Gold Elite+Dental 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 $711.98 and $873.45 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 | 31981OH0030031 |
|---|---|
| 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 | 98.34% |
| 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 | $557.11 | $632.31 | $711.98 | $994.98 | $1,511.97 |
| Portage County | $557.11 | $632.31 | $711.98 | $994.98 | $1,511.97 |
| Summit County | $557.11 | $632.31 | $711.98 | $994.98 | $1,511.97 |
| Butler County | $573.56 | $650.99 | $733 | $1,024.37 | $1,556.63 |
| Hamilton County | $573.56 | $650.99 | $733 | $1,024.37 | $1,556.63 |
| Warren County | $573.56 | $650.99 | $733 | $1,024.37 | $1,556.63 |
| Mahoning County | $575.91 | $653.65 | $736.01 | $1,028.57 | $1,563.01 |
| Trumbull County | $575.91 | $653.65 | $736.01 | $1,028.57 | $1,563.01 |
| Cuyahoga County | $576.50 | $654.32 | $736.76 | $1,029.62 | $1,564.61 |
| Geauga County | $576.50 | $654.32 | $736.76 | $1,029.62 | $1,564.61 |
| Lake County | $576.50 | $654.32 | $736.76 | $1,029.62 | $1,564.61 |
| Lorain County | $576.50 | $654.32 | $736.76 | $1,029.62 | $1,564.61 |
| Brown County | $578.85 | $656.99 | $739.76 | $1,033.82 | $1,570.99 |
| Clermont County | $578.85 | $656.99 | $739.76 | $1,033.82 | $1,570.99 |
| Defiance County | $582.96 | $661.66 | $745.02 | $1,041.16 | $1,582.15 |
| Lucas County | $582.96 | $661.66 | $745.02 | $1,041.16 | $1,582.15 |
| Champaign County | $594.72 | $675 | $760.04 | $1,062.16 | $1,614.05 |
| Clark County | $594.72 | $675 | $760.04 | $1,062.16 | $1,614.05 |
| Darke County | $594.72 | $675 | $760.04 | $1,062.16 | $1,614.05 |
| Greene County | $594.72 | $675 | $760.04 | $1,062.16 | $1,614.05 |
| Miami County | $594.72 | $675 | $760.04 | $1,062.16 | $1,614.05 |
| Montgomery County | $594.72 | $675 | $760.04 | $1,062.16 | $1,614.05 |
| Preble County | $594.72 | $675 | $760.04 | $1,062.16 | $1,614.05 |
| Delaware County | $597.07 | $677.67 | $763.05 | $1,066.35 | $1,620.43 |
| Fairfield County | $597.07 | $677.67 | $763.05 | $1,066.35 | $1,620.43 |
| Franklin County | $597.07 | $677.67 | $763.05 | $1,066.35 | $1,620.43 |
| Licking County | $597.07 | $677.67 | $763.05 | $1,066.35 | $1,620.43 |
| Logan County | $597.07 | $677.67 | $763.05 | $1,066.35 | $1,620.43 |
| Pickaway County | $597.07 | $677.67 | $763.05 | $1,066.35 | $1,620.43 |
| Union County | $597.07 | $677.67 | $763.05 | $1,066.35 | $1,620.43 |
| Carroll County | $602.94 | $684.34 | $770.56 | $1,076.85 | $1,636.38 |
| Stark County | $602.94 | $684.34 | $770.56 | $1,076.85 | $1,636.38 |
| Holmes County | $610.58 | $693.01 | $780.32 | $1,090.49 | $1,657.11 |
| Wayne County | $610.58 | $693.01 | $780.32 | $1,090.49 | $1,657.11 |
| Gallia County | $615.87 | $699.01 | $787.08 | $1,099.94 | $1,671.46 |
| Jackson County | $615.87 | $699.01 | $787.08 | $1,099.94 | $1,671.46 |
| Vinton County | $615.87 | $699.01 | $787.08 | $1,099.94 | $1,671.46 |
| Seneca County | $621.75 | $705.68 | $794.59 | $1,110.44 | $1,687.41 |
| Hardin County | $637.03 | $723.02 | $814.12 | $1,137.72 | $1,728.88 |
| Paulding County | $637.03 | $723.02 | $814.12 | $1,137.72 | $1,728.88 |
| Putnam County | $637.03 | $723.02 | $814.12 | $1,137.72 | $1,728.88 |
| Coshocton County | $640.55 | $727.02 | $818.62 | $1,144.02 | $1,738.45 |
| Guernsey County | $640.55 | $727.02 | $818.62 | $1,144.02 | $1,738.45 |
| Monroe County | $640.55 | $727.02 | $818.62 | $1,144.02 | $1,738.45 |
| Morgan County | $640.55 | $727.02 | $818.62 | $1,144.02 | $1,738.45 |
| Muskingum County | $640.55 | $727.02 | $818.62 | $1,144.02 | $1,738.45 |
| Noble County | $640.55 | $727.02 | $818.62 | $1,144.02 | $1,738.45 |
| Perry County | $640.55 | $727.02 | $818.62 | $1,144.02 | $1,738.45 |
| Hocking County | $683.45 | $775.71 | $873.45 | $1,220.64 | $1,854.88 |
| Meigs County | $683.45 | $775.71 | $873.45 | $1,220.64 | $1,854.88 |
| Washington County | $683.45 | $775.71 | $873.45 | $1,220.64 | $1,854.88 |
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.