QHP Index

Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

Gold · HMO · CareSource · Ohio

At age 40 it costs between $768.11 and $1,136.07 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 ID77552OH0020210
InsurerCareSource
Metal levelGold
Plan typeHMO
Deductible (individual)$3,000
Deductible (family)$6,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,500
Family maximum$17,000
Primary care visit$10
Specialist visit$40
Emergency room10% Coinsurance after deductible
Inpatient stay$500 Copay per Stay after deductible
Generic drugs$10
Preferred brand drugs$60
Specialty drugs40% Coinsurance after deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits99.48%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-833-230-2099 · TTY 1-800-750-0750

Where it is sold, and what it costs there

88 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Ashtabula County $601.02$682.16 $768.11$1,073.43 $1,631.18
Cuyahoga County $601.02$682.16 $768.11$1,073.43 $1,631.18
Geauga County $601.02$682.16 $768.11$1,073.43 $1,631.18
Lake County $601.02$682.16 $768.11$1,073.43 $1,631.18
Lorain County $601.02$682.16 $768.11$1,073.43 $1,631.18
Ashland County $618.04$701.47 $789.85$1,103.82 $1,677.36
Medina County $618.04$701.47 $789.85$1,103.82 $1,677.36
Portage County $618.04$701.47 $789.85$1,103.82 $1,677.36
Summit County $618.04$701.47 $789.85$1,103.82 $1,677.36
Defiance County $635.74$721.56 $812.47$1,135.43 $1,725.39
Fulton County $635.74$721.56 $812.47$1,135.43 $1,725.39
Henry County $635.74$721.56 $812.47$1,135.43 $1,725.39
Lucas County $635.74$721.56 $812.47$1,135.43 $1,725.39
Williams County $635.74$721.56 $812.47$1,135.43 $1,725.39
Wood County $635.74$721.56 $812.47$1,135.43 $1,725.39
Allen County $665$754.78 $849.88$1,187.70 $1,804.82
Auglaize County $665$754.78 $849.88$1,187.70 $1,804.82
Carroll County $665$754.78 $849.88$1,187.70 $1,804.82
Hancock County $665$754.78 $849.88$1,187.70 $1,804.82
Hardin County $665$754.78 $849.88$1,187.70 $1,804.82
Mercer County $665$754.78 $849.88$1,187.70 $1,804.82
Paulding County $665$754.78 $849.88$1,187.70 $1,804.82
Putnam County $665$754.78 $849.88$1,187.70 $1,804.82
Stark County $665$754.78 $849.88$1,187.70 $1,804.82
Van Wert County $665$754.78 $849.88$1,187.70 $1,804.82
Holmes County $675.90$767.14 $863.79$1,207.15 $1,834.38
Wayne County $675.90$767.14 $863.79$1,207.15 $1,834.38
Belmont County $691.55$784.91 $883.80$1,235.11 $1,876.87
Coshocton County $691.55$784.91 $883.80$1,235.11 $1,876.87
Guernsey County $691.55$784.91 $883.80$1,235.11 $1,876.87
Harrison County $691.55$784.91 $883.80$1,235.11 $1,876.87
Jefferson County $691.55$784.91 $883.80$1,235.11 $1,876.87
Monroe County $691.55$784.91 $883.80$1,235.11 $1,876.87
Morgan County $691.55$784.91 $883.80$1,235.11 $1,876.87
Muskingum County $691.55$784.91 $883.80$1,235.11 $1,876.87
Noble County $691.55$784.91 $883.80$1,235.11 $1,876.87
Perry County $691.55$784.91 $883.80$1,235.11 $1,876.87
Tuscarawas County $691.55$784.91 $883.80$1,235.11 $1,876.87
Crawford County $694.27$788 $887.28$1,239.97 $1,884.26
Richland County $694.27$788 $887.28$1,239.97 $1,884.26
Athens County $708.57$804.22 $905.55$1,265.50 $1,923.05
Hocking County $708.57$804.22 $905.55$1,265.50 $1,923.05
Meigs County $708.57$804.22 $905.55$1,265.50 $1,923.05
Washington County $708.57$804.22 $905.55$1,265.50 $1,923.05
Butler County $752.81$854.44 $962.09$1,344.52 $2,043.13
Hamilton County $752.81$854.44 $962.09$1,344.52 $2,043.13
Warren County $752.81$854.44 $962.09$1,344.52 $2,043.13
Champaign County $767.78$871.44 $981.23$1,371.26 $2,083.77
Clark County $767.78$871.44 $981.23$1,371.26 $2,083.77
Darke County $767.78$871.44 $981.23$1,371.26 $2,083.77
Greene County $767.78$871.44 $981.23$1,371.26 $2,083.77
Miami County $767.78$871.44 $981.23$1,371.26 $2,083.77
Montgomery County $767.78$871.44 $981.23$1,371.26 $2,083.77
Preble County $767.78$871.44 $981.23$1,371.26 $2,083.77
Shelby County $767.78$871.44 $981.23$1,371.26 $2,083.77
Marion County $769.83$873.75 $983.84$1,374.91 $2,089.31
Morrow County $769.83$873.75 $983.84$1,374.91 $2,089.31
Gallia County $777.31$882.25 $993.41$1,388.28 $2,109.63
Jackson County $777.31$882.25 $993.41$1,388.28 $2,109.63
Lawrence County $777.31$882.25 $993.41$1,388.28 $2,109.63
Pike County $777.31$882.25 $993.41$1,388.28 $2,109.63
Ross County $777.31$882.25 $993.41$1,388.28 $2,109.63
Scioto County $777.31$882.25 $993.41$1,388.28 $2,109.63
Vinton County $777.31$882.25 $993.41$1,388.28 $2,109.63
Erie County $782.76$888.43 $1,000.37$1,398.01 $2,124.41
Huron County $782.76$888.43 $1,000.37$1,398.01 $2,124.41
Ottawa County $782.76$888.43 $1,000.37$1,398.01 $2,124.41
Sandusky County $782.76$888.43 $1,000.37$1,398.01 $2,124.41
Seneca County $782.76$888.43 $1,000.37$1,398.01 $2,124.41
Wyandot County $782.76$888.43 $1,000.37$1,398.01 $2,124.41
Columbiana County $784.12$889.98 $1,002.11$1,400.44 $2,128.10
Mahoning County $784.12$889.98 $1,002.11$1,400.44 $2,128.10
Trumbull County $784.12$889.98 $1,002.11$1,400.44 $2,128.10
Adams County $785.48$891.52 $1,003.85$1,402.87 $2,131.80
Brown County $785.48$891.52 $1,003.85$1,402.87 $2,131.80
Clermont County $785.48$891.52 $1,003.85$1,402.87 $2,131.80
Clinton County $785.48$891.52 $1,003.85$1,402.87 $2,131.80
Highland County $785.48$891.52 $1,003.85$1,402.87 $2,131.80
Delaware County $888.94$1,008.95 $1,136.07$1,587.65 $2,412.59
Fairfield County $888.94$1,008.95 $1,136.07$1,587.65 $2,412.59
Fayette County $888.94$1,008.95 $1,136.07$1,587.65 $2,412.59
Franklin County $888.94$1,008.95 $1,136.07$1,587.65 $2,412.59
Knox County $888.94$1,008.95 $1,136.07$1,587.65 $2,412.59
Licking County $888.94$1,008.95 $1,136.07$1,587.65 $2,412.59
Logan County $888.94$1,008.95 $1,136.07$1,587.65 $2,412.59
Madison County $888.94$1,008.95 $1,136.07$1,587.65 $2,412.59
Pickaway County $888.94$1,008.95 $1,136.07$1,587.65 $2,412.59
Union County $888.94$1,008.95 $1,136.07$1,587.65 $2,412.59

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.