2026 plan year · Ohio
2026 health insurance plans in Wayne County, OH
113 Marketplace plans from 7 insurers. Premiums below are full monthly prices before tax credits. Use the age columns to see how price changes with age.
- $552benchmark silver (age 40)
- $423cheapest bronze (age 40)
- 7insurers
- +16.9%benchmark change vs. 2025
Insurer changes from 2025
- Leaving: AultCare Insurance Company. See what to do if your insurer leaves.
Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) Anthem Blue Cross and Blue Shield · HMO | $352 | $449 | $954 | $10,600 | $10,600 | No Charge after Deductible |
| Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) Anthem Blue Cross and Blue Shield · HMO | $356 | $455 | $967 | $10,600 | $10,600 | No Charge after Deductible |
Expanded Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx Antidote Health Plan of Ohio, Inc. · HMO | $331 | $423 | $897 | $8,700 | $10,600 | No Charge |
| Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx Antidote Health Plan of Ohio, Inc. · HMO | $340 | $435 | $924 | $8,700 | $10,600 | No Charge |
| Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx Antidote Health Plan of Ohio, Inc. · HMO | $354 | $452 | $961 | $8,000 | $10,600 | No Charge |
| Bronze Standard Antidote Health Plan of Ohio, Inc. · HMO | $360 | $460 | $976 | $7,500 | $10,000 | $50 |
| Bronze $8,300 w/ Virtual & Wellness ON-EX MedMutual · HMO | $362 | $463 | $983 | $8,300 | $10,000 | $30 |
| Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx Antidote Health Plan of Ohio, Inc. · HMO | $364 | $465 | $987 | $8,000 | $10,600 | No Charge |
| Bronze $8,300 w/ Adult Dental ON-EX MedMutual · HMO | $370 | $473 | $1,004 | $8,300 | $10,000 | $30 |
| Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) Anthem Blue Cross and Blue Shield · HMO | $371 | $475 | $1,008 | $6,000 | $10,600 | $50 |
| Bronze Standard w/ Virtual & Wellness MedMutual · HMO | $378 | $484 | $1,027 | $7,500 | $10,000 | $50 |
| Molina Bronze Saver 7000 Molina Healthcare · HMO | $379 | $484 | $1,028 | $7,000 | $10,200 | $75 |
| Anthem Bronze Pathway 8500 for HSA Anthem Blue Cross and Blue Shield · HMO | $379 | $484 | $1,028 | $8,500 | $8,500 | No Charge after Deductible |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) Anthem Blue Cross and Blue Shield · HMO | $381 | $486 | $1,033 | $7,500 | $10,000 | $50 |
| Bronze HSA $7,300 ON-EX MedMutual · HMO | $381 | $487 | $1,034 | $7,300 | $7,300 | No Charge after Deductible |
| Molina Bronze Standard Molina Healthcare · HMO | $382 | $488 | $1,036 | $7,500 | $10,000 | $50 |
| Molina Bronze Saver 7000 Plus with Adult Vision Molina Healthcare · HMO | $382 | $488 | $1,036 | $7,000 | $10,200 | $75 |
| Low Premium Bronze 10600 $25 Generic Drugs CareSource · HMO | $389 | $497 | $1,055 | $10,600 | $10,600 | No Charge after Deductible |
| Molina Bronze Smart Heart Health Molina Healthcare · HMO | $389 | $497 | $1,056 | $4,000 | $9,950 | $50 |
| Molina Bronze Enhanced 3500 Molina Healthcare · HMO | $392 | $501 | $1,064 | $3,500 | $9,950 | $50 |
| Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness CareSource · HMO | $392 | $501 | $1,064 | $10,600 | $10,600 | No Charge after Deductible |
| Molina Bronze Saver 7000 Plus with Adult Dental and Vision Molina Healthcare · HMO | $393 | $502 | $1,067 | $7,000 | $10,200 | $75 |
| Molina Bronze Enhanced 3500 Plus with Adult Vision Molina Healthcare · HMO | $395 | $505 | $1,072 | $3,500 | $9,950 | $50 |
| Bronze 7500 $25 Generic Drugs CareSource · HMO | $401 | $512 | $1,087 | $7,500 | $10,000 | $50 |
| Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness CareSource · HMO | $404 | $516 | $1,096 | $7,500 | $10,000 | $50 |
| Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision Molina Healthcare · HMO | $406 | $519 | $1,103 | $3,500 | $9,950 | $50 |
| Bronze Classic Standard | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $506 | $646 | $1,372 | $7,500 | $10,000 | $50 |
| Bronze Classic PCP Saver | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $513 | $656 | $1,392 | $7,750 | $9,750 | $30 |
| Bronze Simple Diabetes | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $518 | $661 | $1,405 | $5,500 | $10,150 | $50 |
| Standard Expanded Bronze Ambetter from Buckeye Health Plan · HMO | $520 | $664 | $1,410 | $7,500 | $10,000 | $50 |
| Everyday Bronze Ambetter from Buckeye Health Plan · HMO | $521 | $665 | $1,413 | $8,450 | $10,150 | $40 |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $522 | $666 | $1,415 | $5,500 | $10,150 | $50 |
| Bronze Simple HSA | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $522 | $667 | $1,416 | $5,000 | $8,000 | $50 Copay after deductible |
| Bronze Simple Chronic Care CKM | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $525 | $671 | $1,425 | $5,500 | $10,150 | $50 |
| Standard Expanded Bronze + Vision + Adult Dental Ambetter from Buckeye Health Plan · HMO | $536 | $684 | $1,453 | $7,500 | $10,000 | $50 |
| Everyday Bronze + Vision + Adult Dental Ambetter from Buckeye Health Plan · HMO | $537 | $686 | $1,456 | $8,450 | $10,150 | $40 |
| Choice Bronze HSA Ambetter from Buckeye Health Plan · HMO | $562 | $719 | $1,526 | $7,250 | $7,250 | No Charge after Deductible |
| Choice Bronze HSA + Vision + Adult Dental Ambetter from Buckeye Health Plan · HMO | $580 | $741 | $1,573 | $7,250 | $7,250 | No Charge after Deductible |
Silver plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx Antidote Health Plan of Ohio, Inc. · HMO | $422 | $540 | $1,146 | $7,500 | $10,600 | No Charge |
| Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx Antidote Health Plan of Ohio, Inc. · HMO | $432 | $552 | $1,173 | $7,500 | $10,600 | No Charge |
| Molina Silver Saver with Four Free PCP Visits Molina Healthcare · HMO | $433 | $554 | $1,175 | $7,000 | $10,150 | $40 |
| Molina Silver Smart Heart Health Molina Healthcare · HMO | $433 | $554 | $1,176 | $6,000 | $8,990 | $35 |
| Molina Silver Core Molina Healthcare · HMO | $434 | $555 | $1,178 | $6,000 | $8,990 | $35 |
| Molina Silver Core Plus with Adult Vision Molina Healthcare · HMO | $437 | $559 | $1,187 | $6,000 | $8,990 | $35 |
| Molina Silver Standard Molina Healthcare · HMO | $441 | $563 | $1,196 | $6,000 | $8,900 | $40 |
| Molina Silver Core Plus with Adult Dental and Vision Molina Healthcare · HMO | $449 | $574 | $1,218 | $6,000 | $8,990 | $35 |
| Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx Antidote Health Plan of Ohio, Inc. · HMO | $457 | $584 | $1,241 | $6,500 | $10,600 | No Charge |
| Low Premium Silver 6200 $3 Generic Drugs CareSource · HMO | $461 | $589 | $1,251 | $6,200 | $9,800 | $40 |
| Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) Anthem Blue Cross and Blue Shield · HMO | $461 | $589 | $1,251 | $5,000 | $8,950 | $30 |
| Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness CareSource · HMO | $464 | $593 | $1,259 | $6,200 | $9,800 | $40 |
| Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx Antidote Health Plan of Ohio, Inc. · HMO | $467 | $597 | $1,268 | $6,500 | $10,600 | No Charge |
| Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs) Anthem Blue Cross and Blue Shield · HMO | $469 | $599 | $1,272 | $6,000 | $8,900 | $40 |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services CareSource · HMO | $474 | $605 | $1,286 | $5,000 | $9,500 | $30 |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services CareSource · HMO | $475 | $608 | $1,290 | $5,000 | $9,500 | $30 |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness CareSource · HMO | $477 | $610 | $1,294 | $5,000 | $9,500 | $30 |
| Silver 6000 $20 Generic Drugs CareSource · HMO | $477 | $610 | $1,295 | $6,000 | $8,900 | $40 |
| Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs) Anthem Blue Cross and Blue Shield · HMO | $478 | $611 | $1,298 | $4,000 | $9,200 | $35 |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness CareSource · HMO | $479 | $612 | $1,299 | $5,000 | $9,500 | $30 |
| Silver 6000 $20 Generic Drugs + Adult Vision & Fitness CareSource · HMO | $480 | $614 | $1,304 | $6,000 | $8,900 | $40 |
| Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) Anthem Blue Cross and Blue Shield · HMO | $483 | $617 | $1,311 | $4,000 | $9,200 | $35 |
| Silver Standard Antidote Health Plan of Ohio, Inc. · HMO | $485 | $620 | $1,317 | $6,000 | $8,900 | $40 |
| Silver $5,800 w/ Virtual & Wellness ON-EX MedMutual · HMO | $500 | $638 | $1,356 | $5,800 | $9,800 | $30 |
| Anthem Silver Pathway 5500 for HSA Anthem Blue Cross and Blue Shield · HMO | $500 | $639 | $1,357 | $5,500 | $5,500 | No Charge after Deductible |
| Silver Standard w/ Virtual & Wellness MedMutual · HMO | $512 | $654 | $1,389 | $6,000 | $8,900 | $40 |
| Silver $5,000 w/ Virtual & Wellness ON-EX MedMutual · HMO | $512 | $654 | $1,390 | $5,000 | $8,500 | $30 |
| Silver $5,000 w/ Adult Dental ON-EX MedMutual · HMO | $522 | $667 | $1,417 | $5,000 | $8,500 | $30 |
| HDHP Preventive Silver 5500 $0 Chronic Care Drugs CareSource · HMO | $549 | $701 | $1,489 | $5,500 | $5,500 | No Charge after Deductible |
| Silver Simple Diabetes | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $561 | $716 | $1,521 | $6,500 | $10,000 | No Charge |
| Silver Simple PCP Saver | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $561 | $717 | $1,523 | $5,750 | $10,150 | $5 |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $563 | $720 | $1,528 | $6,200 | $9,600 | No Charge |
| Silver Classic Standard | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $565 | $723 | $1,534 | $6,000 | $8,900 | $40 |
| Silver Simple Chronic Care CKM | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $568 | $726 | $1,542 | $5,900 | $10,150 | No Charge |
| Silver Simple Women's Health with Menopause Benefits | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $572 | $731 | $1,553 | $6,000 | $10,150 | No Charge |
| Silver Elite Saver Plus | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $584 | $746 | $1,584 | $0 | $9,750 | $60 |
| Standard Silver Ambetter from Buckeye Health Plan · HMO | $639 | $817 | $1,735 | $6,000 | $8,900 | $40 |
| Complete Silver Ambetter from Buckeye Health Plan · HMO | $650 | $831 | $1,764 | $5,950 | $8,850 | $30 |
| Standard Silver + Vision + Adult Dental Ambetter from Buckeye Health Plan · HMO | $659 | $842 | $1,788 | $6,000 | $8,900 | $40 |
| Complete Silver + Vision + Adult Dental Ambetter from Buckeye Health Plan · HMO | $670 | $856 | $1,818 | $5,950 | $8,850 | $30 |
Gold plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Molina Gold Core 1640 Molina Healthcare · HMO | $501 | $640 | $1,360 | $1,640 | $8,100 | $25 |
| Molina Gold Smart Heart Health Molina Healthcare · HMO | $503 | $642 | $1,364 | $1,640 | $8,100 | $25 |
| Molina Gold Enhanced 895 Molina Healthcare · HMO | $503 | $643 | $1,365 | $895 | $8,700 | $25 |
| Molina Gold Core 1640 Plus with Adult Vision Molina Healthcare · HMO | $504 | $645 | $1,369 | $1,640 | $8,100 | $25 |
| Molina Gold Enhanced 895 Plus with Adult Vision Molina Healthcare · HMO | $506 | $647 | $1,373 | $895 | $8,700 | $25 |
| Molina Gold Core 1640 Plus with Adult Dental and Vision Molina Healthcare · HMO | $515 | $659 | $1,399 | $1,640 | $8,100 | $25 |
| Molina Gold Enhanced 895 Plus with Adult Dental and Vision Molina Healthcare · HMO | $517 | $661 | $1,404 | $895 | $8,700 | $25 |
| Molina Gold Standard Molina Healthcare · HMO | $523 | $669 | $1,420 | $2,000 | $8,200 | $30 |
| Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx Antidote Health Plan of Ohio, Inc. · HMO | $546 | $697 | $1,481 | $3,500 | $9,000 | No Charge |
| Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx Antidote Health Plan of Ohio, Inc. · HMO | $556 | $710 | $1,509 | $3,500 | $9,000 | No Charge |
| Gold Standard w/ Virtual & Wellness MedMutual · HMO | $571 | $730 | $1,550 | $2,000 | $8,200 | $30 |
| Gold $500 w/ Virtual & Wellness ON-EX MedMutual · HMO | $579 | $740 | $1,572 | $500 | $7,500 | $20 |
| Gold $1,000 w/ Virtual & Wellness ON-EX MedMutual · HMO | $580 | $741 | $1,574 | $1,000 | $8,000 | $20 |
| Gold $1,000 w/ Adult Dental ON-EX MedMutual · HMO | $591 | $755 | $1,603 | $1,000 | $8,000 | $20 |
| Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx Antidote Health Plan of Ohio, Inc. · HMO | $600 | $767 | $1,630 | $3,000 | $9,000 | No Charge |
| Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx Antidote Health Plan of Ohio, Inc. · HMO | $611 | $780 | $1,657 | $3,000 | $9,000 | No Charge |
| Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) Anthem Blue Cross and Blue Shield · HMO | $626 | $800 | $1,698 | $2,000 | $8,200 | $30 |
| Clear Gold Ambetter from Buckeye Health Plan · HMO | $637 | $814 | $1,729 | $1,200 | $9,150 | $25 |
| Gold Standard Antidote Health Plan of Ohio, Inc. · HMO | $638 | $815 | $1,731 | $2,000 | $8,200 | $30 |
| Gold Classic Standard | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $639 | $816 | $1,733 | $2,000 | $8,200 | $30 |
| Standard Gold Ambetter from Buckeye Health Plan · HMO | $654 | $835 | $1,774 | $2,000 | $8,200 | $30 |
| Clear Gold + Vision + Adult Dental Ambetter from Buckeye Health Plan · HMO | $657 | $839 | $1,782 | $1,200 | $9,150 | $25 |
| Gold Elite | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $659 | $842 | $1,787 | $750 | $7,500 | $25 |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services CareSource · HMO | $668 | $853 | $1,812 | $3,000 | $8,500 | $10 |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness CareSource · HMO | $671 | $857 | $1,820 | $3,000 | $8,500 | $10 |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services CareSource · HMO | $673 | $860 | $1,826 | $3,000 | $8,500 | $10 |
| Standard Gold + Vision + Adult Dental Ambetter from Buckeye Health Plan · HMO | $674 | $861 | $1,828 | $2,000 | $8,200 | $30 |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness CareSource · HMO | $676 | $864 | $1,834 | $3,000 | $8,500 | $10 |
| Gold Elite Saver Plus | Cleveland Clinic Oscar Insurance Corporation of Ohio · HMO | $677 | $865 | $1,836 | $0 | $8,900 | No Charge |
| Complete Gold Ambetter from Buckeye Health Plan · HMO | $684 | $874 | $1,856 | $1,450 | $7,500 | $15 |
| Core Gold 1500 $10 Generic Drugs CareSource · HMO | $700 | $894 | $1,899 | $1,500 | $8,000 | $20 |
| Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness CareSource · HMO | $703 | $898 | $1,908 | $1,500 | $8,000 | $20 |
| Complete Gold + Vision + Adult Dental Ambetter from Buckeye Health Plan · HMO | $705 | $901 | $1,913 | $1,450 | $7,500 | $15 |
| Gold 2000 $15 Generic Drugs CareSource · HMO | $731 | $935 | $1,985 | $2,000 | $8,200 | $30 |
| Gold 2000 $15 Generic Drugs + Adult Vision & Fitness CareSource · HMO | $735 | $939 | $1,994 | $2,000 | $8,200 | $30 |
Care quality in Wayne County
Marketplace plans use networks. Check that the hospitals and doctors you'd want are in network, and how they're rated.
Turning 65?
Marketplace plans are for people who aren't on Medicare. See Medicare Advantage plans in Wayne County.
Frequently asked questions
How many Marketplace health plans are available in Wayne County, OH for 2026?
113 plans from 7 insurers: Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual, Molina Healthcare, Oscar Insurance Corporation of Ohio.
What is the benchmark silver plan premium in Wayne County, OH?
For 2026, the second-lowest-cost silver plan costs $552 a month for a 40-year-old before tax credits, up 16.9% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.
What is the cheapest health plan in Wayne County, OH?
The lowest bronze premium for a 40-year-old is $423 a month before tax credits. Bronze plans have low premiums but high deductibles.
Did any insurers leave Wayne County, OH?
AultCare Insurance Company offered plans here in 2025 but doesn't for 2026. If you had one of their plans, you'll need to pick a new plan during open enrollment, or you may be moved to a similar plan automatically.