Standard Gold + Vision + Adult Dental
Gold · HMO · Ambetter from Buckeye Health Plan · Ohio
At age 40 it costs between $549.05 and $861.01 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 | 41047OH0030074 |
|---|---|
| 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 | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 97.01% |
| 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 | $429.63 | $487.61 | $549.05 | $767.29 | $1,165.98 |
| Huron County | $429.63 | $487.61 | $549.05 | $767.29 | $1,165.98 |
| Ottawa County | $429.63 | $487.61 | $549.05 | $767.29 | $1,165.98 |
| Sandusky County | $429.63 | $487.61 | $549.05 | $767.29 | $1,165.98 |
| Seneca County | $429.63 | $487.61 | $549.05 | $767.29 | $1,165.98 |
| Wyandot County | $429.63 | $487.61 | $549.05 | $767.29 | $1,165.98 |
| Columbiana County | $430.66 | $488.79 | $550.38 | $769.15 | $1,168.79 |
| Mahoning County | $430.66 | $488.79 | $550.38 | $769.15 | $1,168.79 |
| Trumbull County | $430.66 | $488.79 | $550.38 | $769.15 | $1,168.79 |
| Belmont County | $431.75 | $490.02 | $551.76 | $771.09 | $1,171.74 |
| Harrison County | $431.75 | $490.02 | $551.76 | $771.09 | $1,171.74 |
| Jefferson County | $431.75 | $490.02 | $551.76 | $771.09 | $1,171.74 |
| Monroe County | $431.75 | $490.02 | $551.76 | $771.09 | $1,171.74 |
| Morgan County | $431.75 | $490.02 | $551.76 | $771.09 | $1,171.74 |
| Noble County | $431.75 | $490.02 | $551.76 | $771.09 | $1,171.74 |
| Perry County | $431.75 | $490.02 | $551.76 | $771.09 | $1,171.74 |
| Carroll County | $442.41 | $502.12 | $565.39 | $790.12 | $1,200.67 |
| Stark County | $442.41 | $502.12 | $565.39 | $790.12 | $1,200.67 |
| Butler County | $445.62 | $505.76 | $569.49 | $795.85 | $1,209.38 |
| Hamilton County | $445.62 | $505.76 | $569.49 | $795.85 | $1,209.38 |
| Warren County | $445.62 | $505.76 | $569.49 | $795.85 | $1,209.38 |
| Ashland County | $459.48 | $521.50 | $587.21 | $820.62 | $1,247.01 |
| Medina County | $459.48 | $521.50 | $587.21 | $820.62 | $1,247.01 |
| Portage County | $459.48 | $521.50 | $587.21 | $820.62 | $1,247.01 |
| Summit County | $459.48 | $521.50 | $587.21 | $820.62 | $1,247.01 |
| Defiance County | $472.27 | $536.01 | $603.54 | $843.45 | $1,281.71 |
| Fulton County | $472.27 | $536.01 | $603.54 | $843.45 | $1,281.71 |
| Henry County | $472.27 | $536.01 | $603.54 | $843.45 | $1,281.71 |
| Lucas County | $472.27 | $536.01 | $603.54 | $843.45 | $1,281.71 |
| Williams County | $472.27 | $536.01 | $603.54 | $843.45 | $1,281.71 |
| Wood County | $472.27 | $536.01 | $603.54 | $843.45 | $1,281.71 |
| Morrow County | $474.39 | $538.42 | $606.26 | $847.24 | $1,287.47 |
| Hocking County | $481.84 | $546.88 | $615.78 | $860.55 | $1,307.69 |
| Adams County | $490.38 | $556.57 | $626.69 | $875.80 | $1,330.86 |
| Brown County | $490.38 | $556.57 | $626.69 | $875.80 | $1,330.86 |
| Clermont County | $490.38 | $556.57 | $626.69 | $875.80 | $1,330.86 |
| Clinton County | $490.38 | $556.57 | $626.69 | $875.80 | $1,330.86 |
| Highland County | $490.38 | $556.57 | $626.69 | $875.80 | $1,330.86 |
| Champaign County | $492.50 | $558.98 | $629.41 | $879.59 | $1,336.62 |
| Clark County | $492.50 | $558.98 | $629.41 | $879.59 | $1,336.62 |
| Darke County | $492.50 | $558.98 | $629.41 | $879.59 | $1,336.62 |
| Greene County | $492.50 | $558.98 | $629.41 | $879.59 | $1,336.62 |
| Miami County | $492.50 | $558.98 | $629.41 | $879.59 | $1,336.62 |
| Montgomery County | $492.50 | $558.98 | $629.41 | $879.59 | $1,336.62 |
| Preble County | $492.50 | $558.98 | $629.41 | $879.59 | $1,336.62 |
| Shelby County | $492.50 | $558.98 | $629.41 | $879.59 | $1,336.62 |
| Jackson County | $493.59 | $560.21 | $630.79 | $881.53 | $1,339.57 |
| Pike County | $493.59 | $560.21 | $630.79 | $881.53 | $1,339.57 |
| Ross County | $493.59 | $560.21 | $630.79 | $881.53 | $1,339.57 |
| Scioto County | $493.59 | $560.21 | $630.79 | $881.53 | $1,339.57 |
| Vinton County | $493.59 | $560.21 | $630.79 | $881.53 | $1,339.57 |
| Allen County | $498.92 | $566.26 | $637.60 | $891.05 | $1,354.04 |
| Auglaize County | $498.92 | $566.26 | $637.60 | $891.05 | $1,354.04 |
| Hancock County | $498.92 | $566.26 | $637.60 | $891.05 | $1,354.04 |
| Hardin County | $498.92 | $566.26 | $637.60 | $891.05 | $1,354.04 |
| Mercer County | $498.92 | $566.26 | $637.60 | $891.05 | $1,354.04 |
| Paulding County | $498.92 | $566.26 | $637.60 | $891.05 | $1,354.04 |
| Putnam County | $498.92 | $566.26 | $637.60 | $891.05 | $1,354.04 |
| Van Wert County | $498.92 | $566.26 | $637.60 | $891.05 | $1,354.04 |
| Cuyahoga County | $514.91 | $584.41 | $658.04 | $919.61 | $1,397.43 |
| Geauga County | $514.91 | $584.41 | $658.04 | $919.61 | $1,397.43 |
| Lake County | $514.91 | $584.41 | $658.04 | $919.61 | $1,397.43 |
| Lorain County | $514.91 | $584.41 | $658.04 | $919.61 | $1,397.43 |
| Delaware County | $524.48 | $595.28 | $670.28 | $936.71 | $1,423.42 |
| Fairfield County | $524.48 | $595.28 | $670.28 | $936.71 | $1,423.42 |
| Fayette County | $524.48 | $595.28 | $670.28 | $936.71 | $1,423.42 |
| Franklin County | $524.48 | $595.28 | $670.28 | $936.71 | $1,423.42 |
| Logan County | $524.48 | $595.28 | $670.28 | $936.71 | $1,423.42 |
| Madison County | $524.48 | $595.28 | $670.28 | $936.71 | $1,423.42 |
| Pickaway County | $524.48 | $595.28 | $670.28 | $936.71 | $1,423.42 |
| Union County | $524.48 | $595.28 | $670.28 | $936.71 | $1,423.42 |
| Wayne County | $673.73 | $764.67 | $861.01 | $1,203.26 | $1,828.47 |
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.