Gold Complete+Dental 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 $648.18 and $795.18 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 | 31981OH0020031 |
|---|---|
| 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 | 98.17% |
| 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 | $507.18 | $575.65 | $648.18 | $905.82 | $1,376.49 |
| Portage County | $507.18 | $575.65 | $648.18 | $905.82 | $1,376.49 |
| Summit County | $507.18 | $575.65 | $648.18 | $905.82 | $1,376.49 |
| Butler County | $522.16 | $592.65 | $667.32 | $932.58 | $1,417.14 |
| Hamilton County | $522.16 | $592.65 | $667.32 | $932.58 | $1,417.14 |
| Warren County | $522.16 | $592.65 | $667.32 | $932.58 | $1,417.14 |
| Mahoning County | $524.30 | $595.08 | $670.06 | $936.40 | $1,422.95 |
| Trumbull County | $524.30 | $595.08 | $670.06 | $936.40 | $1,422.95 |
| Cuyahoga County | $524.84 | $595.69 | $670.74 | $937.36 | $1,424.40 |
| Geauga County | $524.84 | $595.69 | $670.74 | $937.36 | $1,424.40 |
| Lake County | $524.84 | $595.69 | $670.74 | $937.36 | $1,424.40 |
| Lorain County | $524.84 | $595.69 | $670.74 | $937.36 | $1,424.40 |
| Brown County | $526.98 | $598.12 | $673.47 | $941.18 | $1,430.21 |
| Clermont County | $526.98 | $598.12 | $673.47 | $941.18 | $1,430.21 |
| Defiance County | $530.72 | $602.37 | $678.26 | $947.87 | $1,440.37 |
| Lucas County | $530.72 | $602.37 | $678.26 | $947.87 | $1,440.37 |
| Champaign County | $541.42 | $614.51 | $691.93 | $966.98 | $1,469.41 |
| Clark County | $541.42 | $614.51 | $691.93 | $966.98 | $1,469.41 |
| Darke County | $541.42 | $614.51 | $691.93 | $966.98 | $1,469.41 |
| Greene County | $541.42 | $614.51 | $691.93 | $966.98 | $1,469.41 |
| Miami County | $541.42 | $614.51 | $691.93 | $966.98 | $1,469.41 |
| Montgomery County | $541.42 | $614.51 | $691.93 | $966.98 | $1,469.41 |
| Preble County | $541.42 | $614.51 | $691.93 | $966.98 | $1,469.41 |
| Delaware County | $543.56 | $616.94 | $694.67 | $970.80 | $1,475.22 |
| Fairfield County | $543.56 | $616.94 | $694.67 | $970.80 | $1,475.22 |
| Franklin County | $543.56 | $616.94 | $694.67 | $970.80 | $1,475.22 |
| Licking County | $543.56 | $616.94 | $694.67 | $970.80 | $1,475.22 |
| Logan County | $543.56 | $616.94 | $694.67 | $970.80 | $1,475.22 |
| Pickaway County | $543.56 | $616.94 | $694.67 | $970.80 | $1,475.22 |
| Union County | $543.56 | $616.94 | $694.67 | $970.80 | $1,475.22 |
| Carroll County | $548.91 | $623.01 | $701.51 | $980.35 | $1,489.74 |
| Stark County | $548.91 | $623.01 | $701.51 | $980.35 | $1,489.74 |
| Holmes County | $555.87 | $630.91 | $710.40 | $992.77 | $1,508.62 |
| Wayne County | $555.87 | $630.91 | $710.40 | $992.77 | $1,508.62 |
| Gallia County | $560.68 | $636.37 | $716.55 | $1,001.37 | $1,521.69 |
| Jackson County | $560.68 | $636.37 | $716.55 | $1,001.37 | $1,521.69 |
| Vinton County | $560.68 | $636.37 | $716.55 | $1,001.37 | $1,521.69 |
| Seneca County | $566.03 | $642.44 | $723.39 | $1,010.93 | $1,536.21 |
| Hardin County | $579.94 | $658.23 | $741.16 | $1,035.77 | $1,573.96 |
| Paulding County | $579.94 | $658.23 | $741.16 | $1,035.77 | $1,573.96 |
| Putnam County | $579.94 | $658.23 | $741.16 | $1,035.77 | $1,573.96 |
| Coshocton County | $583.15 | $661.88 | $745.27 | $1,041.51 | $1,582.67 |
| Guernsey County | $583.15 | $661.88 | $745.27 | $1,041.51 | $1,582.67 |
| Monroe County | $583.15 | $661.88 | $745.27 | $1,041.51 | $1,582.67 |
| Morgan County | $583.15 | $661.88 | $745.27 | $1,041.51 | $1,582.67 |
| Muskingum County | $583.15 | $661.88 | $745.27 | $1,041.51 | $1,582.67 |
| Noble County | $583.15 | $661.88 | $745.27 | $1,041.51 | $1,582.67 |
| Perry County | $583.15 | $661.88 | $745.27 | $1,041.51 | $1,582.67 |
| Hocking County | $622.21 | $706.20 | $795.18 | $1,111.26 | $1,688.66 |
| Meigs County | $622.21 | $706.20 | $795.18 | $1,111.26 | $1,688.66 |
| Washington County | $622.21 | $706.20 | $795.18 | $1,111.26 | $1,688.66 |
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.