Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx — full price in Butler County, Ohio (2026)
Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx (31981OH0030020), a silver plan from Antidote Health Plan of Ohio, Inc. in Butler County, Ohio, costs $548.91/month full price for a 40-year-old in 2026 — $1165.69 at 60, with a $6,500 deductible and $10,600 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 31981OH0030020 · Issuer: Antidote Health Plan of Ohio, Inc. · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0
Full-price premium by age (2026)
| Age | Monthly premium |
|---|---|
| 21 | $429.51 |
| 27 | $450.12 |
| 30 | $487.49 |
| 40 | $548.91 |
| 50 | $767.10 |
| 60 | $1165.69 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $6,500
- Family deductible: $13,000
- Individual out-of-pocket max: $10,600
- Family out-of-pocket max: $21,200
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $483.07/mo. This plan is $548.91/mo at 40 — a difference of $65.84/mo.
The subsidy cliff
In 2026 the enhanced ARP/IRA premium tax credits expire, so households above roughly 400% of the federal poverty level get zero subsidy and pay the full sticker prices listed above. Households under the cliff usually pay far less — how much less depends on income, household size, and county benchmark.
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Other silver plans in Butler County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Silver Classic Standard | Oscar Health Insurance | $481.93 |
| Silver Simple PCP Saver | Oscar Health Insurance | $483.07 |
| Silver Simple Diabetes | Oscar Health Insurance | $483.54 |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | Oscar Health Insurance | $483.72 |
| Silver Simple Chronic Care CKM | Oscar Health Insurance | $488.21 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 31981OH0030020 in FIPS 39017.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Butler County
Reviewed by Jason Burns, Editorial Steward.