Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Silver · HMO · Antidote Health Plan of Ohio, Inc. · Ohio
At age 40 it costs between $492.37 and $604.04 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 | $7,500 | $10,600 | No Charge | $15 |
| up to 150% of the federal poverty level | $300 | $1,500 | No Charge | $5 |
| 150% to 200% | $1,500 | $3,000 | No Charge | $10 |
| 200% to 250% | $6,500 | $8,450 | No Charge | $15 |
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 | 31981OH0020020 |
|---|---|
| Insurer | Antidote Health Plan of Ohio, Inc. |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $7,500 |
| Deductible (family) | $15,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | No Charge |
| Specialist visit | $30 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $50 |
| Specialty drugs | 40% Coinsurance 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 | $385.27 | $437.28 | $492.37 | $688.09 | $1,045.62 |
| Portage County | $385.27 | $437.28 | $492.37 | $688.09 | $1,045.62 |
| Summit County | $385.27 | $437.28 | $492.37 | $688.09 | $1,045.62 |
| Butler County | $396.65 | $450.19 | $506.91 | $708.41 | $1,076.50 |
| Hamilton County | $396.65 | $450.19 | $506.91 | $708.41 | $1,076.50 |
| Warren County | $396.65 | $450.19 | $506.91 | $708.41 | $1,076.50 |
| Mahoning County | $398.28 | $452.04 | $508.99 | $711.31 | $1,080.91 |
| Trumbull County | $398.28 | $452.04 | $508.99 | $711.31 | $1,080.91 |
| Cuyahoga County | $398.68 | $452.50 | $509.51 | $712.04 | $1,082.01 |
| Geauga County | $398.68 | $452.50 | $509.51 | $712.04 | $1,082.01 |
| Lake County | $398.68 | $452.50 | $509.51 | $712.04 | $1,082.01 |
| Lorain County | $398.68 | $452.50 | $509.51 | $712.04 | $1,082.01 |
| Brown County | $400.31 | $454.35 | $511.59 | $714.94 | $1,086.43 |
| Clermont County | $400.31 | $454.35 | $511.59 | $714.94 | $1,086.43 |
| Defiance County | $403.15 | $457.57 | $515.22 | $720.02 | $1,094.15 |
| Lucas County | $403.15 | $457.57 | $515.22 | $720.02 | $1,094.15 |
| Champaign County | $411.28 | $466.80 | $525.61 | $734.54 | $1,116.21 |
| Clark County | $411.28 | $466.80 | $525.61 | $734.54 | $1,116.21 |
| Darke County | $411.28 | $466.80 | $525.61 | $734.54 | $1,116.21 |
| Greene County | $411.28 | $466.80 | $525.61 | $734.54 | $1,116.21 |
| Miami County | $411.28 | $466.80 | $525.61 | $734.54 | $1,116.21 |
| Montgomery County | $411.28 | $466.80 | $525.61 | $734.54 | $1,116.21 |
| Preble County | $411.28 | $466.80 | $525.61 | $734.54 | $1,116.21 |
| Delaware County | $412.91 | $468.64 | $527.69 | $737.44 | $1,120.62 |
| Fairfield County | $412.91 | $468.64 | $527.69 | $737.44 | $1,120.62 |
| Franklin County | $412.91 | $468.64 | $527.69 | $737.44 | $1,120.62 |
| Licking County | $412.91 | $468.64 | $527.69 | $737.44 | $1,120.62 |
| Logan County | $412.91 | $468.64 | $527.69 | $737.44 | $1,120.62 |
| Pickaway County | $412.91 | $468.64 | $527.69 | $737.44 | $1,120.62 |
| Union County | $412.91 | $468.64 | $527.69 | $737.44 | $1,120.62 |
| Carroll County | $416.97 | $473.26 | $532.88 | $744.70 | $1,131.65 |
| Stark County | $416.97 | $473.26 | $532.88 | $744.70 | $1,131.65 |
| Holmes County | $422.25 | $479.25 | $539.63 | $754.14 | $1,145.99 |
| Wayne County | $422.25 | $479.25 | $539.63 | $754.14 | $1,145.99 |
| Gallia County | $425.91 | $483.40 | $544.31 | $760.67 | $1,155.91 |
| Jackson County | $425.91 | $483.40 | $544.31 | $760.67 | $1,155.91 |
| Vinton County | $425.91 | $483.40 | $544.31 | $760.67 | $1,155.91 |
| Seneca County | $429.97 | $488.02 | $549.50 | $767.93 | $1,166.94 |
| Hardin County | $440.54 | $500.01 | $563.01 | $786.80 | $1,195.62 |
| Paulding County | $440.54 | $500.01 | $563.01 | $786.80 | $1,195.62 |
| Putnam County | $440.54 | $500.01 | $563.01 | $786.80 | $1,195.62 |
| Coshocton County | $442.98 | $502.78 | $566.12 | $791.16 | $1,202.24 |
| Guernsey County | $442.98 | $502.78 | $566.12 | $791.16 | $1,202.24 |
| Monroe County | $442.98 | $502.78 | $566.12 | $791.16 | $1,202.24 |
| Morgan County | $442.98 | $502.78 | $566.12 | $791.16 | $1,202.24 |
| Muskingum County | $442.98 | $502.78 | $566.12 | $791.16 | $1,202.24 |
| Noble County | $442.98 | $502.78 | $566.12 | $791.16 | $1,202.24 |
| Perry County | $442.98 | $502.78 | $566.12 | $791.16 | $1,202.24 |
| Hocking County | $472.65 | $536.45 | $604.04 | $844.14 | $1,282.75 |
| Meigs County | $472.65 | $536.45 | $604.04 | $844.14 | $1,282.75 |
| Washington County | $472.65 | $536.45 | $604.04 | $844.14 | $1,282.75 |
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.