Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Gold · HMO · Antidote Health Plan of Ohio, Inc. · Ohio
At age 40 it costs between $636.33 and $780.64 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 | 31981OH0020030 |
|---|---|
| Insurer | Antidote Health Plan of Ohio, Inc. |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $3,500 |
| Deductible (family) | $7,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,000 |
| Family maximum | $18,000 |
| Primary care visit | No Charge |
| Specialist visit | $25 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $5 |
| Preferred brand drugs | $30 |
| Specialty drugs | 30% 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 | $497.91 | $565.13 | $636.33 | $889.26 | $1,351.32 |
| Portage County | $497.91 | $565.13 | $636.33 | $889.26 | $1,351.32 |
| Summit County | $497.91 | $565.13 | $636.33 | $889.26 | $1,351.32 |
| Butler County | $512.62 | $581.82 | $655.12 | $915.53 | $1,391.24 |
| Hamilton County | $512.62 | $581.82 | $655.12 | $915.53 | $1,391.24 |
| Warren County | $512.62 | $581.82 | $655.12 | $915.53 | $1,391.24 |
| Mahoning County | $514.72 | $584.20 | $657.81 | $919.28 | $1,396.94 |
| Trumbull County | $514.72 | $584.20 | $657.81 | $919.28 | $1,396.94 |
| Cuyahoga County | $515.24 | $584.80 | $658.48 | $920.22 | $1,398.36 |
| Geauga County | $515.24 | $584.80 | $658.48 | $920.22 | $1,398.36 |
| Lake County | $515.24 | $584.80 | $658.48 | $920.22 | $1,398.36 |
| Lorain County | $515.24 | $584.80 | $658.48 | $920.22 | $1,398.36 |
| Brown County | $517.35 | $587.18 | $661.16 | $923.97 | $1,404.07 |
| Clermont County | $517.35 | $587.18 | $661.16 | $923.97 | $1,404.07 |
| Defiance County | $521.02 | $591.36 | $665.86 | $930.54 | $1,414.04 |
| Lucas County | $521.02 | $591.36 | $665.86 | $930.54 | $1,414.04 |
| Champaign County | $531.53 | $603.28 | $679.29 | $949.30 | $1,442.55 |
| Clark County | $531.53 | $603.28 | $679.29 | $949.30 | $1,442.55 |
| Darke County | $531.53 | $603.28 | $679.29 | $949.30 | $1,442.55 |
| Greene County | $531.53 | $603.28 | $679.29 | $949.30 | $1,442.55 |
| Miami County | $531.53 | $603.28 | $679.29 | $949.30 | $1,442.55 |
| Montgomery County | $531.53 | $603.28 | $679.29 | $949.30 | $1,442.55 |
| Preble County | $531.53 | $603.28 | $679.29 | $949.30 | $1,442.55 |
| Delaware County | $533.63 | $605.66 | $681.97 | $953.05 | $1,448.25 |
| Fairfield County | $533.63 | $605.66 | $681.97 | $953.05 | $1,448.25 |
| Franklin County | $533.63 | $605.66 | $681.97 | $953.05 | $1,448.25 |
| Licking County | $533.63 | $605.66 | $681.97 | $953.05 | $1,448.25 |
| Logan County | $533.63 | $605.66 | $681.97 | $953.05 | $1,448.25 |
| Pickaway County | $533.63 | $605.66 | $681.97 | $953.05 | $1,448.25 |
| Union County | $533.63 | $605.66 | $681.97 | $953.05 | $1,448.25 |
| Carroll County | $538.88 | $611.62 | $688.68 | $962.43 | $1,462.51 |
| Stark County | $538.88 | $611.62 | $688.68 | $962.43 | $1,462.51 |
| Holmes County | $545.71 | $619.37 | $697.41 | $974.63 | $1,481.04 |
| Wayne County | $545.71 | $619.37 | $697.41 | $974.63 | $1,481.04 |
| Gallia County | $550.43 | $624.74 | $703.45 | $983.07 | $1,493.87 |
| Jackson County | $550.43 | $624.74 | $703.45 | $983.07 | $1,493.87 |
| Vinton County | $550.43 | $624.74 | $703.45 | $983.07 | $1,493.87 |
| Seneca County | $555.69 | $630.70 | $710.16 | $992.45 | $1,508.12 |
| Hardin County | $569.34 | $646.20 | $727.61 | $1,016.84 | $1,545.18 |
| Paulding County | $569.34 | $646.20 | $727.61 | $1,016.84 | $1,545.18 |
| Putnam County | $569.34 | $646.20 | $727.61 | $1,016.84 | $1,545.18 |
| Coshocton County | $572.49 | $649.78 | $731.64 | $1,022.47 | $1,553.74 |
| Guernsey County | $572.49 | $649.78 | $731.64 | $1,022.47 | $1,553.74 |
| Monroe County | $572.49 | $649.78 | $731.64 | $1,022.47 | $1,553.74 |
| Morgan County | $572.49 | $649.78 | $731.64 | $1,022.47 | $1,553.74 |
| Muskingum County | $572.49 | $649.78 | $731.64 | $1,022.47 | $1,553.74 |
| Noble County | $572.49 | $649.78 | $731.64 | $1,022.47 | $1,553.74 |
| Perry County | $572.49 | $649.78 | $731.64 | $1,022.47 | $1,553.74 |
| Hocking County | $610.83 | $693.29 | $780.64 | $1,090.94 | $1,657.79 |
| Meigs County | $610.83 | $693.29 | $780.64 | $1,090.94 | $1,657.79 |
| Washington County | $610.83 | $693.29 | $780.64 | $1,090.94 | $1,657.79 |
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.