Silver $5,800 w/ Virtual & Wellness ON-EX
Silver · HMO · MedMutual · Ohio
At age 40 it costs between $536.45 and $884.02 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 | $5,800 | $9,800 | $30 | No Charge |
| up to 150% of the federal poverty level | $0 | $1,500 | No Charge | No Charge |
| 150% to 200% | $1,000 | $3,350 | $10 | No Charge |
| 200% to 250% | $3,400 | $8,100 | $30 | No Charge |
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 | 99969OH0080547 |
|---|---|
| Insurer | MedMutual |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $5,800 |
| Deductible (family) | $11,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,800 |
| Family maximum | $19,600 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 35% Coinsurance after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | No Charge |
| Preferred brand drugs | $60 Copay after deductible |
| 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 | $419.76 | $476.43 | $536.45 | $749.69 | $1,139.23 |
| Clark County | $419.76 | $476.43 | $536.45 | $749.69 | $1,139.23 |
| Darke County | $419.76 | $476.43 | $536.45 | $749.69 | $1,139.23 |
| Greene County | $419.76 | $476.43 | $536.45 | $749.69 | $1,139.23 |
| Miami County | $419.76 | $476.43 | $536.45 | $749.69 | $1,139.23 |
| Montgomery County | $419.76 | $476.43 | $536.45 | $749.69 | $1,139.23 |
| Preble County | $419.76 | $476.43 | $536.45 | $749.69 | $1,139.23 |
| Shelby County | $419.76 | $476.43 | $536.45 | $749.69 | $1,139.23 |
| Adams County | $468.79 | $532.07 | $599.11 | $837.25 | $1,272.29 |
| Brown County | $468.79 | $532.07 | $599.11 | $837.25 | $1,272.29 |
| Clermont County | $468.79 | $532.07 | $599.11 | $837.25 | $1,272.29 |
| Clinton County | $468.79 | $532.07 | $599.11 | $837.25 | $1,272.29 |
| Highland County | $468.79 | $532.07 | $599.11 | $837.25 | $1,272.29 |
| Defiance County | $469.42 | $532.79 | $599.91 | $838.38 | $1,274 |
| Fulton County | $469.42 | $532.79 | $599.91 | $838.38 | $1,274 |
| Henry County | $469.42 | $532.79 | $599.91 | $838.38 | $1,274 |
| Lucas County | $469.42 | $532.79 | $599.91 | $838.38 | $1,274 |
| Williams County | $469.42 | $532.79 | $599.91 | $838.38 | $1,274 |
| Wood County | $469.42 | $532.79 | $599.91 | $838.38 | $1,274 |
| Columbiana County | $470.14 | $533.61 | $600.84 | $839.66 | $1,275.95 |
| Mahoning County | $470.14 | $533.61 | $600.84 | $839.66 | $1,275.95 |
| Trumbull County | $470.14 | $533.61 | $600.84 | $839.66 | $1,275.95 |
| Ashtabula County | $473.51 | $537.44 | $605.15 | $845.69 | $1,285.12 |
| Cuyahoga County | $473.51 | $537.44 | $605.15 | $845.69 | $1,285.12 |
| Geauga County | $473.51 | $537.44 | $605.15 | $845.69 | $1,285.12 |
| Lake County | $473.51 | $537.44 | $605.15 | $845.69 | $1,285.12 |
| Lorain County | $473.51 | $537.44 | $605.15 | $845.69 | $1,285.12 |
| Butler County | $479.86 | $544.64 | $613.26 | $857.03 | $1,302.34 |
| Hamilton County | $479.86 | $544.64 | $613.26 | $857.03 | $1,302.34 |
| Warren County | $479.86 | $544.64 | $613.26 | $857.03 | $1,302.34 |
| Ashland County | $491.07 | $557.37 | $627.59 | $877.05 | $1,332.77 |
| Medina County | $491.07 | $557.37 | $627.59 | $877.05 | $1,332.77 |
| Portage County | $491.07 | $557.37 | $627.59 | $877.05 | $1,332.77 |
| Summit County | $491.07 | $557.37 | $627.59 | $877.05 | $1,332.77 |
| Erie County | $499.08 | $566.46 | $637.83 | $891.36 | $1,354.52 |
| Huron County | $499.08 | $566.46 | $637.83 | $891.36 | $1,354.52 |
| Ottawa County | $499.08 | $566.46 | $637.83 | $891.36 | $1,354.52 |
| Sandusky County | $499.08 | $566.46 | $637.83 | $891.36 | $1,354.52 |
| Seneca County | $499.08 | $566.46 | $637.83 | $891.36 | $1,354.52 |
| Wyandot County | $499.08 | $566.46 | $637.83 | $891.36 | $1,354.52 |
| Holmes County | $499.53 | $566.97 | $638.41 | $892.17 | $1,355.74 |
| Wayne County | $499.53 | $566.97 | $638.41 | $892.17 | $1,355.74 |
| Carroll County | $501.52 | $569.22 | $640.94 | $895.71 | $1,361.11 |
| Stark County | $501.52 | $569.22 | $640.94 | $895.71 | $1,361.11 |
| Delaware County | $542.12 | $615.31 | $692.83 | $968.23 | $1,471.32 |
| Fairfield County | $542.12 | $615.31 | $692.83 | $968.23 | $1,471.32 |
| Fayette County | $542.12 | $615.31 | $692.83 | $968.23 | $1,471.32 |
| Franklin County | $542.12 | $615.31 | $692.83 | $968.23 | $1,471.32 |
| Knox County | $542.12 | $615.31 | $692.83 | $968.23 | $1,471.32 |
| Licking County | $542.12 | $615.31 | $692.83 | $968.23 | $1,471.32 |
| Logan County | $542.12 | $615.31 | $692.83 | $968.23 | $1,471.32 |
| Madison County | $542.12 | $615.31 | $692.83 | $968.23 | $1,471.32 |
| Pickaway County | $542.12 | $615.31 | $692.83 | $968.23 | $1,471.32 |
| Union County | $542.12 | $615.31 | $692.83 | $968.23 | $1,471.32 |
| Belmont County | $555.67 | $630.69 | $710.15 | $992.43 | $1,508.10 |
| Coshocton County | $555.67 | $630.69 | $710.15 | $992.43 | $1,508.10 |
| Guernsey County | $555.67 | $630.69 | $710.15 | $992.43 | $1,508.10 |
| Harrison County | $555.67 | $630.69 | $710.15 | $992.43 | $1,508.10 |
| Jefferson County | $555.67 | $630.69 | $710.15 | $992.43 | $1,508.10 |
| Monroe County | $555.67 | $630.69 | $710.15 | $992.43 | $1,508.10 |
| Morgan County | $555.67 | $630.69 | $710.15 | $992.43 | $1,508.10 |
| Muskingum County | $555.67 | $630.69 | $710.15 | $992.43 | $1,508.10 |
| Noble County | $555.67 | $630.69 | $710.15 | $992.43 | $1,508.10 |
| Perry County | $555.67 | $630.69 | $710.15 | $992.43 | $1,508.10 |
| Tuscarawas County | $555.67 | $630.69 | $710.15 | $992.43 | $1,508.10 |
| Allen County | $573.10 | $650.46 | $732.42 | $1,023.55 | $1,555.38 |
| Auglaize County | $573.10 | $650.46 | $732.42 | $1,023.55 | $1,555.38 |
| Hancock County | $573.10 | $650.46 | $732.42 | $1,023.55 | $1,555.38 |
| Hardin County | $573.10 | $650.46 | $732.42 | $1,023.55 | $1,555.38 |
| Mercer County | $573.10 | $650.46 | $732.42 | $1,023.55 | $1,555.38 |
| Paulding County | $573.10 | $650.46 | $732.42 | $1,023.55 | $1,555.38 |
| Putnam County | $573.10 | $650.46 | $732.42 | $1,023.55 | $1,555.38 |
| Van Wert County | $573.10 | $650.46 | $732.42 | $1,023.55 | $1,555.38 |
| Marion County | $574.76 | $652.35 | $734.55 | $1,026.52 | $1,559.90 |
| Morrow County | $574.76 | $652.35 | $734.55 | $1,026.52 | $1,559.90 |
| Gallia County | $600.78 | $681.89 | $767.80 | $1,073 | $1,630.53 |
| Jackson County | $600.78 | $681.89 | $767.80 | $1,073 | $1,630.53 |
| Lawrence County | $600.78 | $681.89 | $767.80 | $1,073 | $1,630.53 |
| Pike County | $600.78 | $681.89 | $767.80 | $1,073 | $1,630.53 |
| Ross County | $600.78 | $681.89 | $767.80 | $1,073 | $1,630.53 |
| Scioto County | $600.78 | $681.89 | $767.80 | $1,073 | $1,630.53 |
| Vinton County | $600.78 | $681.89 | $767.80 | $1,073 | $1,630.53 |
| Crawford County | $676.78 | $768.14 | $864.92 | $1,208.72 | $1,836.77 |
| Richland County | $676.78 | $768.14 | $864.92 | $1,208.72 | $1,836.77 |
| Athens County | $691.72 | $785.10 | $884.02 | $1,235.42 | $1,877.33 |
| Hocking County | $691.72 | $785.10 | $884.02 | $1,235.42 | $1,877.33 |
| Meigs County | $691.72 | $785.10 | $884.02 | $1,235.42 | $1,877.33 |
| Washington County | $691.72 | $785.10 | $884.02 | $1,235.42 | $1,877.33 |
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.