Molina Gold Smart Heart Health
Gold · HMO · Molina Healthcare · Ohio
At age 40 it costs between $567.92 and $806.34 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 | 64353OH0070002 |
|---|---|
| Insurer | Molina Healthcare |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $1,640 |
| Deductible (family) | $3,280 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,100 |
| Family maximum | $16,200 |
| Primary care visit | $25 |
| Specialist visit | $55 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | 40% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.90% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-888-296-7677 |
Where it is sold, and what it costs there
79 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 |
|---|---|---|---|---|---|
| Ashtabula County | $444.39 | $504.38 | $567.92 | $793.67 | $1,206.06 |
| Geauga County | $444.39 | $504.38 | $567.92 | $793.67 | $1,206.06 |
| Lake County | $444.39 | $504.38 | $567.92 | $793.67 | $1,206.06 |
| Lorain County | $444.39 | $504.38 | $567.92 | $793.67 | $1,206.06 |
| Erie County | $451.78 | $512.77 | $577.37 | $806.88 | $1,226.13 |
| Huron County | $451.78 | $512.77 | $577.37 | $806.88 | $1,226.13 |
| Ottawa County | $451.78 | $512.77 | $577.37 | $806.88 | $1,226.13 |
| Sandusky County | $451.78 | $512.77 | $577.37 | $806.88 | $1,226.13 |
| Seneca County | $451.78 | $512.77 | $577.37 | $806.88 | $1,226.13 |
| Wyandot County | $451.78 | $512.77 | $577.37 | $806.88 | $1,226.13 |
| Carroll County | $457.76 | $519.56 | $585.02 | $817.56 | $1,242.37 |
| Stark County | $457.76 | $519.56 | $585.02 | $817.56 | $1,242.37 |
| Columbiana County | $459.65 | $521.70 | $587.43 | $820.93 | $1,247.48 |
| Mahoning County | $459.65 | $521.70 | $587.43 | $820.93 | $1,247.48 |
| Trumbull County | $459.65 | $521.70 | $587.43 | $820.93 | $1,247.48 |
| Adams County | $464.71 | $527.44 | $593.90 | $829.97 | $1,261.22 |
| Brown County | $464.71 | $527.44 | $593.90 | $829.97 | $1,261.22 |
| Clermont County | $464.71 | $527.44 | $593.90 | $829.97 | $1,261.22 |
| Clinton County | $464.71 | $527.44 | $593.90 | $829.97 | $1,261.22 |
| Highland County | $464.71 | $527.44 | $593.90 | $829.97 | $1,261.22 |
| Butler County | $468.68 | $531.96 | $598.98 | $837.07 | $1,272.01 |
| Hamilton County | $468.68 | $531.96 | $598.98 | $837.07 | $1,272.01 |
| Warren County | $468.68 | $531.96 | $598.98 | $837.07 | $1,272.01 |
| Defiance County | $476.97 | $541.36 | $609.57 | $851.87 | $1,294.50 |
| Fulton County | $476.97 | $541.36 | $609.57 | $851.87 | $1,294.50 |
| Henry County | $476.97 | $541.36 | $609.57 | $851.87 | $1,294.50 |
| Lucas County | $476.97 | $541.36 | $609.57 | $851.87 | $1,294.50 |
| Wood County | $476.97 | $541.36 | $609.57 | $851.87 | $1,294.50 |
| Allen County | $488.69 | $554.66 | $624.54 | $872.80 | $1,326.30 |
| Auglaize County | $488.69 | $554.66 | $624.54 | $872.80 | $1,326.30 |
| Hancock County | $488.69 | $554.66 | $624.54 | $872.80 | $1,326.30 |
| Hardin County | $488.69 | $554.66 | $624.54 | $872.80 | $1,326.30 |
| Mercer County | $488.69 | $554.66 | $624.54 | $872.80 | $1,326.30 |
| Paulding County | $488.69 | $554.66 | $624.54 | $872.80 | $1,326.30 |
| Putnam County | $488.69 | $554.66 | $624.54 | $872.80 | $1,326.30 |
| Van Wert County | $488.69 | $554.66 | $624.54 | $872.80 | $1,326.30 |
| Gallia County | $495.13 | $561.98 | $632.78 | $884.31 | $1,343.79 |
| Jackson County | $495.13 | $561.98 | $632.78 | $884.31 | $1,343.79 |
| Lawrence County | $495.13 | $561.98 | $632.78 | $884.31 | $1,343.79 |
| Pike County | $495.13 | $561.98 | $632.78 | $884.31 | $1,343.79 |
| Ross County | $495.13 | $561.98 | $632.78 | $884.31 | $1,343.79 |
| Scioto County | $495.13 | $561.98 | $632.78 | $884.31 | $1,343.79 |
| Vinton County | $495.13 | $561.98 | $632.78 | $884.31 | $1,343.79 |
| Holmes County | $502.71 | $570.58 | $642.46 | $897.84 | $1,364.36 |
| Wayne County | $502.71 | $570.58 | $642.46 | $897.84 | $1,364.36 |
| Belmont County | $519.68 | $589.83 | $664.15 | $928.14 | $1,410.40 |
| Coshocton County | $519.68 | $589.83 | $664.15 | $928.14 | $1,410.40 |
| Guernsey County | $519.68 | $589.83 | $664.15 | $928.14 | $1,410.40 |
| Harrison County | $519.68 | $589.83 | $664.15 | $928.14 | $1,410.40 |
| Jefferson County | $519.68 | $589.83 | $664.15 | $928.14 | $1,410.40 |
| Monroe County | $519.68 | $589.83 | $664.15 | $928.14 | $1,410.40 |
| Morgan County | $519.68 | $589.83 | $664.15 | $928.14 | $1,410.40 |
| Muskingum County | $519.68 | $589.83 | $664.15 | $928.14 | $1,410.40 |
| Noble County | $519.68 | $589.83 | $664.15 | $928.14 | $1,410.40 |
| Perry County | $519.68 | $589.83 | $664.15 | $928.14 | $1,410.40 |
| Crawford County | $537.62 | $610.20 | $687.08 | $960.19 | $1,459.10 |
| Richland County | $537.62 | $610.20 | $687.08 | $960.19 | $1,459.10 |
| Athens County | $564.34 | $640.52 | $721.22 | $1,007.90 | $1,531.61 |
| Hocking County | $564.34 | $640.52 | $721.22 | $1,007.90 | $1,531.61 |
| Meigs County | $564.34 | $640.52 | $721.22 | $1,007.90 | $1,531.61 |
| Champaign County | $567.64 | $644.27 | $725.45 | $1,013.81 | $1,540.58 |
| Clark County | $567.64 | $644.27 | $725.45 | $1,013.81 | $1,540.58 |
| Darke County | $567.64 | $644.27 | $725.45 | $1,013.81 | $1,540.58 |
| Greene County | $567.64 | $644.27 | $725.45 | $1,013.81 | $1,540.58 |
| Miami County | $567.64 | $644.27 | $725.45 | $1,013.81 | $1,540.58 |
| Montgomery County | $567.64 | $644.27 | $725.45 | $1,013.81 | $1,540.58 |
| Preble County | $567.64 | $644.27 | $725.45 | $1,013.81 | $1,540.58 |
| Shelby County | $567.64 | $644.27 | $725.45 | $1,013.81 | $1,540.58 |
| Marion County | $604.02 | $685.56 | $771.93 | $1,078.77 | $1,639.30 |
| Morrow County | $604.02 | $685.56 | $771.93 | $1,078.77 | $1,639.30 |
| Delaware County | $630.94 | $716.11 | $806.34 | $1,126.85 | $1,712.36 |
| Fairfield County | $630.94 | $716.11 | $806.34 | $1,126.85 | $1,712.36 |
| Fayette County | $630.94 | $716.11 | $806.34 | $1,126.85 | $1,712.36 |
| Franklin County | $630.94 | $716.11 | $806.34 | $1,126.85 | $1,712.36 |
| Licking County | $630.94 | $716.11 | $806.34 | $1,126.85 | $1,712.36 |
| Logan County | $630.94 | $716.11 | $806.34 | $1,126.85 | $1,712.36 |
| Madison County | $630.94 | $716.11 | $806.34 | $1,126.85 | $1,712.36 |
| Pickaway County | $630.94 | $716.11 | $806.34 | $1,126.85 | $1,712.36 |
| Union County | $630.94 | $716.11 | $806.34 | $1,126.85 | $1,712.36 |
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.