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Marketplace health plans in Madison County, OH — 2026
What agents look up before working a county's individual market: plans by metal level, insurers, the benchmark silver premium, the lowest bronze premium, deductible and out-of-pocket floors, the population under 65, and what changed since last year.
In 2026, Madison County, Ohio has 115 Marketplace health plans from 7 insurers: 38 bronze, 41 silver, 36 gold. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $539.32 per month; the lowest bronze premium is $397.28.
What changed vs 2025
- Benchmark silver premium up $68.44 a month (+14.5%) from 2025
- 18 more plans than 2025
- Lowest bronze premium up $33.49 a month
Market snapshot
- Residents under 65
- 37,099
- Insurers
- 7
- Plans by metal level
- 38 bronze, 41 silver, 36 gold
- Benchmark silver premium, age 40, before subsidies
- $539.32/mo
- Lowest bronze premium, age 40, before subsidies
- $397.28/mo
- Lowest gold premium, age 40, before subsidies
- $537.68/mo
- Lowest silver deductible
- $0
- Lowest out-of-pocket maximum
- $5,500
Insurers in the county
- Molina Healthcare — 22 plans (Bronze, Silver, Gold)
- CareSource — 21 plans (Bronze, Silver, Gold)
- UnitedHealthcare — 17 plans (Bronze, Silver, Gold)
- Ambetter from Buckeye Health Plan — 16 plans (Bronze, Silver, Gold)
- Oscar Health Insurance — 16 plans (Bronze, Silver, Gold)
- MedMutual — 12 plans (Bronze, Silver, Gold)
- Anthem Blue Cross and Blue Shield — 11 plans (Bronze, Silver, Gold)
Lowest age-40 premium per metal level, before subsidies
| Metal level | Plan | Insurer | Plan type | Monthly premium, age 40 | Deductible | Out-of-pocket maximum | Plans at this level |
|---|
| Bronze | Bronze Classic Standard (29341OH0100050) | Oscar Health Insurance | HMO | $397.28 | $7,500 | $10,000 | 38 |
|---|
| Silver | Silver Classic Standard (29341OH0100052) | Oscar Health Insurance | HMO | $538.05 | $6,000 | $8,900 | 41 |
|---|
| Gold | Gold Classic Standard (29341OH0100053) | Oscar Health Insurance | HMO | $537.68 | $2,000 | $8,200 | 36 |
|---|
One plan per metal level shown, of 115 plans in the county.
Benchmark silver premium by age
The benchmark plan (Oscar Health Insurance) at each age, individual, non-tobacco, before any premium tax credit.
| Age 21 | Age 27 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|
| $422.01 | $442.26 | $478.97 | $539.32 | $753.70 | $1,145.32 |
Nearby counties
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About this data
Premiums are individual, non-tobacco, age 40, before any premium tax credit, from the CMS QHP Landscape Individual Market Medical file for plan year 2026; population: U.S. Census Bureau ACS 5-year 2024.
This page summarizes publicly available CMS data. It does not recommend plans and is not an application. To check subsidy eligibility and enroll, use HealthCare.gov or talk to a licensed agent. HealthCare.gov plan preview.