Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx — full price in Portage County, Ohio (2026)
Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx (31981OH0030030), a gold plan from Antidote Health Plan of Ohio, Inc. in Portage County, Ohio, costs $700.13/month full price for a 40-year-old in 2026 — $1486.81 at 60, with a $3,000 deductible and $9,000 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 31981OH0030030 · 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 | $547.83 |
| 27 | $574.13 |
| 30 | $621.79 |
| 40 | $700.13 |
| 50 | $978.42 |
| 60 | $1486.81 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $3,000
- Family deductible: $6,000
- Individual out-of-pocket max: $9,000
- Family out-of-pocket max: $18,000
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $503.81/mo. This plan is $700.13/mo at 40 — a difference of $196.32/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 gold plans in Portage County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Clear Gold | Ambetter from Buckeye Health Plan | $555.16 |
| Standard Gold | Ambetter from Buckeye Health Plan | $569.65 |
| Clear Gold + Vision + Adult Dental | Ambetter from Buckeye Health Plan | $572.27 |
| Standard Gold + Vision + Adult Dental | Ambetter from Buckeye Health Plan | $587.21 |
| SummaCare Gold 2000 with 3 Free PCP Visits | SummaCare | $592.37 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 31981OH0030030 in FIPS 39133.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Portage County
Reviewed by Jason Burns, Editorial Steward.