Silver Complete+Dental 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 $503.81 and $618.07 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 | 31981OH0020021 |
|---|---|
| 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 | 97.73% |
| 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 | $394.22 | $447.44 | $503.81 | $704.07 | $1,069.90 |
| Portage County | $394.22 | $447.44 | $503.81 | $704.07 | $1,069.90 |
| Summit County | $394.22 | $447.44 | $503.81 | $704.07 | $1,069.90 |
| Butler County | $405.86 | $460.65 | $518.69 | $724.87 | $1,101.50 |
| Hamilton County | $405.86 | $460.65 | $518.69 | $724.87 | $1,101.50 |
| Warren County | $405.86 | $460.65 | $518.69 | $724.87 | $1,101.50 |
| Mahoning County | $407.53 | $462.54 | $520.81 | $727.84 | $1,106.02 |
| Trumbull County | $407.53 | $462.54 | $520.81 | $727.84 | $1,106.02 |
| Cuyahoga County | $407.94 | $463.01 | $521.35 | $728.58 | $1,107.15 |
| Geauga County | $407.94 | $463.01 | $521.35 | $728.58 | $1,107.15 |
| Lake County | $407.94 | $463.01 | $521.35 | $728.58 | $1,107.15 |
| Lorain County | $407.94 | $463.01 | $521.35 | $728.58 | $1,107.15 |
| Brown County | $409.61 | $464.90 | $523.47 | $731.55 | $1,111.66 |
| Clermont County | $409.61 | $464.90 | $523.47 | $731.55 | $1,111.66 |
| Defiance County | $412.52 | $468.20 | $527.19 | $736.75 | $1,119.56 |
| Lucas County | $412.52 | $468.20 | $527.19 | $736.75 | $1,119.56 |
| Champaign County | $420.83 | $477.64 | $537.82 | $751.60 | $1,142.13 |
| Clark County | $420.83 | $477.64 | $537.82 | $751.60 | $1,142.13 |
| Darke County | $420.83 | $477.64 | $537.82 | $751.60 | $1,142.13 |
| Greene County | $420.83 | $477.64 | $537.82 | $751.60 | $1,142.13 |
| Miami County | $420.83 | $477.64 | $537.82 | $751.60 | $1,142.13 |
| Montgomery County | $420.83 | $477.64 | $537.82 | $751.60 | $1,142.13 |
| Preble County | $420.83 | $477.64 | $537.82 | $751.60 | $1,142.13 |
| Delaware County | $422.50 | $479.53 | $539.95 | $754.57 | $1,146.65 |
| Fairfield County | $422.50 | $479.53 | $539.95 | $754.57 | $1,146.65 |
| Franklin County | $422.50 | $479.53 | $539.95 | $754.57 | $1,146.65 |
| Licking County | $422.50 | $479.53 | $539.95 | $754.57 | $1,146.65 |
| Logan County | $422.50 | $479.53 | $539.95 | $754.57 | $1,146.65 |
| Pickaway County | $422.50 | $479.53 | $539.95 | $754.57 | $1,146.65 |
| Union County | $422.50 | $479.53 | $539.95 | $754.57 | $1,146.65 |
| Carroll County | $426.66 | $484.25 | $545.26 | $762 | $1,157.93 |
| Stark County | $426.66 | $484.25 | $545.26 | $762 | $1,157.93 |
| Holmes County | $432.06 | $490.39 | $552.17 | $771.66 | $1,172.60 |
| Wayne County | $432.06 | $490.39 | $552.17 | $771.66 | $1,172.60 |
| Gallia County | $435.80 | $494.63 | $556.95 | $778.34 | $1,182.76 |
| Jackson County | $435.80 | $494.63 | $556.95 | $778.34 | $1,182.76 |
| Vinton County | $435.80 | $494.63 | $556.95 | $778.34 | $1,182.76 |
| Seneca County | $439.96 | $499.35 | $562.27 | $785.77 | $1,194.05 |
| Hardin County | $450.77 | $511.62 | $576.08 | $805.08 | $1,223.39 |
| Paulding County | $450.77 | $511.62 | $576.08 | $805.08 | $1,223.39 |
| Putnam County | $450.77 | $511.62 | $576.08 | $805.08 | $1,223.39 |
| Coshocton County | $453.27 | $514.46 | $579.27 | $809.53 | $1,230.16 |
| Guernsey County | $453.27 | $514.46 | $579.27 | $809.53 | $1,230.16 |
| Monroe County | $453.27 | $514.46 | $579.27 | $809.53 | $1,230.16 |
| Morgan County | $453.27 | $514.46 | $579.27 | $809.53 | $1,230.16 |
| Muskingum County | $453.27 | $514.46 | $579.27 | $809.53 | $1,230.16 |
| Noble County | $453.27 | $514.46 | $579.27 | $809.53 | $1,230.16 |
| Perry County | $453.27 | $514.46 | $579.27 | $809.53 | $1,230.16 |
| Hocking County | $483.63 | $548.91 | $618.07 | $863.75 | $1,312.55 |
| Meigs County | $483.63 | $548.91 | $618.07 | $863.75 | $1,312.55 |
| Washington County | $483.63 | $548.91 | $618.07 | $863.75 | $1,312.55 |
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.