CatastrophicHMO

Catastrophic Standard

Antidote Health Plan of Ohio, Inc.

Starting at

$329

/month before subsidy

Key facts

Catastrophic Standard is a 2025 Catastrophic HMO health insurance plan from Antidote Health Plan of Ohio, Inc., sold on the ACA Marketplace in Ohio under plan ID 31981OH0010050. The monthly premium starts at $329 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $9,200 ($18,400 for a family), and the individual out-of-pocket maximum is $9,200 ($18,400 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is not HSA-eligible.

Plan ID
31981OH0010050
Plan year
2025
State
Ohio
Metal level
Catastrophic
Plan type
HMO
HSA-eligible
No

Individual Deductible

$9,200

Family: $18,400

Out-of-Pocket Max

$9,200

Family: $18,400

Coinsurance

0%

You pay after deductible

Network Type

HMO

OHN001

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care VisitSee plan details
Specialist VisitSee plan details
Urgent CareSee plan details
Emergency RoomSee plan details

Prescription Drugs

Generic DrugsSee plan details
Brand Name DrugsSee plan details
Specialty DrugsSee plan details
What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$9,260

your estimated cost

Deductible
$9,200
Copays
$0
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$5,420

your estimated cost

Deductible
$5,400
Copays
$0
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,800

your estimated cost

Deductible
$2,800
Copays
$0
Coinsurance
$0
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
Check a medication
Check a doctor

Enter your ZIP code first to search nearby doctors.

Official Plan Documents
Published by Antidote Health Plan of Ohio, Inc.. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Catastrophic HMO plan is ideal for healthy individuals who want the lowest monthly premium and can handle higher out-of-pocket costs if they need care.

Consider this plan if you:

  • Rarely visit the doctor beyond annual checkups
  • Have savings to cover the $9,200 deductible if needed
  • Primarily need coverage for unexpected emergencies
  • Want to minimize monthly healthcare expenses

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,096/month

Annual Premium

$3,948

OOP Maximum

$9,200

💡 What this means:

With a $9,200 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $9,200 total. Then insurance covers everything else for the year.

More plans from Antidote Health Plan of Ohio, Inc. in Ohio

View all Marketplace plans in Ohio

Frequently asked questions about Catastrophic Standard

How much does Catastrophic Standard cost per month?

Catastrophic Standard from Antidote Health Plan of Ohio, Inc. starts at $329 per month before any subsidy in Ohio. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for Catastrophic Standard?

The individual medical deductible is $9,200, and the family deductible is $18,400. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for Catastrophic Standard?

The most you would pay in a year for covered in-network care is $9,200 for an individual and $18,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Catastrophic Standard HSA-eligible?

No. Catastrophic Standard is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does Catastrophic Standard use?

Catastrophic Standard is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

Understand what you'd actually pay

Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.