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Ohio Marketplace Health Insurance: 2027 Plans and In-Network Doctors

8 insurers sell 149 medical plans on HealthCare.gov in Ohio for 2027, and 40 dental plans are also available. Oscar Health offers the most, 40 plans. Anthem Blue Cross and Blue Shield has the largest network, with 50,514 Ohio doctors, practices and hospitals. Individual deductibles run from $0 to $12,000, and 3 insurers offer $0-deductible plans.

8 insurers 149 medical plans Deductibles $0 to $12,000 99,490 doctors and facilities in a network

Source: CMS Marketplace plan files for plan year 2027 and insurer provider directories. Updated November 8, 2026.

NPI Profile does not sell insurance or enroll anyone in a plan. This free tool uses public files from CMS and insurers to help you compare plans and check whether your doctor is in a plan's network.

Are your doctors in these plans?

Add up to 3 doctors and every plan below shows whether they are in network.

All 149 plans

Monthly premiums are not shown: they depend on your age, county, household size and income. HealthCare.gov lists them for your household.

Deductible: what you pay for covered care before the plan starts to pay. Out-of-pocket max: the most you pay in a year for covered in-network care. After that, the plan pays 100%.
UnitedHealthcare

UHC Gold Copay Focus $0 Ded

GoldHMO
Deductible$0$0 family
Out-of-pocket max$8,200$16,400 family
Having a baby$2,060CMS example
$0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals
Plan ID 33931OH0030032Sold in 42 Ohio counties45% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Gold Copay Focus+ $0 Ded

GoldHMO
Deductible$0$0 family
Out-of-pocket max$8,200$16,400 family
Having a baby$2,060CMS example
$0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals
Plan ID 33931OH0070008Sold in 42 Ohio counties45% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Oscar Health

Gold Elite Saver Plus

GoldHMO
Deductible$0$0 family
Out-of-pocket max$11,750$23,500 family
Having a baby$3,690CMS example
Plan ID 29341OH0100035Sold in 64 Ohio counties35% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Gold Elite Saver Plus with Adult Dental & Vision

GoldHMO
Deductible$0$0 family
Out-of-pocket max$11,750$23,500 family
Having a baby$3,690CMS example
Plan ID 29341OH0100150Sold in 64 Ohio counties35% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Gold Elite Saver Plus | Cleveland Clinic

GoldHMO
Deductible$0$0 family
Out-of-pocket max$11,750$23,500 family
Having a baby$3,690CMS example
Plan ID 45845OH0100035Sold in 14 Ohio counties35% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
Oscar Health

Bronze Elite + PCP Saver Plus

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$4,200CMS example
Plan ID 29341OH0100064Sold in 64 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$4,060CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals
Plan ID 33931OH0030035Sold in 42 Ohio counties50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Bronze Copay Focus+ $0 Indiv Med Ded

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$4,060CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals
Plan ID 33931OH0070004Sold in 42 Ohio counties50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Copay Focus $0 Indiv Med Ded

SilverHMO
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$3,460CMS example
$0 Virtual Urgent Care, $0 Insulin, No Referrals
Plan ID 33931OH0030030Sold in 42 Ohio counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Copay Focus+ $0 Indiv Med Ded

SilverHMO
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$3,460CMS example
$0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals
Plan ID 33931OH0070007Sold in 42 Ohio counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
MedMutual

MedMutual Gold $1,000 ON-EX

GoldHMO
Deductible$1,000$2,000 family
Out-of-pocket max$8,000$16,000 family
Having a baby$5,060CMS example
Plan ID 80627OH0250002Sold statewide35% coinsuranceNo referral needed
Network: Individual HMO
Details
Oscar Health

Gold Simple Diabetes

GoldHMO
Deductible$1,000$2,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,000CMS example
Plan ID 29341OH0100096Sold in 64 Ohio counties20% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Ambetter Health

Clear Gold

GoldHMO
Deductible$1,200$2,400 family
Out-of-pocket max$9,150$18,300 family
Having a baby$3,900CMS example
Plan ID 41047OH0010067Sold in 72 Ohio counties30% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Clear Gold + Vision + Adult Dental

GoldHMO
Deductible$1,200$2,400 family
Out-of-pocket max$9,150$18,300 family
Having a baby$3,900CMS example
Plan ID 41047OH0030071Sold in 72 Ohio counties30% coinsuranceNo referral needed
Network: Premier
Details
UnitedHealthcare

UHC Gold Advantage

GoldHMO
Deductible$1,300$2,600 family
Out-of-pocket max$7,500$15,000 family
Having a baby$5,460CMS example
$0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals
Plan ID 33931OH0030042Sold in 42 Ohio counties45% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Gold Advantage+

GoldHMO
Deductible$1,300$2,600 family
Out-of-pocket max$7,500$15,000 family
Having a baby$5,460CMS example
$0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals
Plan ID 33931OH0070002Sold in 42 Ohio counties45% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Ambetter Health

Complete Gold

GoldHMO
Deductible$1,450$2,900 family
Out-of-pocket max$9,500$19,000 family
Having a baby$3,310CMS example
Plan ID 41047OH0010041Sold in 72 Ohio counties20% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Complete Gold + Vision + Adult Dental

GoldHMO
Deductible$1,450$2,900 family
Out-of-pocket max$9,500$19,000 family
Having a baby$3,310CMS example
Plan ID 41047OH0030041Sold in 72 Ohio counties20% coinsuranceNo referral needed
Network: Premier
Details
SummaCare

SummaCare Gold 2000 with 3 Free PCP Visits

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$4,170CMS example
Plan ID 52664OH1530026Sold in 4 Ohio counties20% coinsuranceNo referral needed
Network: SCConnect
Details
Anthem Blue Cross and Blue Shield

Anthem Gold Pathway 2500 Standard

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
$0 Select Drugs + Incentives
Plan ID 29276OH0970009Sold statewide25% coinsuranceNo referral needed
Network: Pathway X HMO and Pharmacy Base Network
Details
Oscar Health

Gold Classic Standard

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,720CMS example
Plan ID 29341OH0100053Sold in 64 Ohio counties25% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Gold Classic Standard | Cleveland Clinic

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,720CMS example
Plan ID 45845OH0100053Sold in 14 Ohio counties25% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
Antidote Health

Gold Standard

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,300CMS example
Plan ID 31981OH0010030Sold in 51 Ohio counties25% coinsuranceNo referral needed
Network: Antidote Ohio Network One
Details
MedMutual

MedMutual Gold Standard $2,500 ON-EX

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
Plan ID 80627OH0250016Sold statewide25% coinsuranceNo referral needed
Network: Individual HMO
Details
Ambetter Health

Signature Gold

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,500CMS example
Plan ID 41047OH0010071Sold in 72 Ohio counties25% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Signature Gold + Vision + Adult Dental

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,500CMS example
Plan ID 41047OH0030074Sold in 72 Ohio counties25% coinsuranceNo referral needed
Network: Premier
Details
SummaCare

SummaCare Standard Gold

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
Plan ID 52664OH1530036Sold in 4 Ohio counties25% coinsuranceNo referral needed
Network: SCConnect
Details
UnitedHealthcare

UHC Gold Standard

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,760CMS example
$0 Insulin, No Referrals
Plan ID 33931OH0030014Sold in 42 Ohio counties25% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Gold Standard+

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,760CMS example
$0 Insulin, Dental + Vision, No Referrals
Plan ID 33931OH0070009Sold in 42 Ohio counties25% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Oscar Health

Gold Simple

GoldHMO
Deductible$2,750$5,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$4,330CMS example
Plan ID 29341OH0100013Sold in 64 Ohio counties20% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
MedMutual

MedMutual Gold $3,500 HSA ON-EX

GoldHMOHSA
Deductible$3,500$7,000 family
Out-of-pocket max$3,500$7,000 family
Having a baby$3,560CMS example
Plan ID 80627OH0250004Sold statewideNo coinsuranceNo referral needed
Network: Individual HMO
Details
Anthem Blue Cross and Blue Shield

Anthem Silver Pathway 4000

SilverHMO
Deductible$4,000$8,000 family
Out-of-pocket max$11,500$23,000 family
Having a baby$8,070CMS example
$0 Select Drugs + Incentives
Plan ID 29276OH0970005Sold statewide30% coinsuranceNo referral needed
Network: Pathway X HMO, and Rx Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Silver Pathway 4000 Adult Dental/Vision

SilverHMO
Deductible$4,000$8,000 family
Out-of-pocket max$11,500$23,000 family
Having a baby$8,070CMS example
$0 Select Drugs + Incentives
Plan ID 29276OH0970011Sold statewide30% coinsuranceNo referral needed
Network: Pathway X HMO, Dental Prime, and Rx Choice Tiered Network
Details
Ambetter Health

Streamlined Silver

SilverHMO
Deductible$4,700$9,400 family
Out-of-pocket max$11,300$22,600 family
Having a baby$6,560CMS example
Plan ID 41047OH0010034Sold in 72 Ohio counties30% coinsuranceNo referral needed
Network: Premier
Details
Oscar Health

Bronze Classic 4700

Expanded BronzeHMOHSA
Deductible$4,700$9,400 family
Out-of-pocket max$12,000$24,000 family
Having a baby$7,700CMS example
Plan ID 29341OH0100024Sold in 64 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Bronze Classic 4700 | Cleveland Clinic

Expanded BronzeHMOHSA
Deductible$4,700$9,400 family
Out-of-pocket max$12,000$24,000 family
Having a baby$7,700CMS example
Plan ID 45845OH0100094Sold in 14 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
MedMutual

MedMutual Silver $5,000 ON-EX

SilverHMO
Deductible$5,000$10,000 family
Out-of-pocket max$9,000$18,000 family
Having a baby$7,350CMS example
Plan ID 80627OH0250005Sold statewide35% coinsuranceNo referral needed
Network: Individual HMO
Details
Anthem Blue Cross and Blue Shield

Anthem Heart Healthy Silver Pathway 5000

SilverHMO
Deductible$5,000$10,000 family
Out-of-pocket max$10,400$20,800 family
Having a baby$8,770CMS example
$0 Select Drugs + Incentives
Plan ID 29276OH0970006Sold statewide25% coinsuranceNo referral needed
Network: Pathway X HMO, and Rx Choice Tiered Network
Details
UnitedHealthcare

UHC Silver Advantage

SilverHMO
Deductible$5,000$10,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$7,560CMS example
$0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals
Plan ID 33931OH0030031Sold in 42 Ohio counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Advantage+

SilverHMO
Deductible$5,000$10,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$7,560CMS example
$0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals
Plan ID 33931OH0070001Sold in 42 Ohio counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Anthem Blue Cross and Blue Shield

Anthem Silver Pathway 5200 HSA

SilverHMOHSA
Deductible$5,200$10,400 family
Out-of-pocket max$8,000$16,000 family
Having a baby$5,960CMS example
+ Incentives
Plan ID 29276OH0970004Sold statewide10% coinsuranceNo referral needed
Network: Pathway X HMO, and Rx Choice Tiered Network
Details
Oscar Health

Bronze Simple Breathe Easy with Enhanced COPD Benefits

Expanded BronzeHMOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,100CMS example
Plan ID 29341OH0100056Sold in 64 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Bronze Simple Chronic Care CKM

Expanded BronzeHMOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,100CMS example
Plan ID 29341OH0100057Sold in 64 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Bronze Simple Chronic Care CKM | Cleveland Clinic

Expanded BronzeHMOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,100CMS example
Plan ID 45845OH0100056Sold in 14 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
Oscar Health

Bronze Simple Diabetes

Expanded BronzeHMOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,100CMS example
Plan ID 29341OH0100058Sold in 64 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Bronze Simple Diabetes with Adult Dental & Vision

Expanded BronzeHMOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,100CMS example
Plan ID 29341OH0100147Sold in 64 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Bronze Simple Diabetes | Cleveland Clinic

Expanded BronzeHMOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,100CMS example
Plan ID 45845OH0100057Sold in 14 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
Oscar Health

Silver Simple PCP Saver

SilverHMO
Deductible$5,750$11,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,750CMS example
Plan ID 29341OH0100025Sold in 64 Ohio counties40% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Silver Simple PCP Saver | Cleveland Clinic

SilverHMO
Deductible$5,750$11,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,750CMS example
Plan ID 45845OH0100025Sold in 14 Ohio counties40% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
Ambetter Health

Enhanced CHF Heart Care Silver $0 Rx Options

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$10,400$20,800 family
Having a baby$7,960CMS example
Plan ID 41047OH0010035Sold in 72 Ohio counties50% coinsuranceNo referral needed
Network: Premier
Details
Oscar Health

Silver Simple Women's Health with Menopause Benefits

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$11,000$22,000 family
Having a baby$8,000CMS example
Plan ID 29341OH0100063Sold in 64 Ohio counties45% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Anthem Blue Cross and Blue Shield

Anthem Heart Healthy Bronze Pathway 6000 HSA

Expanded BronzeHMOHSA
Deductible$6,000$12,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,370CMS example
$0 Select Drugs + Incentives
Plan ID 29276OH0970002Sold statewide30% coinsuranceNo referral needed
Network: Pathway X HMO, and Rx Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Silver Pathway 6400 Standard

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
$0 Select Drugs + Incentives
Plan ID 29276OH0970008Sold statewide40% coinsuranceNo referral needed
Network: Pathway X HMO and Pharmacy Base Network
Details
MedMutual

MedMutual Silver Standard $6,400 ON-EX

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
Plan ID 80627OH0250017Sold statewide40% coinsuranceNo referral needed
Network: Individual HMO
Details
Ambetter Health

Signature Silver

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$7,910CMS example
Plan ID 41047OH0010070Sold in 72 Ohio counties40% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Signature Silver + Vision + Adult Dental

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$7,910CMS example
Plan ID 41047OH0030073Sold in 72 Ohio counties40% coinsuranceNo referral needed
Network: Premier
Details
Oscar Health

Silver Classic Standard

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,320CMS example
Plan ID 29341OH0100052Sold in 64 Ohio counties40% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Silver Classic Standard | Cleveland Clinic

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,320CMS example
Plan ID 45845OH0100052Sold in 14 Ohio counties40% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
Antidote Health

Silver Standard

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$9,100CMS example
Plan ID 31981OH0010020Sold in 51 Ohio counties40% coinsuranceNo referral needed
Network: Antidote Ohio Network One
Details
SummaCare

SummaCare Standard Silver

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
Plan ID 52664OH1530035Sold in 4 Ohio counties40% coinsuranceNo referral needed
Network: SCConnect
Details
UnitedHealthcare

UHC Silver Standard

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,360CMS example
$0 Insulin, No Referrals
Plan ID 33931OH0030021Sold in 42 Ohio counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Standard+

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,360CMS example
$0 Insulin, Dental + Vision, No Referrals
Plan ID 33931OH0070006Sold in 42 Ohio counties40% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Oscar Health

Silver Simple Chronic Care CKM

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,400CMS example
Plan ID 29341OH0100060Sold in 64 Ohio counties45% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Silver Simple Chronic Care CKM | Cleveland Clinic

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,400CMS example
Plan ID 45845OH0100060Sold in 14 Ohio counties45% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
Oscar Health

Silver Simple Diabetes

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,400CMS example
Plan ID 29341OH0100062Sold in 64 Ohio counties45% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Silver Simple Diabetes with Adult Dental & Vision

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,400CMS example
Plan ID 29341OH0100149Sold in 64 Ohio counties45% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Silver Simple Diabetes | Cleveland Clinic

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,400CMS example
Plan ID 45845OH0100045Sold in 14 Ohio counties45% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
MedMutual

MedMutual Silver $6,900 ON-EX

SilverHMO
Deductible$6,900$13,800 family
Out-of-pocket max$9,500$19,000 family
Having a baby$8,650CMS example
Plan ID 80627OH0250008Sold statewide35% coinsuranceNo referral needed
Network: Individual HMO
Details
Ambetter Health

Complete Silver

SilverHMO
Deductible$6,950$13,900 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,110CMS example
Plan ID 41047OH0010025Sold in 72 Ohio counties40% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Complete Silver + Vision + Adult Dental

SilverHMO
Deductible$6,950$13,900 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,110CMS example
Plan ID 41047OH0030025Sold in 72 Ohio counties40% coinsuranceNo referral needed
Network: Premier
Details
SummaCare

SummaCare Silver 7000 with 3 Free PCP Visits

SilverHMO
Deductible$7,000$14,000 family
Out-of-pocket max$9,600$19,200 family
Having a baby$9,870CMS example
Plan ID 52664OH1530030Sold in 4 Ohio counties50% coinsuranceNo referral needed
Network: SCConnect
Details
Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway 7500 HSA Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,070CMS example
$0 Select Drugs + Incentives
Plan ID 29276OH0970007Sold statewide50% coinsuranceNo referral needed
Network: Pathway X HMO and Pharmacy Base Network
Details
Oscar Health

Bronze Classic Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,320CMS example
Plan ID 29341OH0100050Sold in 64 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Bronze Classic Standard | Cleveland Clinic

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,320CMS example
Plan ID 45845OH0100050Sold in 14 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
Antidote Health

Bronze Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,300CMS example
Plan ID 31981OH0010010Sold in 51 Ohio counties50% coinsuranceNo referral needed
Network: Antidote Ohio Network One
Details
MedMutual

MedMutual Bronze Standard $7,500 ON-EX

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,070CMS example
Plan ID 80627OH0250018Sold statewide50% coinsuranceNo referral needed
Network: Individual HMO
Details
Ambetter Health

Signature Expanded Bronze

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,820CMS example
Plan ID 41047OH0010069Sold in 72 Ohio counties50% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Signature Expanded Bronze + Vision + Adult Dental

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,820CMS example
Plan ID 41047OH0030072Sold in 72 Ohio counties50% coinsuranceNo referral needed
Network: Premier
Details
SummaCare

SummaCare Standard Bronze

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,070CMS example
Plan ID 52664OH1530032Sold in 4 Ohio counties50% coinsuranceNo referral needed
Network: SCConnect
Details
UnitedHealthcare

UHC Bronze Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,360CMS example
HSA, $0 Insulin, No Referrals
Plan ID 33931OH0030026Sold in 42 Ohio counties50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Bronze Standard+

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,360CMS example
HSA, $0 Insulin, Dental + Vision, No Referrals
Plan ID 33931OH0070005Sold in 42 Ohio counties50% coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Ambetter Health

Choice Bronze HSA

Expanded BronzeHMOHSA
Deductible$7,950$15,900 family
Out-of-pocket max$7,950$15,900 family
Having a baby$8,010CMS example
Plan ID 41047OH0010045Sold in 72 Ohio countiesNo coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Choice Bronze HSA + Vision + Adult Dental

Expanded BronzeHMOHSA
Deductible$7,950$15,900 family
Out-of-pocket max$7,950$15,900 family
Having a baby$8,010CMS example
Plan ID 41047OH0030045Sold in 72 Ohio countiesNo coinsuranceNo referral needed
Network: Premier
Details
SummaCare

SummaCare Bronze 8000

BronzeHMOHSA
Deductible$8,000$16,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,360CMS example
Plan ID 52664OH1530023Sold in 4 Ohio counties50% coinsuranceNo referral needed
Network: SCConnect
Details
SummaCare

SummaCare Bronze 8000 with Adult Vision Exam

BronzeHMOHSA
Deductible$8,000$16,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,360CMS example
Plan ID 52664OH1540003Sold in 4 Ohio counties50% coinsuranceNo referral needed
Network: SCConnect
Details
MedMutual

MedMutual Bronze $8,300 ON-EX

Expanded BronzeHMOHSA
Deductible$8,300$16,600 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,470CMS example
Plan ID 80627OH0250010Sold statewide50% coinsuranceNo referral needed
Network: Individual HMO
Details
Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway 9000 HSA

Expanded BronzeHMOHSA
Deductible$9,000$18,000 family
Out-of-pocket max$9,000$18,000 family
Having a baby$9,060CMS example
$0 Select Drugs + Incentives
Plan ID 29276OH0970012Sold statewideNo coinsuranceNo referral needed
Network: Pathway X HMO, and Rx Choice Tiered Network
Details
Oscar Health

Silver Core Plan

SilverHMO
Deductible$9,000$18,000 family
Out-of-pocket max$10,300$20,600 family
Having a baby$9,800CMS example
Plan ID 29341OH0100104Sold in 64 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio Buckeye
Details
Oscar Health

Silver Core Plan | Cleveland Clinic

SilverHMO
Deductible$9,000$18,000 family
Out-of-pocket max$10,300$20,600 family
Having a baby$9,800CMS example
Plan ID 45845OH0100095Sold in 14 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
Oscar Health

Bronze Classic PCP Saver | Cleveland Clinic

Expanded BronzeHMOHSA
Deductible$9,000$18,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,800CMS example
Plan ID 45845OH0100002Sold in 14 Ohio counties50% coinsuranceNo referral needed
Network: Individual Ohio with Cleveland Clinic
Details
Ambetter Health

Everyday Bronze

Expanded BronzeHMOHSA
Deductible$9,350$18,700 family
Out-of-pocket max$11,100$22,200 family
Having a baby$9,460CMS example
Plan ID 41047OH0010057Sold in 72 Ohio counties50% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Everyday Bronze + Vision + Adult Dental

Expanded BronzeHMOHSA
Deductible$9,350$18,700 family
Out-of-pocket max$11,100$22,200 family
Having a baby$9,460CMS example
Plan ID 41047OH0030057Sold in 72 Ohio counties50% coinsuranceNo referral needed
Network: Premier
Details
Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway 11700 HSA

Expanded BronzeHMOHSA
Deductible$11,700$23,400 family
Out-of-pocket max$11,700$23,400 family
Having a baby$11,760CMS example
$0 Select Drugs + Incentives
Plan ID 29276OH0970001Sold statewideNo coinsuranceNo referral needed
Network: Pathway X HMO, and Rx Choice Tiered Network
Details
Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway 11700 HSA Adult Dental/Vision

Expanded BronzeHMOHSA
Deductible$11,700$23,400 family
Out-of-pocket max$11,700$23,400 family
Having a baby$11,760CMS example
$0 Select Drugs + Incentives
Plan ID 29276OH0970010Sold statewideNo coinsuranceNo referral needed
Network: Pathway X HMO, Dental Prime, and Rx Choice Tiered Network
Details
UnitedHealthcare

UHC Bronze Essential

BronzeHMOHSA
Deductible$11,750$23,500 family
Out-of-pocket max$11,750$23,500 family
Having a baby$11,260CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals
Plan ID 33931OH0030044Sold in 42 Ohio countiesNo coinsuranceNo referral needed
Network: Individual Exchange Benefit Plan Network
Details
Anthem Blue Cross and Blue Shield

Anthem Catastrophic Pathway HSA

CatastrophicHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
+ Incentives
Plan ID 29276OH0970003Sold statewideNo coinsuranceNo referral needed
Network: Pathway X HMO, and Rx Choice Tiered Network
Details
Antidote Health

Catastrophic Standard

CatastrophicHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,600CMS example
Plan ID 31981OH0010050Sold in 51 Ohio countiesNo coinsuranceNo referral needed
Network: Antidote Ohio Network One
Details
MedMutual

MedMutual Bronze $12,000 Max Saver ON-EX

Expanded BronzeHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
Plan ID 80627OH0250014Sold statewideNo coinsuranceNo referral needed
Network: Individual HMO
Details
MedMutual

MedMutual Catastrophic ON-EX

CatastrophicHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
Plan ID 80627OH0250015Sold statewideNo coinsuranceNo referral needed
Network: Individual HMO
Details
SummaCare

SummaCare Bronze 12000 with 3 Free PCP Visits

Expanded BronzeHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
Plan ID 52664OH1530022Sold in 4 Ohio countiesNo coinsuranceNo referral needed
Network: SCConnect
Details

Insurers selling Ohio Marketplace plans

Select an insurer to see only its plans. No 2027 plans from CareSource, Molina Healthcare, and Paramount, which sold plans here for 2026.

InsurerPlansDeductiblesOut-of-pocket maxDoctors in networkDirectory updatedAction
Oscar Health 40 $0 to $9,000 $8,500 to $12,000 35,301 Nov 5, 2026 See plans
Antidote Health 28 $2,500 to $12,000 $8,600 to $12,000 28,075 Jan 1, 2026 See plans
Ambetter Health 19 $1,200 to $9,350 $7,950 to $12,000 34,477 Nov 4, 2026 See plans
UnitedHealthcare 17 $0 to $11,750 $7,500 to $12,000 26,544 Nov 5, 2026 See plans
SummaCare 14 $1,000 to $12,000 $8,000 to $12,000 5,544 Nov 3, 2026 See plans
Anthem Blue Cross and Blue Shield 12 $2,500 to $12,000 $8,000 to $12,000 50,514 Nov 5, 2026 See plans
MedMutual 10 $1,000 to $12,000 $3,500 to $12,000 49,033 Nov 4, 2026 See plans
AmeriHealth Caritas Next 9 $0 to $12,000 $8,600 to $12,000 14,056 Nov 5, 2026 See plans

Dental-only insurers

9 insurers sell stand-alone dental plans in Ohio but no medical plans.

InsurerDental plansDentists in network
BEST Life52,602
Delta Dental of Ohio53,986
Dominion National52,350
DentaQuest4721
EMI Health41,396
Guardian42,149
HRI Dental & Vision32,493
TRUASSURE INSURANCE COMPANY32,468
Humana13,862

Where the in-network doctors are

Doctors and facilities in Ohio listed by at least one Marketplace insurer, by city and by primary specialty.

Top cities

Columbus12,293
Cincinnati9,500
Cleveland9,239
Toledo3,473
Dayton3,190
Akron3,068
Canton1,740
Dublin1,364
Westerville1,351
Youngstown1,255
Beachwood1,069
Lima968

Top specialties

Nurse Practitioner16,365
Counselor10,415
Social Worker7,930
Internal Medicine7,711
Dentist6,118
Physician Assistant4,614
Family Medicine4,229
Pediatrics3,107
Clinic/Center2,520
Optometrist2,447
Physical Therapist2,431
Psychiatry & Neurology2,164

Questions about Ohio Marketplace plans

Which insurers sell Marketplace plans in Ohio?
8 insurers sell medical plans for 2027: Oscar Health, Antidote Health, Ambetter Health, UnitedHealthcare, SummaCare, Anthem Blue Cross and Blue Shield, MedMutual, and AmeriHealth Caritas Next. 9 more insurers sell dental plans only.
When can I enroll in a Ohio Marketplace plan for 2027?
Open enrollment for 2027 coverage runs Nov 1, 2026 to Jan 15, 2027 on HealthCare.gov. Outside those dates you need a qualifying life event, such as losing other coverage, moving or having a baby.
Which insurer has the most doctors in Ohio?
Anthem Blue Cross and Blue Shield lists 50,514 Ohio doctors, practices and hospitals, 28,172 of them accepting new patients. Directories can be out of date, so call the office to confirm before you enroll.
What is the lowest deductible on a Ohio Marketplace plan?
12 plans have a $0 individual deductible. Deductibles run from $0 to $12,000. A lower deductible usually means a higher monthly premium, so compare the out-of-pocket maximum too.
Which plan year does this page cover?
Plans, deductibles and out-of-pocket maximums are from the 2027 CMS plan files. A doctor counts as in network only when the insurer's directory lists them for 2027 plans.
Which insurers stopped selling Marketplace plans in Ohio for 2027?
CareSource, Molina Healthcare, and Paramount sold medical plans in Ohio for 2026 and have no 2027 plans in the CMS plan files. People enrolled in those plans can choose a new plan during open enrollment.
Are all Ohio plans sold in every county?
No. 127 plans are sold only in some counties, and 22 plans are sold statewide. Choose your county above the plan list to see only the plans sold where you live.
Why are there no monthly premiums on this page?
Premiums depend on your age, county, household size and income, and most enrollees get a subsidy, so a single price would mislead. Prices are listed on HealthCare.gov. This page compares what the plans cover: deductibles, out-of-pocket maximums, coinsurance and networks.

About this data

NPI Profile is not an insurance company, agent or broker, and it does not sell insurance or enroll anyone in a plan. It is a free reference tool built on public files that CMS and insurers publish, to help you compare Marketplace plans and check whether your current or future doctor is in a plan's network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer. Confirm costs and networks with the insurer and the doctor's office, and enroll on HealthCare.gov.

SourceWhat it provides hereSource date
CMS Marketplace public use filesPlans, deductibles, out-of-pocket maximums and coverage examples, and the counties where each plan is soldPlan year 2027
Insurer provider directoriesWhich doctors, practices and hospitals each insurer lists in its networks. Only providers with an address in Ohio are counted.Updated November 8, 2026
NPPES NPI registryProvider names, practice addresses and primary specialtiesMatched November 8, 2026
  • Only individual-market plans sold on HealthCare.gov are included; small-business (SHOP) and off-exchange plans are left out. A plan an insurer files once per region is shown once.
  • A doctor counts as in network only when the insurer's directory lists them for 2027 plans.
  • Deductibles, out-of-pocket maximums and coinsurance are for one person, in network, for the standard version of each plan. Coverage examples (having a baby, managing type 2 diabetes, a simple fracture) are what CMS's standard scenarios cost under each plan.
  • Directories can be out of date. Call the doctor's office and the insurer to confirm before you enroll.