Silver $5,000 w/ Virtual & Wellness ON-EX
Silver · HMO · MedMutual · Ohio
At age 40 it costs between $549.93 and $906.23 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 | $5,000 | $8,500 | $30 | No Charge |
| up to 150% of the federal poverty level | $0 | $2,000 | No Charge | No Charge |
| 150% to 200% | $500 | $3,000 | $10 | No Charge |
| 200% to 250% | $2,800 | $7,500 | $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 | 99969OH0080548 |
|---|---|
| Insurer | MedMutual |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $5,000 |
| Deductible (family) | $10,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,500 |
| Family maximum | $17,000 |
| 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 | $430.30 | $488.39 | $549.93 | $768.52 | $1,167.84 |
| Clark County | $430.30 | $488.39 | $549.93 | $768.52 | $1,167.84 |
| Darke County | $430.30 | $488.39 | $549.93 | $768.52 | $1,167.84 |
| Greene County | $430.30 | $488.39 | $549.93 | $768.52 | $1,167.84 |
| Miami County | $430.30 | $488.39 | $549.93 | $768.52 | $1,167.84 |
| Montgomery County | $430.30 | $488.39 | $549.93 | $768.52 | $1,167.84 |
| Preble County | $430.30 | $488.39 | $549.93 | $768.52 | $1,167.84 |
| Shelby County | $430.30 | $488.39 | $549.93 | $768.52 | $1,167.84 |
| Adams County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Brown County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Clermont County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Clinton County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Highland County | $480.56 | $545.44 | $614.16 | $858.28 | $1,304.24 |
| Defiance County | $481.21 | $546.17 | $614.98 | $859.44 | $1,306 |
| Fulton County | $481.21 | $546.17 | $614.98 | $859.44 | $1,306 |
| Henry County | $481.21 | $546.17 | $614.98 | $859.44 | $1,306 |
| Lucas County | $481.21 | $546.17 | $614.98 | $859.44 | $1,306 |
| Williams County | $481.21 | $546.17 | $614.98 | $859.44 | $1,306 |
| Wood County | $481.21 | $546.17 | $614.98 | $859.44 | $1,306 |
| Columbiana County | $481.95 | $547.01 | $615.93 | $860.76 | $1,308 |
| Mahoning County | $481.95 | $547.01 | $615.93 | $860.76 | $1,308 |
| Trumbull County | $481.95 | $547.01 | $615.93 | $860.76 | $1,308 |
| Ashtabula County | $485.41 | $550.94 | $620.35 | $866.94 | $1,317.39 |
| Cuyahoga County | $485.41 | $550.94 | $620.35 | $866.94 | $1,317.39 |
| Geauga County | $485.41 | $550.94 | $620.35 | $866.94 | $1,317.39 |
| Lake County | $485.41 | $550.94 | $620.35 | $866.94 | $1,317.39 |
| Lorain County | $485.41 | $550.94 | $620.35 | $866.94 | $1,317.39 |
| Butler County | $491.91 | $558.32 | $628.67 | $878.56 | $1,335.06 |
| Hamilton County | $491.91 | $558.32 | $628.67 | $878.56 | $1,335.06 |
| Warren County | $491.91 | $558.32 | $628.67 | $878.56 | $1,335.06 |
| Ashland County | $503.41 | $571.37 | $643.35 | $899.08 | $1,366.24 |
| Medina County | $503.41 | $571.37 | $643.35 | $899.08 | $1,366.24 |
| Portage County | $503.41 | $571.37 | $643.35 | $899.08 | $1,366.24 |
| Summit County | $503.41 | $571.37 | $643.35 | $899.08 | $1,366.24 |
| Erie County | $511.62 | $580.69 | $653.85 | $913.75 | $1,388.54 |
| Huron County | $511.62 | $580.69 | $653.85 | $913.75 | $1,388.54 |
| Ottawa County | $511.62 | $580.69 | $653.85 | $913.75 | $1,388.54 |
| Sandusky County | $511.62 | $580.69 | $653.85 | $913.75 | $1,388.54 |
| Seneca County | $511.62 | $580.69 | $653.85 | $913.75 | $1,388.54 |
| Wyandot County | $511.62 | $580.69 | $653.85 | $913.75 | $1,388.54 |
| Holmes County | $512.08 | $581.21 | $654.44 | $914.58 | $1,389.79 |
| Wayne County | $512.08 | $581.21 | $654.44 | $914.58 | $1,389.79 |
| Carroll County | $514.11 | $583.52 | $657.04 | $918.20 | $1,395.30 |
| Stark County | $514.11 | $583.52 | $657.04 | $918.20 | $1,395.30 |
| Delaware County | $555.74 | $630.76 | $710.24 | $992.55 | $1,508.28 |
| Fairfield County | $555.74 | $630.76 | $710.24 | $992.55 | $1,508.28 |
| Fayette County | $555.74 | $630.76 | $710.24 | $992.55 | $1,508.28 |
| Franklin County | $555.74 | $630.76 | $710.24 | $992.55 | $1,508.28 |
| Knox County | $555.74 | $630.76 | $710.24 | $992.55 | $1,508.28 |
| Licking County | $555.74 | $630.76 | $710.24 | $992.55 | $1,508.28 |
| Logan County | $555.74 | $630.76 | $710.24 | $992.55 | $1,508.28 |
| Madison County | $555.74 | $630.76 | $710.24 | $992.55 | $1,508.28 |
| Pickaway County | $555.74 | $630.76 | $710.24 | $992.55 | $1,508.28 |
| Union County | $555.74 | $630.76 | $710.24 | $992.55 | $1,508.28 |
| Belmont County | $569.63 | $646.53 | $727.99 | $1,017.36 | $1,545.98 |
| Coshocton County | $569.63 | $646.53 | $727.99 | $1,017.36 | $1,545.98 |
| Guernsey County | $569.63 | $646.53 | $727.99 | $1,017.36 | $1,545.98 |
| Harrison County | $569.63 | $646.53 | $727.99 | $1,017.36 | $1,545.98 |
| Jefferson County | $569.63 | $646.53 | $727.99 | $1,017.36 | $1,545.98 |
| Monroe County | $569.63 | $646.53 | $727.99 | $1,017.36 | $1,545.98 |
| Morgan County | $569.63 | $646.53 | $727.99 | $1,017.36 | $1,545.98 |
| Muskingum County | $569.63 | $646.53 | $727.99 | $1,017.36 | $1,545.98 |
| Noble County | $569.63 | $646.53 | $727.99 | $1,017.36 | $1,545.98 |
| Perry County | $569.63 | $646.53 | $727.99 | $1,017.36 | $1,545.98 |
| Tuscarawas County | $569.63 | $646.53 | $727.99 | $1,017.36 | $1,545.98 |
| Allen County | $587.49 | $666.80 | $750.81 | $1,049.26 | $1,594.45 |
| Auglaize County | $587.49 | $666.80 | $750.81 | $1,049.26 | $1,594.45 |
| Hancock County | $587.49 | $666.80 | $750.81 | $1,049.26 | $1,594.45 |
| Hardin County | $587.49 | $666.80 | $750.81 | $1,049.26 | $1,594.45 |
| Mercer County | $587.49 | $666.80 | $750.81 | $1,049.26 | $1,594.45 |
| Paulding County | $587.49 | $666.80 | $750.81 | $1,049.26 | $1,594.45 |
| Putnam County | $587.49 | $666.80 | $750.81 | $1,049.26 | $1,594.45 |
| Van Wert County | $587.49 | $666.80 | $750.81 | $1,049.26 | $1,594.45 |
| Marion County | $589.20 | $668.74 | $753 | $1,052.31 | $1,599.09 |
| Morrow County | $589.20 | $668.74 | $753 | $1,052.31 | $1,599.09 |
| Gallia County | $615.87 | $699.02 | $787.09 | $1,099.95 | $1,671.48 |
| Jackson County | $615.87 | $699.02 | $787.09 | $1,099.95 | $1,671.48 |
| Lawrence County | $615.87 | $699.02 | $787.09 | $1,099.95 | $1,671.48 |
| Pike County | $615.87 | $699.02 | $787.09 | $1,099.95 | $1,671.48 |
| Ross County | $615.87 | $699.02 | $787.09 | $1,099.95 | $1,671.48 |
| Scioto County | $615.87 | $699.02 | $787.09 | $1,099.95 | $1,671.48 |
| Vinton County | $615.87 | $699.02 | $787.09 | $1,099.95 | $1,671.48 |
| Crawford County | $693.77 | $787.43 | $886.64 | $1,239.08 | $1,882.90 |
| Richland County | $693.77 | $787.43 | $886.64 | $1,239.08 | $1,882.90 |
| Athens County | $709.10 | $804.82 | $906.23 | $1,266.45 | $1,924.49 |
| Hocking County | $709.10 | $804.82 | $906.23 | $1,266.45 | $1,924.49 |
| Meigs County | $709.10 | $804.82 | $906.23 | $1,266.45 | $1,924.49 |
| Washington County | $709.10 | $804.82 | $906.23 | $1,266.45 | $1,924.49 |
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.