Bronze Simple HSA | Cleveland Clinic
Expanded Bronze · HMO · Oscar Insurance Corporation of Ohio · Ohio
At age 40 it costs between $662.65 and $688.01 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 | 45845OH0100014 |
|---|---|
| Insurer | Oscar Insurance Corporation of Ohio |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Deductible (individual) | $5,000 |
| Deductible (family) | $10,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,000 |
| Family maximum | $16,000 |
| Primary care visit | $50 Copay after deductible |
| Specialist visit | $90 Copay after deductible |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $3 Copay after deductible |
| Preferred brand drugs | $200 Copay after deductible |
| Specialty drugs | 50% Coinsurance after deductible |
| 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 | 1-855-672-2755 |
Where it is sold, and what it costs there
14 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 |
|---|---|---|---|---|---|
| Harrison County | $518.51 | $588.50 | $662.65 | $926.05 | $1,407.22 |
| Tuscarawas County | $518.51 | $588.50 | $662.65 | $926.05 | $1,407.22 |
| Holmes County | $521.92 | $592.37 | $667.01 | $932.14 | $1,416.47 |
| Wayne County | $521.92 | $592.37 | $667.01 | $932.14 | $1,416.47 |
| Ashtabula County | $522.71 | $593.26 | $668.01 | $933.54 | $1,418.60 |
| Cuyahoga County | $522.71 | $593.26 | $668.01 | $933.54 | $1,418.60 |
| Geauga County | $522.71 | $593.26 | $668.01 | $933.54 | $1,418.60 |
| Lake County | $522.71 | $593.26 | $668.01 | $933.54 | $1,418.60 |
| Lorain County | $522.71 | $593.26 | $668.01 | $933.54 | $1,418.60 |
| Carroll County | $525.96 | $596.96 | $672.17 | $939.35 | $1,427.44 |
| Stark County | $525.96 | $596.96 | $672.17 | $939.35 | $1,427.44 |
| Medina County | $538.36 | $611.02 | $688.01 | $961.49 | $1,461.07 |
| Portage County | $538.36 | $611.02 | $688.01 | $961.49 | $1,461.07 |
| Summit County | $538.36 | $611.02 | $688.01 | $961.49 | $1,461.07 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.