Silver Standard w/ Virtual & Wellness
Silver · HMO · MedMutual · Ohio
At age 40 it costs between $549.51 and $905.53 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 | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,200 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $10 |
| 200% to 250% | $3,000 | $7,400 | $40 | $20 |
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 | 99969OH0080496 |
|---|---|
| Insurer | MedMutual |
| Metal level | Silver |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | $350 Copay after deductible |
| 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 | $429.97 | $488.02 | $549.51 | $767.93 | $1,166.95 |
| Clark County | $429.97 | $488.02 | $549.51 | $767.93 | $1,166.95 |
| Darke County | $429.97 | $488.02 | $549.51 | $767.93 | $1,166.95 |
| Greene County | $429.97 | $488.02 | $549.51 | $767.93 | $1,166.95 |
| Miami County | $429.97 | $488.02 | $549.51 | $767.93 | $1,166.95 |
| Montgomery County | $429.97 | $488.02 | $549.51 | $767.93 | $1,166.95 |
| Preble County | $429.97 | $488.02 | $549.51 | $767.93 | $1,166.95 |
| Shelby County | $429.97 | $488.02 | $549.51 | $767.93 | $1,166.95 |
| Adams County | $480.19 | $545.02 | $613.69 | $857.63 | $1,303.24 |
| Brown County | $480.19 | $545.02 | $613.69 | $857.63 | $1,303.24 |
| Clermont County | $480.19 | $545.02 | $613.69 | $857.63 | $1,303.24 |
| Clinton County | $480.19 | $545.02 | $613.69 | $857.63 | $1,303.24 |
| Highland County | $480.19 | $545.02 | $613.69 | $857.63 | $1,303.24 |
| Defiance County | $480.84 | $545.75 | $614.51 | $858.78 | $1,305 |
| Fulton County | $480.84 | $545.75 | $614.51 | $858.78 | $1,305 |
| Henry County | $480.84 | $545.75 | $614.51 | $858.78 | $1,305 |
| Lucas County | $480.84 | $545.75 | $614.51 | $858.78 | $1,305 |
| Williams County | $480.84 | $545.75 | $614.51 | $858.78 | $1,305 |
| Wood County | $480.84 | $545.75 | $614.51 | $858.78 | $1,305 |
| Columbiana County | $481.58 | $546.59 | $615.46 | $860.10 | $1,307 |
| Mahoning County | $481.58 | $546.59 | $615.46 | $860.10 | $1,307 |
| Trumbull County | $481.58 | $546.59 | $615.46 | $860.10 | $1,307 |
| Ashtabula County | $485.04 | $550.52 | $619.88 | $866.27 | $1,316.39 |
| Cuyahoga County | $485.04 | $550.52 | $619.88 | $866.27 | $1,316.39 |
| Geauga County | $485.04 | $550.52 | $619.88 | $866.27 | $1,316.39 |
| Lake County | $485.04 | $550.52 | $619.88 | $866.27 | $1,316.39 |
| Lorain County | $485.04 | $550.52 | $619.88 | $866.27 | $1,316.39 |
| Butler County | $491.54 | $557.90 | $628.18 | $877.89 | $1,334.03 |
| Hamilton County | $491.54 | $557.90 | $628.18 | $877.89 | $1,334.03 |
| Warren County | $491.54 | $557.90 | $628.18 | $877.89 | $1,334.03 |
| Ashland County | $503.02 | $570.93 | $642.86 | $898.39 | $1,365.20 |
| Medina County | $503.02 | $570.93 | $642.86 | $898.39 | $1,365.20 |
| Portage County | $503.02 | $570.93 | $642.86 | $898.39 | $1,365.20 |
| Summit County | $503.02 | $570.93 | $642.86 | $898.39 | $1,365.20 |
| Erie County | $511.23 | $580.24 | $653.35 | $913.05 | $1,387.47 |
| Huron County | $511.23 | $580.24 | $653.35 | $913.05 | $1,387.47 |
| Ottawa County | $511.23 | $580.24 | $653.35 | $913.05 | $1,387.47 |
| Sandusky County | $511.23 | $580.24 | $653.35 | $913.05 | $1,387.47 |
| Seneca County | $511.23 | $580.24 | $653.35 | $913.05 | $1,387.47 |
| Wyandot County | $511.23 | $580.24 | $653.35 | $913.05 | $1,387.47 |
| Holmes County | $511.69 | $580.77 | $653.94 | $913.88 | $1,388.73 |
| Wayne County | $511.69 | $580.77 | $653.94 | $913.88 | $1,388.73 |
| Carroll County | $513.72 | $583.07 | $656.53 | $917.50 | $1,394.23 |
| Stark County | $513.72 | $583.07 | $656.53 | $917.50 | $1,394.23 |
| Delaware County | $555.31 | $630.28 | $709.69 | $991.79 | $1,507.12 |
| Fairfield County | $555.31 | $630.28 | $709.69 | $991.79 | $1,507.12 |
| Fayette County | $555.31 | $630.28 | $709.69 | $991.79 | $1,507.12 |
| Franklin County | $555.31 | $630.28 | $709.69 | $991.79 | $1,507.12 |
| Knox County | $555.31 | $630.28 | $709.69 | $991.79 | $1,507.12 |
| Licking County | $555.31 | $630.28 | $709.69 | $991.79 | $1,507.12 |
| Logan County | $555.31 | $630.28 | $709.69 | $991.79 | $1,507.12 |
| Madison County | $555.31 | $630.28 | $709.69 | $991.79 | $1,507.12 |
| Pickaway County | $555.31 | $630.28 | $709.69 | $991.79 | $1,507.12 |
| Union County | $555.31 | $630.28 | $709.69 | $991.79 | $1,507.12 |
| Belmont County | $569.19 | $646.04 | $727.43 | $1,016.58 | $1,544.79 |
| Coshocton County | $569.19 | $646.04 | $727.43 | $1,016.58 | $1,544.79 |
| Guernsey County | $569.19 | $646.04 | $727.43 | $1,016.58 | $1,544.79 |
| Harrison County | $569.19 | $646.04 | $727.43 | $1,016.58 | $1,544.79 |
| Jefferson County | $569.19 | $646.04 | $727.43 | $1,016.58 | $1,544.79 |
| Monroe County | $569.19 | $646.04 | $727.43 | $1,016.58 | $1,544.79 |
| Morgan County | $569.19 | $646.04 | $727.43 | $1,016.58 | $1,544.79 |
| Muskingum County | $569.19 | $646.04 | $727.43 | $1,016.58 | $1,544.79 |
| Noble County | $569.19 | $646.04 | $727.43 | $1,016.58 | $1,544.79 |
| Perry County | $569.19 | $646.04 | $727.43 | $1,016.58 | $1,544.79 |
| Tuscarawas County | $569.19 | $646.04 | $727.43 | $1,016.58 | $1,544.79 |
| Allen County | $587.04 | $666.29 | $750.24 | $1,048.46 | $1,593.23 |
| Auglaize County | $587.04 | $666.29 | $750.24 | $1,048.46 | $1,593.23 |
| Hancock County | $587.04 | $666.29 | $750.24 | $1,048.46 | $1,593.23 |
| Hardin County | $587.04 | $666.29 | $750.24 | $1,048.46 | $1,593.23 |
| Mercer County | $587.04 | $666.29 | $750.24 | $1,048.46 | $1,593.23 |
| Paulding County | $587.04 | $666.29 | $750.24 | $1,048.46 | $1,593.23 |
| Putnam County | $587.04 | $666.29 | $750.24 | $1,048.46 | $1,593.23 |
| Van Wert County | $587.04 | $666.29 | $750.24 | $1,048.46 | $1,593.23 |
| Marion County | $588.75 | $668.23 | $752.42 | $1,051.50 | $1,597.86 |
| Morrow County | $588.75 | $668.23 | $752.42 | $1,051.50 | $1,597.86 |
| Gallia County | $615.40 | $698.48 | $786.48 | $1,099.11 | $1,670.20 |
| Jackson County | $615.40 | $698.48 | $786.48 | $1,099.11 | $1,670.20 |
| Lawrence County | $615.40 | $698.48 | $786.48 | $1,099.11 | $1,670.20 |
| Pike County | $615.40 | $698.48 | $786.48 | $1,099.11 | $1,670.20 |
| Ross County | $615.40 | $698.48 | $786.48 | $1,099.11 | $1,670.20 |
| Scioto County | $615.40 | $698.48 | $786.48 | $1,099.11 | $1,670.20 |
| Vinton County | $615.40 | $698.48 | $786.48 | $1,099.11 | $1,670.20 |
| Crawford County | $693.24 | $786.83 | $885.97 | $1,238.13 | $1,881.46 |
| Richland County | $693.24 | $786.83 | $885.97 | $1,238.13 | $1,881.46 |
| Athens County | $708.55 | $804.21 | $905.53 | $1,265.48 | $1,923.01 |
| Hocking County | $708.55 | $804.21 | $905.53 | $1,265.48 | $1,923.01 |
| Meigs County | $708.55 | $804.21 | $905.53 | $1,265.48 | $1,923.01 |
| Washington County | $708.55 | $804.21 | $905.53 | $1,265.48 | $1,923.01 |
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.