Silver Simple Women's Health with Menopause Benefits — full price in Franklin County, Ohio (2026)
Silver Simple Women's Health with Menopause Benefits (29341OH0100063), a silver plan from Oscar Health Insurance in Franklin County, Ohio, costs $549.94/month full price for a 40-year-old in 2026 — $1167.87 at 60, with a $6,000 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 29341OH0100063 · Issuer: Oscar Health Insurance · 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 | $430.32 |
| 27 | $450.97 |
| 30 | $488.40 |
| 40 | $549.94 |
| 50 | $768.54 |
| 60 | $1167.87 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $6,000
- Family deductible: $12,000
- Individual out-of-pocket max: $10,150
- Family out-of-pocket max: $20,300
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $538.05/mo. This plan is $549.94/mo at 40 — a difference of $11.89/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.
Not affiliated with the U.S. government. Informational only — see the full disclaimer in the footer.
Other silver plans in Franklin County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| 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. | $527.69 |
| Silver Classic Standard | Oscar Health Insurance | $538.05 |
| Silver Simple PCP Saver | Oscar Health Insurance | $539.32 |
| Silver Simple Diabetes | Oscar Health Insurance | $539.84 |
| 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. | $539.95 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 29341OH0100063 in FIPS 39049.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Franklin County
Reviewed by Jason Burns, Editorial Steward.