Silver Elite+Dental 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 $544.60 and $668.11 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 | 31981OH0030021 |
|---|---|
| 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 | 97.90% |
| 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 | $426.14 | $483.66 | $544.60 | $761.08 | $1,156.53 |
| Portage County | $426.14 | $483.66 | $544.60 | $761.08 | $1,156.53 |
| Summit County | $426.14 | $483.66 | $544.60 | $761.08 | $1,156.53 |
| Butler County | $438.73 | $497.95 | $560.69 | $783.56 | $1,190.69 |
| Hamilton County | $438.73 | $497.95 | $560.69 | $783.56 | $1,190.69 |
| Warren County | $438.73 | $497.95 | $560.69 | $783.56 | $1,190.69 |
| Mahoning County | $440.52 | $499.99 | $562.98 | $786.77 | $1,195.57 |
| Trumbull County | $440.52 | $499.99 | $562.98 | $786.77 | $1,195.57 |
| Cuyahoga County | $440.97 | $500.50 | $563.56 | $787.57 | $1,196.79 |
| Geauga County | $440.97 | $500.50 | $563.56 | $787.57 | $1,196.79 |
| Lake County | $440.97 | $500.50 | $563.56 | $787.57 | $1,196.79 |
| Lorain County | $440.97 | $500.50 | $563.56 | $787.57 | $1,196.79 |
| Brown County | $442.77 | $502.54 | $565.86 | $790.78 | $1,201.67 |
| Clermont County | $442.77 | $502.54 | $565.86 | $790.78 | $1,201.67 |
| Defiance County | $445.92 | $506.11 | $569.88 | $796.40 | $1,210.21 |
| Lucas County | $445.92 | $506.11 | $569.88 | $796.40 | $1,210.21 |
| Champaign County | $454.91 | $516.32 | $581.37 | $812.46 | $1,234.61 |
| Clark County | $454.91 | $516.32 | $581.37 | $812.46 | $1,234.61 |
| Darke County | $454.91 | $516.32 | $581.37 | $812.46 | $1,234.61 |
| Greene County | $454.91 | $516.32 | $581.37 | $812.46 | $1,234.61 |
| Miami County | $454.91 | $516.32 | $581.37 | $812.46 | $1,234.61 |
| Montgomery County | $454.91 | $516.32 | $581.37 | $812.46 | $1,234.61 |
| Preble County | $454.91 | $516.32 | $581.37 | $812.46 | $1,234.61 |
| Delaware County | $456.71 | $518.36 | $583.67 | $815.67 | $1,239.49 |
| Fairfield County | $456.71 | $518.36 | $583.67 | $815.67 | $1,239.49 |
| Franklin County | $456.71 | $518.36 | $583.67 | $815.67 | $1,239.49 |
| Licking County | $456.71 | $518.36 | $583.67 | $815.67 | $1,239.49 |
| Logan County | $456.71 | $518.36 | $583.67 | $815.67 | $1,239.49 |
| Pickaway County | $456.71 | $518.36 | $583.67 | $815.67 | $1,239.49 |
| Union County | $456.71 | $518.36 | $583.67 | $815.67 | $1,239.49 |
| Carroll County | $461.20 | $523.46 | $589.41 | $823.70 | $1,251.69 |
| Stark County | $461.20 | $523.46 | $589.41 | $823.70 | $1,251.69 |
| Holmes County | $467.04 | $530.09 | $596.88 | $834.14 | $1,267.55 |
| Wayne County | $467.04 | $530.09 | $596.88 | $834.14 | $1,267.55 |
| Gallia County | $471.09 | $534.68 | $602.05 | $841.36 | $1,278.53 |
| Jackson County | $471.09 | $534.68 | $602.05 | $841.36 | $1,278.53 |
| Vinton County | $471.09 | $534.68 | $602.05 | $841.36 | $1,278.53 |
| Seneca County | $475.58 | $539.79 | $607.79 | $849.39 | $1,290.73 |
| Hardin County | $487.27 | $553.05 | $622.73 | $870.26 | $1,322.45 |
| Paulding County | $487.27 | $553.05 | $622.73 | $870.26 | $1,322.45 |
| Putnam County | $487.27 | $553.05 | $622.73 | $870.26 | $1,322.45 |
| Coshocton County | $489.97 | $556.11 | $626.18 | $875.08 | $1,329.77 |
| Guernsey County | $489.97 | $556.11 | $626.18 | $875.08 | $1,329.77 |
| Monroe County | $489.97 | $556.11 | $626.18 | $875.08 | $1,329.77 |
| Morgan County | $489.97 | $556.11 | $626.18 | $875.08 | $1,329.77 |
| Muskingum County | $489.97 | $556.11 | $626.18 | $875.08 | $1,329.77 |
| Noble County | $489.97 | $556.11 | $626.18 | $875.08 | $1,329.77 |
| Perry County | $489.97 | $556.11 | $626.18 | $875.08 | $1,329.77 |
| Hocking County | $522.78 | $593.36 | $668.11 | $933.69 | $1,418.83 |
| Meigs County | $522.78 | $593.36 | $668.11 | $933.69 | $1,418.83 |
| Washington County | $522.78 | $593.36 | $668.11 | $933.69 | $1,418.83 |
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.