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GoldHMO

Clear Gold + Vision + Adult Dental

Ambetter from Buckeye Health Plan

Starting at

$535

/month before subsidy

Key facts

Clear Gold + Vision + Adult Dental is a 2026 Gold HMO health insurance plan from Ambetter from Buckeye Health Plan, sold on the ACA Marketplace in Ohio under plan ID 41047OH0030071. The monthly premium starts at $535 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,200 ($2,400 for a family), and the individual out-of-pocket maximum is $9,150 ($18,300 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.

Plan ID
41047OH0030071
Plan year
2026
State
Ohio
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$1,200

Family: $2,400

Out-of-Pocket Max

$9,150

Family: $18,300

Coinsurance

30%

You pay after deductible

Network Type

HMO

OHN001

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

Medical Services

Primary Care Visit$25.00
Specialist Visit$60.00
Urgent Care$60.00
Emergency Room30.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$3.00
Brand Name Drugs45.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
3.0overall
Medical care

How well doctors manage and coordinate care

Member experience

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

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

$3,900

your estimated cost

Deductible
$1,200
Copays
$40
Coinsurance
$2,600

Managing type 2 diabetes

A year of routine care

$1,920

your estimated cost

Deductible
$900
Copays
$1,000
Coinsurance
$0

A simple fracture

ER visit + follow-up

$1,800

your estimated cost

Deductible
$1,200
Copays
$300
Coinsurance
$300
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.
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Official Plan Documents
Published by Ambetter from Buckeye Health Plan. These are the authoritative source for coverage details.
Summary of Benefits & Coverage (SBC)Standardized cost & coverage summaryPlan BrochureFull plan details from the insurerDrug FormularyCovered prescriptions & drug tiers
Who This Plan Is Best For

This Gold HMO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.

Consider this plan if you:

  • Have ongoing health conditions requiring regular care
  • Take multiple prescription medications
  • Prefer lower costs at the time of service
  • Want peace of mind with comprehensive coverage

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

$1,298/month

Annual Premium

$6,420

OOP Maximum

$9,150

💡 What this means:

With a $1,200 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $9,150 total. Then insurance covers everything else for the year.

More plans from Ambetter from Buckeye Health Plan in Ohio

View all Marketplace plans in Ohio

Frequently asked questions about Clear Gold + Vision + Adult Dental

How much does Clear Gold + Vision + Adult Dental cost per month?

Clear Gold + Vision + Adult Dental from Ambetter from Buckeye Health Plan starts at $535 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 Clear Gold + Vision + Adult Dental?

The individual medical deductible is $1,200, and the family deductible is $2,400. 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 Clear Gold + Vision + Adult Dental?

The most you would pay in a year for covered in-network care is $9,150 for an individual and $18,300 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Clear Gold + Vision + Adult Dental HSA-eligible?

No. Clear Gold + Vision + Adult Dental 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 Clear Gold + Vision + Adult Dental use?

Clear Gold + Vision + Adult Dental 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

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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.