Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Silver · HMO · Antidote Health Plan of Ohio, Inc. · Ohio
At age 40 it costs between $533.16 and $654.08 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 | $6,500 | $10,600 | No Charge | $15 |
| up to 150% of the federal poverty level | $350 | $1,500 | No Charge | $5 |
| 150% to 200% | $1,500 | $3,000 | No Charge | $10 |
| 200% to 250% | $6,000 | $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 | 31981OH0030020 |
|---|---|
| Insurer | Antidote Health Plan of Ohio, Inc. |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $6,500 |
| Deductible (family) | $13,000 |
| 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 | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $50 |
| 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 | $417.19 | $473.51 | $533.16 | $745.09 | $1,132.24 |
| Portage County | $417.19 | $473.51 | $533.16 | $745.09 | $1,132.24 |
| Summit County | $417.19 | $473.51 | $533.16 | $745.09 | $1,132.24 |
| Butler County | $429.51 | $487.49 | $548.91 | $767.10 | $1,165.69 |
| Hamilton County | $429.51 | $487.49 | $548.91 | $767.10 | $1,165.69 |
| Warren County | $429.51 | $487.49 | $548.91 | $767.10 | $1,165.69 |
| Mahoning County | $431.27 | $489.49 | $551.16 | $770.25 | $1,170.46 |
| Trumbull County | $431.27 | $489.49 | $551.16 | $770.25 | $1,170.46 |
| Cuyahoga County | $431.71 | $489.99 | $551.72 | $771.03 | $1,171.66 |
| Geauga County | $431.71 | $489.99 | $551.72 | $771.03 | $1,171.66 |
| Lake County | $431.71 | $489.99 | $551.72 | $771.03 | $1,171.66 |
| Lorain County | $431.71 | $489.99 | $551.72 | $771.03 | $1,171.66 |
| Brown County | $433.47 | $491.99 | $553.97 | $774.18 | $1,176.43 |
| Clermont County | $433.47 | $491.99 | $553.97 | $774.18 | $1,176.43 |
| Defiance County | $436.55 | $495.48 | $557.91 | $779.68 | $1,184.80 |
| Lucas County | $436.55 | $495.48 | $557.91 | $779.68 | $1,184.80 |
| Champaign County | $445.35 | $505.47 | $569.16 | $795.40 | $1,208.68 |
| Clark County | $445.35 | $505.47 | $569.16 | $795.40 | $1,208.68 |
| Darke County | $445.35 | $505.47 | $569.16 | $795.40 | $1,208.68 |
| Greene County | $445.35 | $505.47 | $569.16 | $795.40 | $1,208.68 |
| Miami County | $445.35 | $505.47 | $569.16 | $795.40 | $1,208.68 |
| Montgomery County | $445.35 | $505.47 | $569.16 | $795.40 | $1,208.68 |
| Preble County | $445.35 | $505.47 | $569.16 | $795.40 | $1,208.68 |
| Delaware County | $447.11 | $507.47 | $571.41 | $798.54 | $1,213.46 |
| Fairfield County | $447.11 | $507.47 | $571.41 | $798.54 | $1,213.46 |
| Franklin County | $447.11 | $507.47 | $571.41 | $798.54 | $1,213.46 |
| Licking County | $447.11 | $507.47 | $571.41 | $798.54 | $1,213.46 |
| Logan County | $447.11 | $507.47 | $571.41 | $798.54 | $1,213.46 |
| Pickaway County | $447.11 | $507.47 | $571.41 | $798.54 | $1,213.46 |
| Union County | $447.11 | $507.47 | $571.41 | $798.54 | $1,213.46 |
| Carroll County | $451.52 | $512.47 | $577.03 | $806.40 | $1,225.40 |
| Stark County | $451.52 | $512.47 | $577.03 | $806.40 | $1,225.40 |
| Holmes County | $457.24 | $518.96 | $584.34 | $816.62 | $1,240.93 |
| Wayne County | $457.24 | $518.96 | $584.34 | $816.62 | $1,240.93 |
| Gallia County | $461.20 | $523.45 | $589.41 | $823.69 | $1,251.68 |
| Jackson County | $461.20 | $523.45 | $589.41 | $823.69 | $1,251.68 |
| Vinton County | $461.20 | $523.45 | $589.41 | $823.69 | $1,251.68 |
| Seneca County | $465.60 | $528.45 | $595.03 | $831.55 | $1,263.62 |
| Hardin County | $477.04 | $541.44 | $609.65 | $851.99 | $1,294.68 |
| Paulding County | $477.04 | $541.44 | $609.65 | $851.99 | $1,294.68 |
| Putnam County | $477.04 | $541.44 | $609.65 | $851.99 | $1,294.68 |
| Coshocton County | $479.68 | $544.43 | $613.03 | $856.70 | $1,301.84 |
| Guernsey County | $479.68 | $544.43 | $613.03 | $856.70 | $1,301.84 |
| Monroe County | $479.68 | $544.43 | $613.03 | $856.70 | $1,301.84 |
| Morgan County | $479.68 | $544.43 | $613.03 | $856.70 | $1,301.84 |
| Muskingum County | $479.68 | $544.43 | $613.03 | $856.70 | $1,301.84 |
| Noble County | $479.68 | $544.43 | $613.03 | $856.70 | $1,301.84 |
| Perry County | $479.68 | $544.43 | $613.03 | $856.70 | $1,301.84 |
| Hocking County | $511.80 | $580.89 | $654.08 | $914.08 | $1,389.03 |
| Meigs County | $511.80 | $580.89 | $654.08 | $914.08 | $1,389.03 |
| Washington County | $511.80 | $580.89 | $654.08 | $914.08 | $1,389.03 |
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.