Gold $1,000 w/ Virtual & Wellness ON-EX
Gold · HMO · MedMutual · Ohio
At age 40 it costs between $622.77 and $1,026.27 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 | 99969OH0080543 |
|---|---|
| Insurer | MedMutual |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $1,000 |
| Deductible (family) | $2,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,000 |
| Family maximum | $16,000 |
| Primary care visit | $20 |
| Specialist visit | $50 |
| Emergency room | 35% Coinsurance after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | No Charge |
| Preferred brand drugs | $50 |
| Specialty drugs | 35% Coinsurance 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 | $487.30 | $553.09 | $622.77 | $870.33 | $1,322.54 |
| Clark County | $487.30 | $553.09 | $622.77 | $870.33 | $1,322.54 |
| Darke County | $487.30 | $553.09 | $622.77 | $870.33 | $1,322.54 |
| Greene County | $487.30 | $553.09 | $622.77 | $870.33 | $1,322.54 |
| Miami County | $487.30 | $553.09 | $622.77 | $870.33 | $1,322.54 |
| Montgomery County | $487.30 | $553.09 | $622.77 | $870.33 | $1,322.54 |
| Preble County | $487.30 | $553.09 | $622.77 | $870.33 | $1,322.54 |
| Shelby County | $487.30 | $553.09 | $622.77 | $870.33 | $1,322.54 |
| Adams County | $544.22 | $617.69 | $695.51 | $971.98 | $1,477.01 |
| Brown County | $544.22 | $617.69 | $695.51 | $971.98 | $1,477.01 |
| Clermont County | $544.22 | $617.69 | $695.51 | $971.98 | $1,477.01 |
| Clinton County | $544.22 | $617.69 | $695.51 | $971.98 | $1,477.01 |
| Highland County | $544.22 | $617.69 | $695.51 | $971.98 | $1,477.01 |
| Defiance County | $544.95 | $618.52 | $696.45 | $973.28 | $1,479 |
| Fulton County | $544.95 | $618.52 | $696.45 | $973.28 | $1,479 |
| Henry County | $544.95 | $618.52 | $696.45 | $973.28 | $1,479 |
| Lucas County | $544.95 | $618.52 | $696.45 | $973.28 | $1,479 |
| Williams County | $544.95 | $618.52 | $696.45 | $973.28 | $1,479 |
| Wood County | $544.95 | $618.52 | $696.45 | $973.28 | $1,479 |
| Columbiana County | $545.79 | $619.47 | $697.52 | $974.78 | $1,481.27 |
| Mahoning County | $545.79 | $619.47 | $697.52 | $974.78 | $1,481.27 |
| Trumbull County | $545.79 | $619.47 | $697.52 | $974.78 | $1,481.27 |
| Ashtabula County | $549.71 | $623.92 | $702.53 | $981.78 | $1,491.90 |
| Cuyahoga County | $549.71 | $623.92 | $702.53 | $981.78 | $1,491.90 |
| Geauga County | $549.71 | $623.92 | $702.53 | $981.78 | $1,491.90 |
| Lake County | $549.71 | $623.92 | $702.53 | $981.78 | $1,491.90 |
| Lorain County | $549.71 | $623.92 | $702.53 | $981.78 | $1,491.90 |
| Butler County | $557.08 | $632.28 | $711.94 | $994.94 | $1,511.90 |
| Hamilton County | $557.08 | $632.28 | $711.94 | $994.94 | $1,511.90 |
| Warren County | $557.08 | $632.28 | $711.94 | $994.94 | $1,511.90 |
| Ashland County | $570.09 | $647.05 | $728.57 | $1,018.18 | $1,547.22 |
| Medina County | $570.09 | $647.05 | $728.57 | $1,018.18 | $1,547.22 |
| Portage County | $570.09 | $647.05 | $728.57 | $1,018.18 | $1,547.22 |
| Summit County | $570.09 | $647.05 | $728.57 | $1,018.18 | $1,547.22 |
| Erie County | $579.39 | $657.61 | $740.46 | $1,034.79 | $1,572.47 |
| Huron County | $579.39 | $657.61 | $740.46 | $1,034.79 | $1,572.47 |
| Ottawa County | $579.39 | $657.61 | $740.46 | $1,034.79 | $1,572.47 |
| Sandusky County | $579.39 | $657.61 | $740.46 | $1,034.79 | $1,572.47 |
| Seneca County | $579.39 | $657.61 | $740.46 | $1,034.79 | $1,572.47 |
| Wyandot County | $579.39 | $657.61 | $740.46 | $1,034.79 | $1,572.47 |
| Holmes County | $579.91 | $658.20 | $741.13 | $1,035.73 | $1,573.89 |
| Wayne County | $579.91 | $658.20 | $741.13 | $1,035.73 | $1,573.89 |
| Carroll County | $582.21 | $660.81 | $744.07 | $1,039.84 | $1,580.13 |
| Stark County | $582.21 | $660.81 | $744.07 | $1,039.84 | $1,580.13 |
| Delaware County | $629.36 | $714.32 | $804.32 | $1,124.03 | $1,708.07 |
| Fairfield County | $629.36 | $714.32 | $804.32 | $1,124.03 | $1,708.07 |
| Fayette County | $629.36 | $714.32 | $804.32 | $1,124.03 | $1,708.07 |
| Franklin County | $629.36 | $714.32 | $804.32 | $1,124.03 | $1,708.07 |
| Knox County | $629.36 | $714.32 | $804.32 | $1,124.03 | $1,708.07 |
| Licking County | $629.36 | $714.32 | $804.32 | $1,124.03 | $1,708.07 |
| Logan County | $629.36 | $714.32 | $804.32 | $1,124.03 | $1,708.07 |
| Madison County | $629.36 | $714.32 | $804.32 | $1,124.03 | $1,708.07 |
| Pickaway County | $629.36 | $714.32 | $804.32 | $1,124.03 | $1,708.07 |
| Union County | $629.36 | $714.32 | $804.32 | $1,124.03 | $1,708.07 |
| Belmont County | $645.09 | $732.17 | $824.42 | $1,152.13 | $1,750.77 |
| Coshocton County | $645.09 | $732.17 | $824.42 | $1,152.13 | $1,750.77 |
| Guernsey County | $645.09 | $732.17 | $824.42 | $1,152.13 | $1,750.77 |
| Harrison County | $645.09 | $732.17 | $824.42 | $1,152.13 | $1,750.77 |
| Jefferson County | $645.09 | $732.17 | $824.42 | $1,152.13 | $1,750.77 |
| Monroe County | $645.09 | $732.17 | $824.42 | $1,152.13 | $1,750.77 |
| Morgan County | $645.09 | $732.17 | $824.42 | $1,152.13 | $1,750.77 |
| Muskingum County | $645.09 | $732.17 | $824.42 | $1,152.13 | $1,750.77 |
| Noble County | $645.09 | $732.17 | $824.42 | $1,152.13 | $1,750.77 |
| Perry County | $645.09 | $732.17 | $824.42 | $1,152.13 | $1,750.77 |
| Tuscarawas County | $645.09 | $732.17 | $824.42 | $1,152.13 | $1,750.77 |
| Allen County | $665.31 | $755.13 | $850.27 | $1,188.25 | $1,805.66 |
| Auglaize County | $665.31 | $755.13 | $850.27 | $1,188.25 | $1,805.66 |
| Hancock County | $665.31 | $755.13 | $850.27 | $1,188.25 | $1,805.66 |
| Hardin County | $665.31 | $755.13 | $850.27 | $1,188.25 | $1,805.66 |
| Mercer County | $665.31 | $755.13 | $850.27 | $1,188.25 | $1,805.66 |
| Paulding County | $665.31 | $755.13 | $850.27 | $1,188.25 | $1,805.66 |
| Putnam County | $665.31 | $755.13 | $850.27 | $1,188.25 | $1,805.66 |
| Van Wert County | $665.31 | $755.13 | $850.27 | $1,188.25 | $1,805.66 |
| Marion County | $667.25 | $757.33 | $852.74 | $1,191.70 | $1,810.91 |
| Morrow County | $667.25 | $757.33 | $852.74 | $1,191.70 | $1,810.91 |
| Gallia County | $697.46 | $791.61 | $891.35 | $1,245.66 | $1,892.89 |
| Jackson County | $697.46 | $791.61 | $891.35 | $1,245.66 | $1,892.89 |
| Lawrence County | $697.46 | $791.61 | $891.35 | $1,245.66 | $1,892.89 |
| Pike County | $697.46 | $791.61 | $891.35 | $1,245.66 | $1,892.89 |
| Ross County | $697.46 | $791.61 | $891.35 | $1,245.66 | $1,892.89 |
| Scioto County | $697.46 | $791.61 | $891.35 | $1,245.66 | $1,892.89 |
| Vinton County | $697.46 | $791.61 | $891.35 | $1,245.66 | $1,892.89 |
| Crawford County | $785.68 | $891.74 | $1,004.09 | $1,403.22 | $2,132.32 |
| Richland County | $785.68 | $891.74 | $1,004.09 | $1,403.22 | $2,132.32 |
| Athens County | $803.03 | $911.44 | $1,026.27 | $1,434.21 | $2,179.42 |
| Hocking County | $803.03 | $911.44 | $1,026.27 | $1,434.21 | $2,179.42 |
| Meigs County | $803.03 | $911.44 | $1,026.27 | $1,434.21 | $2,179.42 |
| Washington County | $803.03 | $911.44 | $1,026.27 | $1,434.21 | $2,179.42 |
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.