Standard Gold
Gold · HMO · Ambetter from Buckeye Health Plan · Ohio
At age 40 it costs between $532.64 and $835.27 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 | 41047OH0010071 |
|---|---|
| Insurer | Ambetter from Buckeye Health Plan |
| Metal level | Gold |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| Adult dental included | No |
| Child dental included | No |
| 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 | 1-833-543-3145 · TTY 1-833-543-3145 |
Where it is sold, and what it costs there
72 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 |
|---|---|---|---|---|---|
| Erie County | $416.78 | $473.04 | $532.64 | $744.36 | $1,131.12 |
| Huron County | $416.78 | $473.04 | $532.64 | $744.36 | $1,131.12 |
| Ottawa County | $416.78 | $473.04 | $532.64 | $744.36 | $1,131.12 |
| Sandusky County | $416.78 | $473.04 | $532.64 | $744.36 | $1,131.12 |
| Seneca County | $416.78 | $473.04 | $532.64 | $744.36 | $1,131.12 |
| Wyandot County | $416.78 | $473.04 | $532.64 | $744.36 | $1,131.12 |
| Columbiana County | $417.79 | $474.18 | $533.92 | $746.15 | $1,133.85 |
| Mahoning County | $417.79 | $474.18 | $533.92 | $746.15 | $1,133.85 |
| Trumbull County | $417.79 | $474.18 | $533.92 | $746.15 | $1,133.85 |
| Belmont County | $418.84 | $475.37 | $535.27 | $748.03 | $1,136.71 |
| Harrison County | $418.84 | $475.37 | $535.27 | $748.03 | $1,136.71 |
| Jefferson County | $418.84 | $475.37 | $535.27 | $748.03 | $1,136.71 |
| Monroe County | $418.84 | $475.37 | $535.27 | $748.03 | $1,136.71 |
| Morgan County | $418.84 | $475.37 | $535.27 | $748.03 | $1,136.71 |
| Noble County | $418.84 | $475.37 | $535.27 | $748.03 | $1,136.71 |
| Perry County | $418.84 | $475.37 | $535.27 | $748.03 | $1,136.71 |
| Carroll County | $429.18 | $487.11 | $548.48 | $766.50 | $1,164.78 |
| Stark County | $429.18 | $487.11 | $548.48 | $766.50 | $1,164.78 |
| Butler County | $432.30 | $490.64 | $552.46 | $772.06 | $1,173.22 |
| Hamilton County | $432.30 | $490.64 | $552.46 | $772.06 | $1,173.22 |
| Warren County | $432.30 | $490.64 | $552.46 | $772.06 | $1,173.22 |
| Ashland County | $445.75 | $505.91 | $569.65 | $796.09 | $1,209.73 |
| Medina County | $445.75 | $505.91 | $569.65 | $796.09 | $1,209.73 |
| Portage County | $445.75 | $505.91 | $569.65 | $796.09 | $1,209.73 |
| Summit County | $445.75 | $505.91 | $569.65 | $796.09 | $1,209.73 |
| Defiance County | $458.15 | $519.99 | $585.50 | $818.24 | $1,243.39 |
| Fulton County | $458.15 | $519.99 | $585.50 | $818.24 | $1,243.39 |
| Henry County | $458.15 | $519.99 | $585.50 | $818.24 | $1,243.39 |
| Lucas County | $458.15 | $519.99 | $585.50 | $818.24 | $1,243.39 |
| Williams County | $458.15 | $519.99 | $585.50 | $818.24 | $1,243.39 |
| Wood County | $458.15 | $519.99 | $585.50 | $818.24 | $1,243.39 |
| Morrow County | $460.21 | $522.32 | $588.13 | $821.91 | $1,248.98 |
| Hocking County | $467.44 | $530.53 | $597.37 | $834.83 | $1,268.60 |
| Adams County | $475.72 | $539.93 | $607.96 | $849.62 | $1,291.08 |
| Brown County | $475.72 | $539.93 | $607.96 | $849.62 | $1,291.08 |
| Clermont County | $475.72 | $539.93 | $607.96 | $849.62 | $1,291.08 |
| Clinton County | $475.72 | $539.93 | $607.96 | $849.62 | $1,291.08 |
| Highland County | $475.72 | $539.93 | $607.96 | $849.62 | $1,291.08 |
| Champaign County | $477.78 | $542.27 | $610.59 | $853.30 | $1,296.67 |
| Clark County | $477.78 | $542.27 | $610.59 | $853.30 | $1,296.67 |
| Darke County | $477.78 | $542.27 | $610.59 | $853.30 | $1,296.67 |
| Greene County | $477.78 | $542.27 | $610.59 | $853.30 | $1,296.67 |
| Miami County | $477.78 | $542.27 | $610.59 | $853.30 | $1,296.67 |
| Montgomery County | $477.78 | $542.27 | $610.59 | $853.30 | $1,296.67 |
| Preble County | $477.78 | $542.27 | $610.59 | $853.30 | $1,296.67 |
| Shelby County | $477.78 | $542.27 | $610.59 | $853.30 | $1,296.67 |
| Jackson County | $478.83 | $543.46 | $611.93 | $855.18 | $1,299.52 |
| Pike County | $478.83 | $543.46 | $611.93 | $855.18 | $1,299.52 |
| Ross County | $478.83 | $543.46 | $611.93 | $855.18 | $1,299.52 |
| Scioto County | $478.83 | $543.46 | $611.93 | $855.18 | $1,299.52 |
| Vinton County | $478.83 | $543.46 | $611.93 | $855.18 | $1,299.52 |
| Allen County | $484 | $549.33 | $618.54 | $864.41 | $1,313.56 |
| Auglaize County | $484 | $549.33 | $618.54 | $864.41 | $1,313.56 |
| Hancock County | $484 | $549.33 | $618.54 | $864.41 | $1,313.56 |
| Hardin County | $484 | $549.33 | $618.54 | $864.41 | $1,313.56 |
| Mercer County | $484 | $549.33 | $618.54 | $864.41 | $1,313.56 |
| Paulding County | $484 | $549.33 | $618.54 | $864.41 | $1,313.56 |
| Putnam County | $484 | $549.33 | $618.54 | $864.41 | $1,313.56 |
| Van Wert County | $484 | $549.33 | $618.54 | $864.41 | $1,313.56 |
| Cuyahoga County | $499.52 | $566.94 | $638.37 | $892.12 | $1,355.66 |
| Geauga County | $499.52 | $566.94 | $638.37 | $892.12 | $1,355.66 |
| Lake County | $499.52 | $566.94 | $638.37 | $892.12 | $1,355.66 |
| Lorain County | $499.52 | $566.94 | $638.37 | $892.12 | $1,355.66 |
| Delaware County | $508.80 | $577.48 | $650.24 | $908.71 | $1,380.87 |
| Fairfield County | $508.80 | $577.48 | $650.24 | $908.71 | $1,380.87 |
| Fayette County | $508.80 | $577.48 | $650.24 | $908.71 | $1,380.87 |
| Franklin County | $508.80 | $577.48 | $650.24 | $908.71 | $1,380.87 |
| Logan County | $508.80 | $577.48 | $650.24 | $908.71 | $1,380.87 |
| Madison County | $508.80 | $577.48 | $650.24 | $908.71 | $1,380.87 |
| Pickaway County | $508.80 | $577.48 | $650.24 | $908.71 | $1,380.87 |
| Union County | $508.80 | $577.48 | $650.24 | $908.71 | $1,380.87 |
| Wayne County | $653.59 | $741.81 | $835.27 | $1,167.29 | $1,773.80 |
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.