Silver $5,000 w/ Adult Dental ON-EX
Silver · HMO · MedMutual · Ohio
At age 40 it costs between $560.88 and $924.27 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What 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 | 99969OH0080549 |
|---|---|
| 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 | 98.04% |
| 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 | $438.87 | $498.12 | $560.88 | $783.82 | $1,191.09 |
| Clark County | $438.87 | $498.12 | $560.88 | $783.82 | $1,191.09 |
| Darke County | $438.87 | $498.12 | $560.88 | $783.82 | $1,191.09 |
| Greene County | $438.87 | $498.12 | $560.88 | $783.82 | $1,191.09 |
| Miami County | $438.87 | $498.12 | $560.88 | $783.82 | $1,191.09 |
| Montgomery County | $438.87 | $498.12 | $560.88 | $783.82 | $1,191.09 |
| Preble County | $438.87 | $498.12 | $560.88 | $783.82 | $1,191.09 |
| Shelby County | $438.87 | $498.12 | $560.88 | $783.82 | $1,191.09 |
| Adams County | $490.13 | $556.30 | $626.38 | $875.37 | $1,330.21 |
| Brown County | $490.13 | $556.30 | $626.38 | $875.37 | $1,330.21 |
| Clermont County | $490.13 | $556.30 | $626.38 | $875.37 | $1,330.21 |
| Clinton County | $490.13 | $556.30 | $626.38 | $875.37 | $1,330.21 |
| Highland County | $490.13 | $556.30 | $626.38 | $875.37 | $1,330.21 |
| Defiance County | $490.79 | $557.04 | $627.23 | $876.55 | $1,332 |
| Fulton County | $490.79 | $557.04 | $627.23 | $876.55 | $1,332 |
| Henry County | $490.79 | $557.04 | $627.23 | $876.55 | $1,332 |
| Lucas County | $490.79 | $557.04 | $627.23 | $876.55 | $1,332 |
| Williams County | $490.79 | $557.04 | $627.23 | $876.55 | $1,332 |
| Wood County | $490.79 | $557.04 | $627.23 | $876.55 | $1,332 |
| Columbiana County | $491.54 | $557.90 | $628.19 | $877.89 | $1,334.04 |
| Mahoning County | $491.54 | $557.90 | $628.19 | $877.89 | $1,334.04 |
| Trumbull County | $491.54 | $557.90 | $628.19 | $877.89 | $1,334.04 |
| Ashtabula County | $495.07 | $561.91 | $632.70 | $884.20 | $1,343.62 |
| Cuyahoga County | $495.07 | $561.91 | $632.70 | $884.20 | $1,343.62 |
| Geauga County | $495.07 | $561.91 | $632.70 | $884.20 | $1,343.62 |
| Lake County | $495.07 | $561.91 | $632.70 | $884.20 | $1,343.62 |
| Lorain County | $495.07 | $561.91 | $632.70 | $884.20 | $1,343.62 |
| Butler County | $501.71 | $569.44 | $641.18 | $896.05 | $1,361.63 |
| Hamilton County | $501.71 | $569.44 | $641.18 | $896.05 | $1,361.63 |
| Warren County | $501.71 | $569.44 | $641.18 | $896.05 | $1,361.63 |
| Ashland County | $513.43 | $582.74 | $656.16 | $916.98 | $1,393.44 |
| Medina County | $513.43 | $582.74 | $656.16 | $916.98 | $1,393.44 |
| Portage County | $513.43 | $582.74 | $656.16 | $916.98 | $1,393.44 |
| Summit County | $513.43 | $582.74 | $656.16 | $916.98 | $1,393.44 |
| Erie County | $521.81 | $592.25 | $666.87 | $931.94 | $1,416.18 |
| Huron County | $521.81 | $592.25 | $666.87 | $931.94 | $1,416.18 |
| Ottawa County | $521.81 | $592.25 | $666.87 | $931.94 | $1,416.18 |
| Sandusky County | $521.81 | $592.25 | $666.87 | $931.94 | $1,416.18 |
| Seneca County | $521.81 | $592.25 | $666.87 | $931.94 | $1,416.18 |
| Wyandot County | $521.81 | $592.25 | $666.87 | $931.94 | $1,416.18 |
| Holmes County | $522.28 | $592.78 | $667.47 | $932.79 | $1,417.46 |
| Wayne County | $522.28 | $592.78 | $667.47 | $932.79 | $1,417.46 |
| Carroll County | $524.35 | $595.13 | $670.12 | $936.48 | $1,423.08 |
| Stark County | $524.35 | $595.13 | $670.12 | $936.48 | $1,423.08 |
| Delaware County | $566.80 | $643.32 | $724.37 | $1,012.31 | $1,538.30 |
| Fairfield County | $566.80 | $643.32 | $724.37 | $1,012.31 | $1,538.30 |
| Fayette County | $566.80 | $643.32 | $724.37 | $1,012.31 | $1,538.30 |
| Franklin County | $566.80 | $643.32 | $724.37 | $1,012.31 | $1,538.30 |
| Knox County | $566.80 | $643.32 | $724.37 | $1,012.31 | $1,538.30 |
| Licking County | $566.80 | $643.32 | $724.37 | $1,012.31 | $1,538.30 |
| Logan County | $566.80 | $643.32 | $724.37 | $1,012.31 | $1,538.30 |
| Madison County | $566.80 | $643.32 | $724.37 | $1,012.31 | $1,538.30 |
| Pickaway County | $566.80 | $643.32 | $724.37 | $1,012.31 | $1,538.30 |
| Union County | $566.80 | $643.32 | $724.37 | $1,012.31 | $1,538.30 |
| Belmont County | $580.97 | $659.40 | $742.48 | $1,037.61 | $1,576.76 |
| Coshocton County | $580.97 | $659.40 | $742.48 | $1,037.61 | $1,576.76 |
| Guernsey County | $580.97 | $659.40 | $742.48 | $1,037.61 | $1,576.76 |
| Harrison County | $580.97 | $659.40 | $742.48 | $1,037.61 | $1,576.76 |
| Jefferson County | $580.97 | $659.40 | $742.48 | $1,037.61 | $1,576.76 |
| Monroe County | $580.97 | $659.40 | $742.48 | $1,037.61 | $1,576.76 |
| Morgan County | $580.97 | $659.40 | $742.48 | $1,037.61 | $1,576.76 |
| Muskingum County | $580.97 | $659.40 | $742.48 | $1,037.61 | $1,576.76 |
| Noble County | $580.97 | $659.40 | $742.48 | $1,037.61 | $1,576.76 |
| Perry County | $580.97 | $659.40 | $742.48 | $1,037.61 | $1,576.76 |
| Tuscarawas County | $580.97 | $659.40 | $742.48 | $1,037.61 | $1,576.76 |
| Allen County | $599.19 | $680.08 | $765.76 | $1,070.15 | $1,626.19 |
| Auglaize County | $599.19 | $680.08 | $765.76 | $1,070.15 | $1,626.19 |
| Hancock County | $599.19 | $680.08 | $765.76 | $1,070.15 | $1,626.19 |
| Hardin County | $599.19 | $680.08 | $765.76 | $1,070.15 | $1,626.19 |
| Mercer County | $599.19 | $680.08 | $765.76 | $1,070.15 | $1,626.19 |
| Paulding County | $599.19 | $680.08 | $765.76 | $1,070.15 | $1,626.19 |
| Putnam County | $599.19 | $680.08 | $765.76 | $1,070.15 | $1,626.19 |
| Van Wert County | $599.19 | $680.08 | $765.76 | $1,070.15 | $1,626.19 |
| Marion County | $600.93 | $682.05 | $767.99 | $1,073.26 | $1,630.92 |
| Morrow County | $600.93 | $682.05 | $767.99 | $1,073.26 | $1,630.92 |
| Gallia County | $628.13 | $712.93 | $802.76 | $1,121.85 | $1,704.76 |
| Jackson County | $628.13 | $712.93 | $802.76 | $1,121.85 | $1,704.76 |
| Lawrence County | $628.13 | $712.93 | $802.76 | $1,121.85 | $1,704.76 |
| Pike County | $628.13 | $712.93 | $802.76 | $1,121.85 | $1,704.76 |
| Ross County | $628.13 | $712.93 | $802.76 | $1,121.85 | $1,704.76 |
| Scioto County | $628.13 | $712.93 | $802.76 | $1,121.85 | $1,704.76 |
| Vinton County | $628.13 | $712.93 | $802.76 | $1,121.85 | $1,704.76 |
| Crawford County | $707.59 | $803.11 | $904.30 | $1,263.75 | $1,920.39 |
| Richland County | $707.59 | $803.11 | $904.30 | $1,263.75 | $1,920.39 |
| Athens County | $723.21 | $820.85 | $924.27 | $1,291.66 | $1,962.80 |
| Hocking County | $723.21 | $820.85 | $924.27 | $1,291.66 | $1,962.80 |
| Meigs County | $723.21 | $820.85 | $924.27 | $1,291.66 | $1,962.80 |
| Washington County | $723.21 | $820.85 | $924.27 | $1,291.66 | $1,962.80 |
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.