Gold $500 w/ Virtual & Wellness ON-EX
Gold · HMO · MedMutual · Ohio
At age 40 it costs between $621.93 and $1,024.88 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 | 99969OH0080545 |
|---|---|
| Insurer | MedMutual |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $500 |
| Deductible (family) | $1,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,500 |
| Family maximum | $15,000 |
| Primary care visit | $20 |
| Specialist visit | $60 |
| 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 | $486.65 | $552.34 | $621.93 | $869.15 | $1,320.76 |
| Clark County | $486.65 | $552.34 | $621.93 | $869.15 | $1,320.76 |
| Darke County | $486.65 | $552.34 | $621.93 | $869.15 | $1,320.76 |
| Greene County | $486.65 | $552.34 | $621.93 | $869.15 | $1,320.76 |
| Miami County | $486.65 | $552.34 | $621.93 | $869.15 | $1,320.76 |
| Montgomery County | $486.65 | $552.34 | $621.93 | $869.15 | $1,320.76 |
| Preble County | $486.65 | $552.34 | $621.93 | $869.15 | $1,320.76 |
| Shelby County | $486.65 | $552.34 | $621.93 | $869.15 | $1,320.76 |
| Adams County | $543.48 | $616.85 | $694.57 | $970.66 | $1,475.01 |
| Brown County | $543.48 | $616.85 | $694.57 | $970.66 | $1,475.01 |
| Clermont County | $543.48 | $616.85 | $694.57 | $970.66 | $1,475.01 |
| Clinton County | $543.48 | $616.85 | $694.57 | $970.66 | $1,475.01 |
| Highland County | $543.48 | $616.85 | $694.57 | $970.66 | $1,475.01 |
| Defiance County | $544.21 | $617.68 | $695.51 | $971.97 | $1,477 |
| Fulton County | $544.21 | $617.68 | $695.51 | $971.97 | $1,477 |
| Henry County | $544.21 | $617.68 | $695.51 | $971.97 | $1,477 |
| Lucas County | $544.21 | $617.68 | $695.51 | $971.97 | $1,477 |
| Williams County | $544.21 | $617.68 | $695.51 | $971.97 | $1,477 |
| Wood County | $544.21 | $617.68 | $695.51 | $971.97 | $1,477 |
| Columbiana County | $545.05 | $618.63 | $696.57 | $973.46 | $1,479.26 |
| Mahoning County | $545.05 | $618.63 | $696.57 | $973.46 | $1,479.26 |
| Trumbull County | $545.05 | $618.63 | $696.57 | $973.46 | $1,479.26 |
| Ashtabula County | $548.96 | $623.07 | $701.58 | $980.45 | $1,489.89 |
| Cuyahoga County | $548.96 | $623.07 | $701.58 | $980.45 | $1,489.89 |
| Geauga County | $548.96 | $623.07 | $701.58 | $980.45 | $1,489.89 |
| Lake County | $548.96 | $623.07 | $701.58 | $980.45 | $1,489.89 |
| Lorain County | $548.96 | $623.07 | $701.58 | $980.45 | $1,489.89 |
| Butler County | $556.32 | $631.43 | $710.98 | $993.59 | $1,509.86 |
| Hamilton County | $556.32 | $631.43 | $710.98 | $993.59 | $1,509.86 |
| Warren County | $556.32 | $631.43 | $710.98 | $993.59 | $1,509.86 |
| Ashland County | $569.32 | $646.18 | $727.59 | $1,016.80 | $1,545.13 |
| Medina County | $569.32 | $646.18 | $727.59 | $1,016.80 | $1,545.13 |
| Portage County | $569.32 | $646.18 | $727.59 | $1,016.80 | $1,545.13 |
| Summit County | $569.32 | $646.18 | $727.59 | $1,016.80 | $1,545.13 |
| Erie County | $578.61 | $656.72 | $739.46 | $1,033.40 | $1,570.34 |
| Huron County | $578.61 | $656.72 | $739.46 | $1,033.40 | $1,570.34 |
| Ottawa County | $578.61 | $656.72 | $739.46 | $1,033.40 | $1,570.34 |
| Sandusky County | $578.61 | $656.72 | $739.46 | $1,033.40 | $1,570.34 |
| Seneca County | $578.61 | $656.72 | $739.46 | $1,033.40 | $1,570.34 |
| Wyandot County | $578.61 | $656.72 | $739.46 | $1,033.40 | $1,570.34 |
| Holmes County | $579.13 | $657.31 | $740.13 | $1,034.33 | $1,571.76 |
| Wayne County | $579.13 | $657.31 | $740.13 | $1,034.33 | $1,571.76 |
| Carroll County | $581.43 | $659.92 | $743.06 | $1,038.43 | $1,577.99 |
| Stark County | $581.43 | $659.92 | $743.06 | $1,038.43 | $1,577.99 |
| Delaware County | $628.51 | $713.35 | $803.23 | $1,122.51 | $1,705.76 |
| Fairfield County | $628.51 | $713.35 | $803.23 | $1,122.51 | $1,705.76 |
| Fayette County | $628.51 | $713.35 | $803.23 | $1,122.51 | $1,705.76 |
| Franklin County | $628.51 | $713.35 | $803.23 | $1,122.51 | $1,705.76 |
| Knox County | $628.51 | $713.35 | $803.23 | $1,122.51 | $1,705.76 |
| Licking County | $628.51 | $713.35 | $803.23 | $1,122.51 | $1,705.76 |
| Logan County | $628.51 | $713.35 | $803.23 | $1,122.51 | $1,705.76 |
| Madison County | $628.51 | $713.35 | $803.23 | $1,122.51 | $1,705.76 |
| Pickaway County | $628.51 | $713.35 | $803.23 | $1,122.51 | $1,705.76 |
| Union County | $628.51 | $713.35 | $803.23 | $1,122.51 | $1,705.76 |
| Belmont County | $644.22 | $731.18 | $823.31 | $1,150.57 | $1,748.40 |
| Coshocton County | $644.22 | $731.18 | $823.31 | $1,150.57 | $1,748.40 |
| Guernsey County | $644.22 | $731.18 | $823.31 | $1,150.57 | $1,748.40 |
| Harrison County | $644.22 | $731.18 | $823.31 | $1,150.57 | $1,748.40 |
| Jefferson County | $644.22 | $731.18 | $823.31 | $1,150.57 | $1,748.40 |
| Monroe County | $644.22 | $731.18 | $823.31 | $1,150.57 | $1,748.40 |
| Morgan County | $644.22 | $731.18 | $823.31 | $1,150.57 | $1,748.40 |
| Muskingum County | $644.22 | $731.18 | $823.31 | $1,150.57 | $1,748.40 |
| Noble County | $644.22 | $731.18 | $823.31 | $1,150.57 | $1,748.40 |
| Perry County | $644.22 | $731.18 | $823.31 | $1,150.57 | $1,748.40 |
| Tuscarawas County | $644.22 | $731.18 | $823.31 | $1,150.57 | $1,748.40 |
| Allen County | $664.41 | $754.11 | $849.12 | $1,186.64 | $1,803.22 |
| Auglaize County | $664.41 | $754.11 | $849.12 | $1,186.64 | $1,803.22 |
| Hancock County | $664.41 | $754.11 | $849.12 | $1,186.64 | $1,803.22 |
| Hardin County | $664.41 | $754.11 | $849.12 | $1,186.64 | $1,803.22 |
| Mercer County | $664.41 | $754.11 | $849.12 | $1,186.64 | $1,803.22 |
| Paulding County | $664.41 | $754.11 | $849.12 | $1,186.64 | $1,803.22 |
| Putnam County | $664.41 | $754.11 | $849.12 | $1,186.64 | $1,803.22 |
| Van Wert County | $664.41 | $754.11 | $849.12 | $1,186.64 | $1,803.22 |
| Marion County | $666.34 | $756.30 | $851.59 | $1,190.09 | $1,808.46 |
| Morrow County | $666.34 | $756.30 | $851.59 | $1,190.09 | $1,808.46 |
| Gallia County | $696.51 | $790.54 | $890.14 | $1,243.97 | $1,890.33 |
| Jackson County | $696.51 | $790.54 | $890.14 | $1,243.97 | $1,890.33 |
| Lawrence County | $696.51 | $790.54 | $890.14 | $1,243.97 | $1,890.33 |
| Pike County | $696.51 | $790.54 | $890.14 | $1,243.97 | $1,890.33 |
| Ross County | $696.51 | $790.54 | $890.14 | $1,243.97 | $1,890.33 |
| Scioto County | $696.51 | $790.54 | $890.14 | $1,243.97 | $1,890.33 |
| Vinton County | $696.51 | $790.54 | $890.14 | $1,243.97 | $1,890.33 |
| Crawford County | $784.61 | $890.54 | $1,002.74 | $1,401.32 | $2,129.44 |
| Richland County | $784.61 | $890.54 | $1,002.74 | $1,401.32 | $2,129.44 |
| Athens County | $801.94 | $910.20 | $1,024.88 | $1,432.27 | $2,176.47 |
| Hocking County | $801.94 | $910.20 | $1,024.88 | $1,432.27 | $2,176.47 |
| Meigs County | $801.94 | $910.20 | $1,024.88 | $1,432.27 | $2,176.47 |
| Washington County | $801.94 | $910.20 | $1,024.88 | $1,432.27 | $2,176.47 |
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.