Gold Standard w/ Virtual & Wellness
Gold · HMO · MedMutual · Ohio
At age 40 it costs between $613.51 and $1,011 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 | 99969OH0080492 |
|---|---|
| Insurer | MedMutual |
| Metal level | Gold |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| Adult dental included | No |
| Child dental included | Yes |
| 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 | 1-888-308-0357 |
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.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Champaign County | $480.06 | $544.86 | $613.51 | $857.38 | $1,302.87 |
| Clark County | $480.06 | $544.86 | $613.51 | $857.38 | $1,302.87 |
| Darke County | $480.06 | $544.86 | $613.51 | $857.38 | $1,302.87 |
| Greene County | $480.06 | $544.86 | $613.51 | $857.38 | $1,302.87 |
| Miami County | $480.06 | $544.86 | $613.51 | $857.38 | $1,302.87 |
| Montgomery County | $480.06 | $544.86 | $613.51 | $857.38 | $1,302.87 |
| Preble County | $480.06 | $544.86 | $613.51 | $857.38 | $1,302.87 |
| Shelby County | $480.06 | $544.86 | $613.51 | $857.38 | $1,302.87 |
| Adams County | $536.12 | $608.50 | $685.17 | $957.52 | $1,455.04 |
| Brown County | $536.12 | $608.50 | $685.17 | $957.52 | $1,455.04 |
| Clermont County | $536.12 | $608.50 | $685.17 | $957.52 | $1,455.04 |
| Clinton County | $536.12 | $608.50 | $685.17 | $957.52 | $1,455.04 |
| Highland County | $536.12 | $608.50 | $685.17 | $957.52 | $1,455.04 |
| Defiance County | $536.84 | $609.32 | $686.09 | $958.80 | $1,457 |
| Fulton County | $536.84 | $609.32 | $686.09 | $958.80 | $1,457 |
| Henry County | $536.84 | $609.32 | $686.09 | $958.80 | $1,457 |
| Lucas County | $536.84 | $609.32 | $686.09 | $958.80 | $1,457 |
| Williams County | $536.84 | $609.32 | $686.09 | $958.80 | $1,457 |
| Wood County | $536.84 | $609.32 | $686.09 | $958.80 | $1,457 |
| Columbiana County | $537.67 | $610.25 | $687.14 | $960.28 | $1,459.23 |
| Mahoning County | $537.67 | $610.25 | $687.14 | $960.28 | $1,459.23 |
| Trumbull County | $537.67 | $610.25 | $687.14 | $960.28 | $1,459.23 |
| Ashtabula County | $541.53 | $614.64 | $692.08 | $967.17 | $1,469.71 |
| Cuyahoga County | $541.53 | $614.64 | $692.08 | $967.17 | $1,469.71 |
| Geauga County | $541.53 | $614.64 | $692.08 | $967.17 | $1,469.71 |
| Lake County | $541.53 | $614.64 | $692.08 | $967.17 | $1,469.71 |
| Lorain County | $541.53 | $614.64 | $692.08 | $967.17 | $1,469.71 |
| Butler County | $548.79 | $622.88 | $701.35 | $980.14 | $1,489.41 |
| Hamilton County | $548.79 | $622.88 | $701.35 | $980.14 | $1,489.41 |
| Warren County | $548.79 | $622.88 | $701.35 | $980.14 | $1,489.41 |
| Ashland County | $561.61 | $637.43 | $717.74 | $1,003.03 | $1,524.21 |
| Medina County | $561.61 | $637.43 | $717.74 | $1,003.03 | $1,524.21 |
| Portage County | $561.61 | $637.43 | $717.74 | $1,003.03 | $1,524.21 |
| Summit County | $561.61 | $637.43 | $717.74 | $1,003.03 | $1,524.21 |
| Erie County | $570.77 | $647.83 | $729.45 | $1,019.40 | $1,549.08 |
| Huron County | $570.77 | $647.83 | $729.45 | $1,019.40 | $1,549.08 |
| Ottawa County | $570.77 | $647.83 | $729.45 | $1,019.40 | $1,549.08 |
| Sandusky County | $570.77 | $647.83 | $729.45 | $1,019.40 | $1,549.08 |
| Seneca County | $570.77 | $647.83 | $729.45 | $1,019.40 | $1,549.08 |
| Wyandot County | $570.77 | $647.83 | $729.45 | $1,019.40 | $1,549.08 |
| Holmes County | $571.29 | $648.41 | $730.11 | $1,020.32 | $1,550.48 |
| Wayne County | $571.29 | $648.41 | $730.11 | $1,020.32 | $1,550.48 |
| Carroll County | $573.55 | $650.98 | $733 | $1,024.37 | $1,556.63 |
| Stark County | $573.55 | $650.98 | $733 | $1,024.37 | $1,556.63 |
| Delaware County | $619.99 | $703.69 | $792.35 | $1,107.31 | $1,682.67 |
| Fairfield County | $619.99 | $703.69 | $792.35 | $1,107.31 | $1,682.67 |
| Fayette County | $619.99 | $703.69 | $792.35 | $1,107.31 | $1,682.67 |
| Franklin County | $619.99 | $703.69 | $792.35 | $1,107.31 | $1,682.67 |
| Knox County | $619.99 | $703.69 | $792.35 | $1,107.31 | $1,682.67 |
| Licking County | $619.99 | $703.69 | $792.35 | $1,107.31 | $1,682.67 |
| Logan County | $619.99 | $703.69 | $792.35 | $1,107.31 | $1,682.67 |
| Madison County | $619.99 | $703.69 | $792.35 | $1,107.31 | $1,682.67 |
| Pickaway County | $619.99 | $703.69 | $792.35 | $1,107.31 | $1,682.67 |
| Union County | $619.99 | $703.69 | $792.35 | $1,107.31 | $1,682.67 |
| Belmont County | $635.49 | $721.28 | $812.16 | $1,134.99 | $1,724.72 |
| Coshocton County | $635.49 | $721.28 | $812.16 | $1,134.99 | $1,724.72 |
| Guernsey County | $635.49 | $721.28 | $812.16 | $1,134.99 | $1,724.72 |
| Harrison County | $635.49 | $721.28 | $812.16 | $1,134.99 | $1,724.72 |
| Jefferson County | $635.49 | $721.28 | $812.16 | $1,134.99 | $1,724.72 |
| Monroe County | $635.49 | $721.28 | $812.16 | $1,134.99 | $1,724.72 |
| Morgan County | $635.49 | $721.28 | $812.16 | $1,134.99 | $1,724.72 |
| Muskingum County | $635.49 | $721.28 | $812.16 | $1,134.99 | $1,724.72 |
| Noble County | $635.49 | $721.28 | $812.16 | $1,134.99 | $1,724.72 |
| Perry County | $635.49 | $721.28 | $812.16 | $1,134.99 | $1,724.72 |
| Tuscarawas County | $635.49 | $721.28 | $812.16 | $1,134.99 | $1,724.72 |
| Allen County | $655.42 | $743.90 | $837.62 | $1,170.57 | $1,778.80 |
| Auglaize County | $655.42 | $743.90 | $837.62 | $1,170.57 | $1,778.80 |
| Hancock County | $655.42 | $743.90 | $837.62 | $1,170.57 | $1,778.80 |
| Hardin County | $655.42 | $743.90 | $837.62 | $1,170.57 | $1,778.80 |
| Mercer County | $655.42 | $743.90 | $837.62 | $1,170.57 | $1,778.80 |
| Paulding County | $655.42 | $743.90 | $837.62 | $1,170.57 | $1,778.80 |
| Putnam County | $655.42 | $743.90 | $837.62 | $1,170.57 | $1,778.80 |
| Van Wert County | $655.42 | $743.90 | $837.62 | $1,170.57 | $1,778.80 |
| Marion County | $657.32 | $746.06 | $840.06 | $1,173.98 | $1,783.97 |
| Morrow County | $657.32 | $746.06 | $840.06 | $1,173.98 | $1,783.97 |
| Gallia County | $687.08 | $779.84 | $878.09 | $1,227.13 | $1,864.74 |
| Jackson County | $687.08 | $779.84 | $878.09 | $1,227.13 | $1,864.74 |
| Lawrence County | $687.08 | $779.84 | $878.09 | $1,227.13 | $1,864.74 |
| Pike County | $687.08 | $779.84 | $878.09 | $1,227.13 | $1,864.74 |
| Ross County | $687.08 | $779.84 | $878.09 | $1,227.13 | $1,864.74 |
| Scioto County | $687.08 | $779.84 | $878.09 | $1,227.13 | $1,864.74 |
| Vinton County | $687.08 | $779.84 | $878.09 | $1,227.13 | $1,864.74 |
| Crawford County | $773.99 | $878.48 | $989.16 | $1,382.34 | $2,100.61 |
| Richland County | $773.99 | $878.48 | $989.16 | $1,382.34 | $2,100.61 |
| Athens County | $791.08 | $897.88 | $1,011 | $1,412.87 | $2,147 |
| Hocking County | $791.08 | $897.88 | $1,011 | $1,412.87 | $2,147 |
| Meigs County | $791.08 | $897.88 | $1,011 | $1,412.87 | $2,147 |
| Washington County | $791.08 | $897.88 | $1,011 | $1,412.87 | $2,147 |
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.