 |
| Lorain County | $602.34 | $683.65 | $769.78 | $1,075.77 | $1,634.73 |
| Brown County | $604.79 | $686.44 | $772.92 | $1,080.15 | $1,641.40 |
| Clermont County | $604.79 | $686.44 | $772.92 | $1,080.15 | $1,641.40 |
| Defiance County | $609.09 | $691.31 | $778.41 | $1,087.83 | $1,653.06 |
| Lucas County | $609.09 | $691.31 | $778.41 | $1,087.83 | $1,653.06 |
| Champaign County | $621.37 | $705.25 | $794.11 | $1,109.76 | $1,686.39 |
| Clark County | $621.37 | $705.25 | $794.11 | $1,109.76 | $1,686.39 |
| Darke County | $621.37 | $705.25 | $794.11 | $1,109.76 | $1,686.39 |
| Greene County | $621.37 | $705.25 | $794.11 | $1,109.76 | $1,686.39 |
| Miami County | $621.37 | $705.25 | $794.11 | $1,109.76 | $1,686.39 |
| Montgomery County | $621.37 | $705.25 | $794.11 | $1,109.76 | $1,686.39 |
| Preble County | $621.37 | $705.25 | $794.11 | $1,109.76 | $1,686.39 |
| Delaware County | $623.83 | $708.04 | $797.25 | $1,114.15 | $1,693.06 |
| Fairfield County | $623.83 | $708.04 | $797.25 | $1,114.15 | $1,693.06 |
| Franklin County | $623.83 | $708.04 | $797.25 | $1,114.15 | $1,693.06 |
| Licking County | $623.83 | $708.04 | $797.25 | $1,114.15 | $1,693.06 |
| Logan County | $623.83 | $708.04 | $797.25 | $1,114.15 | $1,693.06 |
| Pickaway County | $623.83 | $708.04 | $797.25 | $1,114.15 | $1,693.06 |
| Union County | $623.83 | $708.04 | $797.25 | $1,114.15 | $1,693.06 |
| Carroll County | $629.97 | $715.01 | $805.09 | $1,125.12 | $1,709.72 |
| Stark County | $629.97 | $715.01 | $805.09 | $1,125.12 | $1,709.72 |
| Holmes County | $637.95 | $724.07 | $815.29 | $1,139.37 | $1,731.39 |
| Wayne County | $637.95 | $724.07 | $815.29 | $1,139.37 | $1,731.39 |
| Gallia County | $643.48 | $730.34 | $822.36 | $1,149.24 | $1,746.38 |
| Jackson County | $643.48 | $730.34 | $822.36 | $1,149.24 | $1,746.38 |
| Vinton County | $643.48 | $730.34 | $822.36 | $1,149.24 | $1,746.38 |
| Seneca County | $649.62 | $737.31 | $830.20 | $1,160.21 | $1,763.05 |
| Hardin County | $665.58 | $755.43 | $850.61 | $1,188.72 | $1,806.37 |
| Paulding County | $665.58 | $755.43 | $850.61 | $1,188.72 | $1,806.37 |
| Putnam County | $665.58 | $755.43 | $850.61 | $1,188.72 | $1,806.37 |
| Coshocton County | $669.26 | $759.61 | $855.31 | $1,195.30 | $1,816.37 |
| Guernsey County | $669.26 | $759.61 | $855.31 | $1,195.30 | $1,816.37 |
| Monroe County | $669.26 | $759.61 | $855.31 | $1,195.30 | $1,816.37 |
| Morgan County | $669.26 | $759.61 | $855.31 | $1,195.30 | $1,816.37 |
| Muskingum County | $669.26 | $759.61 | $855.31 | $1,195.30 | $1,816.37 |
| Noble County | $669.26 | $759.61 | $855.31 | $1,195.30 | $1,816.37 |
| Perry County | $669.26 | $759.61 | $855.31 | $1,195.30 | $1,816.37 |
| Hocking County | $714.09 | $810.48 | $912.60 | $1,275.35 | $1,938.02 |
| Meigs County | $714.09 | $810.48 | $912.60 | $1,275.35 | $1,938.02 |
| Washington County | $714.09 | $810.48 | $912.60 | $1,275.35 | $1,938.02 |
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.