Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Gold · HMO · Antidote Health Plan of Ohio, Inc. · Ohio
At age 40 it costs between $700.13 and $858.91 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 | 31981OH0030030 |
|---|---|
| Insurer | Antidote Health Plan of Ohio, Inc. |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $3,000 |
| Deductible (family) | $6,000 |
| 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 | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $5 |
| Preferred brand drugs | $30 |
| Specialty drugs | 20% 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 | $547.83 | $621.79 | $700.13 | $978.42 | $1,486.81 |
| Portage County | $547.83 | $621.79 | $700.13 | $978.42 | $1,486.81 |
| Summit County | $547.83 | $621.79 | $700.13 | $978.42 | $1,486.81 |
| Butler County | $564.01 | $640.15 | $720.81 | $1,007.32 | $1,530.73 |
| Hamilton County | $564.01 | $640.15 | $720.81 | $1,007.32 | $1,530.73 |
| Warren County | $564.01 | $640.15 | $720.81 | $1,007.32 | $1,530.73 |
| Mahoning County | $566.33 | $642.78 | $723.76 | $1,011.45 | $1,537 |
| Trumbull County | $566.33 | $642.78 | $723.76 | $1,011.45 | $1,537 |
| Cuyahoga County | $566.90 | $643.43 | $724.50 | $1,012.48 | $1,538.57 |
| Geauga County | $566.90 | $643.43 | $724.50 | $1,012.48 | $1,538.57 |
| Lake County | $566.90 | $643.43 | $724.50 | $1,012.48 | $1,538.57 |
| Lorain County | $566.90 | $643.43 | $724.50 | $1,012.48 | $1,538.57 |
| Brown County | $569.22 | $646.06 | $727.45 | $1,016.61 | $1,544.84 |
| Clermont County | $569.22 | $646.06 | $727.45 | $1,016.61 | $1,544.84 |
| Defiance County | $573.26 | $650.65 | $732.62 | $1,023.84 | $1,555.82 |
| Lucas County | $573.26 | $650.65 | $732.62 | $1,023.84 | $1,555.82 |
| Champaign County | $584.82 | $663.76 | $747.39 | $1,044.48 | $1,587.19 |
| Clark County | $584.82 | $663.76 | $747.39 | $1,044.48 | $1,587.19 |
| Darke County | $584.82 | $663.76 | $747.39 | $1,044.48 | $1,587.19 |
| Greene County | $584.82 | $663.76 | $747.39 | $1,044.48 | $1,587.19 |
| Miami County | $584.82 | $663.76 | $747.39 | $1,044.48 | $1,587.19 |
| Montgomery County | $584.82 | $663.76 | $747.39 | $1,044.48 | $1,587.19 |
| Preble County | $584.82 | $663.76 | $747.39 | $1,044.48 | $1,587.19 |
| Delaware County | $587.13 | $666.39 | $750.35 | $1,048.61 | $1,593.46 |
| Fairfield County | $587.13 | $666.39 | $750.35 | $1,048.61 | $1,593.46 |
| Franklin County | $587.13 | $666.39 | $750.35 | $1,048.61 | $1,593.46 |
| Licking County | $587.13 | $666.39 | $750.35 | $1,048.61 | $1,593.46 |
| Logan County | $587.13 | $666.39 | $750.35 | $1,048.61 | $1,593.46 |
| Pickaway County | $587.13 | $666.39 | $750.35 | $1,048.61 | $1,593.46 |
| Union County | $587.13 | $666.39 | $750.35 | $1,048.61 | $1,593.46 |
| Carroll County | $592.91 | $672.95 | $757.73 | $1,058.93 | $1,609.14 |
| Stark County | $592.91 | $672.95 | $757.73 | $1,058.93 | $1,609.14 |
| Holmes County | $600.42 | $681.47 | $767.33 | $1,072.35 | $1,629.53 |
| Wayne County | $600.42 | $681.47 | $767.33 | $1,072.35 | $1,629.53 |
| Gallia County | $605.62 | $687.38 | $773.98 | $1,081.63 | $1,643.65 |
| Jackson County | $605.62 | $687.38 | $773.98 | $1,081.63 | $1,643.65 |
| Vinton County | $605.62 | $687.38 | $773.98 | $1,081.63 | $1,643.65 |
| Seneca County | $611.40 | $693.94 | $781.37 | $1,091.96 | $1,659.33 |
| Hardin County | $626.43 | $710.99 | $800.57 | $1,118.79 | $1,700.11 |
| Paulding County | $626.43 | $710.99 | $800.57 | $1,118.79 | $1,700.11 |
| Putnam County | $626.43 | $710.99 | $800.57 | $1,118.79 | $1,700.11 |
| Coshocton County | $629.89 | $714.92 | $805 | $1,124.98 | $1,709.52 |
| Guernsey County | $629.89 | $714.92 | $805 | $1,124.98 | $1,709.52 |
| Monroe County | $629.89 | $714.92 | $805 | $1,124.98 | $1,709.52 |
| Morgan County | $629.89 | $714.92 | $805 | $1,124.98 | $1,709.52 |
| Muskingum County | $629.89 | $714.92 | $805 | $1,124.98 | $1,709.52 |
| Noble County | $629.89 | $714.92 | $805 | $1,124.98 | $1,709.52 |
| Perry County | $629.89 | $714.92 | $805 | $1,124.98 | $1,709.52 |
| Hocking County | $672.08 | $762.80 | $858.91 | $1,200.32 | $1,824.01 |
| Meigs County | $672.08 | $762.80 | $858.91 | $1,200.32 | $1,824.01 |
| Washington County | $672.08 | $762.80 | $858.91 | $1,200.32 | $1,824.01 |
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.