Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Silver · HMO · CareSource · Ohio
At age 40 it costs between $559.35 and $804.52 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $5,000 | $9,500 | $30 | $15 |
| up to 150% of the federal poverty level | $250 | $1,100 | No Charge | $3 |
| 150% to 200% | $1,000 | $3,350 | $5 | $5 |
| 200% to 250% | $4,600 | $8,000 | $30 | $10 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 77552OH0020209 |
|---|---|
| Insurer | CareSource |
| Metal level | Silver |
| 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 | $9,500 |
| Family maximum | $19,000 |
| Primary care visit | $30 |
| Specialist visit | $50 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | $600 Copay per Stay after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $100 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.22% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-230-2099 · TTY 1-800-750-0750 |
Where it is sold, and what it costs there
77 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 |
|---|---|---|---|---|---|
| Ashland County | $437.67 | $496.76 | $559.35 | $781.69 | $1,187.85 |
| Medina County | $437.67 | $496.76 | $559.35 | $781.69 | $1,187.85 |
| Portage County | $437.67 | $496.76 | $559.35 | $781.69 | $1,187.85 |
| Summit County | $437.67 | $496.76 | $559.35 | $781.69 | $1,187.85 |
| Allen County | $470.93 | $534.51 | $601.85 | $841.09 | $1,278.11 |
| Auglaize County | $470.93 | $534.51 | $601.85 | $841.09 | $1,278.11 |
| Carroll County | $470.93 | $534.51 | $601.85 | $841.09 | $1,278.11 |
| Hancock County | $470.93 | $534.51 | $601.85 | $841.09 | $1,278.11 |
| Hardin County | $470.93 | $534.51 | $601.85 | $841.09 | $1,278.11 |
| Mercer County | $470.93 | $534.51 | $601.85 | $841.09 | $1,278.11 |
| Paulding County | $470.93 | $534.51 | $601.85 | $841.09 | $1,278.11 |
| Putnam County | $470.93 | $534.51 | $601.85 | $841.09 | $1,278.11 |
| Stark County | $470.93 | $534.51 | $601.85 | $841.09 | $1,278.11 |
| Van Wert County | $470.93 | $534.51 | $601.85 | $841.09 | $1,278.11 |
| Holmes County | $478.65 | $543.26 | $611.71 | $854.86 | $1,299.04 |
| Wayne County | $478.65 | $543.26 | $611.71 | $854.86 | $1,299.04 |
| Belmont County | $489.73 | $555.85 | $625.88 | $874.66 | $1,329.13 |
| Coshocton County | $489.73 | $555.85 | $625.88 | $874.66 | $1,329.13 |
| Guernsey County | $489.73 | $555.85 | $625.88 | $874.66 | $1,329.13 |
| Harrison County | $489.73 | $555.85 | $625.88 | $874.66 | $1,329.13 |
| Jefferson County | $489.73 | $555.85 | $625.88 | $874.66 | $1,329.13 |
| Monroe County | $489.73 | $555.85 | $625.88 | $874.66 | $1,329.13 |
| Morgan County | $489.73 | $555.85 | $625.88 | $874.66 | $1,329.13 |
| Muskingum County | $489.73 | $555.85 | $625.88 | $874.66 | $1,329.13 |
| Noble County | $489.73 | $555.85 | $625.88 | $874.66 | $1,329.13 |
| Perry County | $489.73 | $555.85 | $625.88 | $874.66 | $1,329.13 |
| Tuscarawas County | $489.73 | $555.85 | $625.88 | $874.66 | $1,329.13 |
| Crawford County | $491.66 | $558.03 | $628.34 | $878.11 | $1,334.37 |
| Richland County | $491.66 | $558.03 | $628.34 | $878.11 | $1,334.37 |
| Athens County | $501.78 | $569.52 | $641.28 | $896.18 | $1,361.84 |
| Hocking County | $501.78 | $569.52 | $641.28 | $896.18 | $1,361.84 |
| Meigs County | $501.78 | $569.52 | $641.28 | $896.18 | $1,361.84 |
| Washington County | $501.78 | $569.52 | $641.28 | $896.18 | $1,361.84 |
| Butler County | $533.11 | $605.08 | $681.32 | $952.14 | $1,446.87 |
| Hamilton County | $533.11 | $605.08 | $681.32 | $952.14 | $1,446.87 |
| Warren County | $533.11 | $605.08 | $681.32 | $952.14 | $1,446.87 |
| Champaign County | $543.72 | $617.12 | $694.87 | $971.08 | $1,475.65 |
| Clark County | $543.72 | $617.12 | $694.87 | $971.08 | $1,475.65 |
| Darke County | $543.72 | $617.12 | $694.87 | $971.08 | $1,475.65 |
| Greene County | $543.72 | $617.12 | $694.87 | $971.08 | $1,475.65 |
| Miami County | $543.72 | $617.12 | $694.87 | $971.08 | $1,475.65 |
| Montgomery County | $543.72 | $617.12 | $694.87 | $971.08 | $1,475.65 |
| Preble County | $543.72 | $617.12 | $694.87 | $971.08 | $1,475.65 |
| Shelby County | $543.72 | $617.12 | $694.87 | $971.08 | $1,475.65 |
| Marion County | $545.16 | $618.76 | $696.72 | $973.66 | $1,479.58 |
| Morrow County | $545.16 | $618.76 | $696.72 | $973.66 | $1,479.58 |
| Gallia County | $550.47 | $624.78 | $703.50 | $983.13 | $1,493.97 |
| Jackson County | $550.47 | $624.78 | $703.50 | $983.13 | $1,493.97 |
| Lawrence County | $550.47 | $624.78 | $703.50 | $983.13 | $1,493.97 |
| Pike County | $550.47 | $624.78 | $703.50 | $983.13 | $1,493.97 |
| Ross County | $550.47 | $624.78 | $703.50 | $983.13 | $1,493.97 |
| Scioto County | $550.47 | $624.78 | $703.50 | $983.13 | $1,493.97 |
| Vinton County | $550.47 | $624.78 | $703.50 | $983.13 | $1,493.97 |
| Erie County | $554.32 | $629.16 | $708.42 | $990.02 | $1,504.43 |
| Huron County | $554.32 | $629.16 | $708.42 | $990.02 | $1,504.43 |
| Ottawa County | $554.32 | $629.16 | $708.42 | $990.02 | $1,504.43 |
| Sandusky County | $554.32 | $629.16 | $708.42 | $990.02 | $1,504.43 |
| Seneca County | $554.32 | $629.16 | $708.42 | $990.02 | $1,504.43 |
| Wyandot County | $554.32 | $629.16 | $708.42 | $990.02 | $1,504.43 |
| Columbiana County | $555.29 | $630.25 | $709.66 | $991.74 | $1,507.05 |
| Mahoning County | $555.29 | $630.25 | $709.66 | $991.74 | $1,507.05 |
| Trumbull County | $555.29 | $630.25 | $709.66 | $991.74 | $1,507.05 |
| Adams County | $556.25 | $631.34 | $710.89 | $993.46 | $1,509.67 |
| Brown County | $556.25 | $631.34 | $710.89 | $993.46 | $1,509.67 |
| Clermont County | $556.25 | $631.34 | $710.89 | $993.46 | $1,509.67 |
| Clinton County | $556.25 | $631.34 | $710.89 | $993.46 | $1,509.67 |
| Highland County | $556.25 | $631.34 | $710.89 | $993.46 | $1,509.67 |
| Delaware County | $629.52 | $714.50 | $804.52 | $1,124.32 | $1,708.51 |
| Fairfield County | $629.52 | $714.50 | $804.52 | $1,124.32 | $1,708.51 |
| Fayette County | $629.52 | $714.50 | $804.52 | $1,124.32 | $1,708.51 |
| Franklin County | $629.52 | $714.50 | $804.52 | $1,124.32 | $1,708.51 |
| Knox County | $629.52 | $714.50 | $804.52 | $1,124.32 | $1,708.51 |
| Licking County | $629.52 | $714.50 | $804.52 | $1,124.32 | $1,708.51 |
| Logan County | $629.52 | $714.50 | $804.52 | $1,124.32 | $1,708.51 |
| Madison County | $629.52 | $714.50 | $804.52 | $1,124.32 | $1,708.51 |
| Pickaway County | $629.52 | $714.50 | $804.52 | $1,124.32 | $1,708.51 |
| Union County | $629.52 | $714.50 | $804.52 | $1,124.32 | $1,708.51 |
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.