Gold Elite | Cleveland Clinic
Gold · HMO · Oscar Insurance Corporation of Ohio · Ohio
At age 40 it costs between $836.16 and $868.16 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 | 45845OH0100036 |
|---|---|
| Insurer | Oscar Insurance Corporation of Ohio |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $750 |
| Deductible (family) | $1,500 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,500 |
| Family maximum | $15,000 |
| Primary care visit | $25 |
| Specialist visit | $50 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $75 |
| 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 | $654.28 | $742.60 | $836.16 | $1,168.53 | $1,775.70 |
| Tuscarawas County | $654.28 | $742.60 | $836.16 | $1,168.53 | $1,775.70 |
| Holmes County | $658.59 | $747.48 | $841.66 | $1,176.22 | $1,787.38 |
| Wayne County | $658.59 | $747.48 | $841.66 | $1,176.22 | $1,787.38 |
| Ashtabula County | $659.58 | $748.61 | $842.93 | $1,177.99 | $1,790.07 |
| Cuyahoga County | $659.58 | $748.61 | $842.93 | $1,177.99 | $1,790.07 |
| Geauga County | $659.58 | $748.61 | $842.93 | $1,177.99 | $1,790.07 |
| Lake County | $659.58 | $748.61 | $842.93 | $1,177.99 | $1,790.07 |
| Lorain County | $659.58 | $748.61 | $842.93 | $1,177.99 | $1,790.07 |
| Carroll County | $663.68 | $753.27 | $848.18 | $1,185.32 | $1,801.21 |
| Stark County | $663.68 | $753.27 | $848.18 | $1,185.32 | $1,801.21 |
| Medina County | $679.32 | $771.02 | $868.16 | $1,213.25 | $1,843.65 |
| Portage County | $679.32 | $771.02 | $868.16 | $1,213.25 | $1,843.65 |
| Summit County | $679.32 | $771.02 | $868.16 | $1,213.25 | $1,843.65 |
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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When this plan’s price or benefits change.
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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.