Expanded_bronzeHMOHSA Eligible

MedMutual Bronze $12,000 Max Saver ON-EX

MedMutual

Starting at

$474

/month before subsidy

Key facts

MedMutual Bronze $12,000 Max Saver ON-EX is a 2027 Expanded_bronze HMO health insurance plan from MedMutual, sold on the ACA Marketplace in Ohio under plan ID 80627OH0250014. The monthly premium starts at $474 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $12,000 ($24,000 for a family), and the individual out-of-pocket maximum is $12,000 ($24,000 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
80627OH0250014
Plan year
2027
State
Ohio
Metal level
Expanded_bronze
Plan type
HMO
HSA-eligible
Yes

Individual Deductible

$12,000

Family: $24,000

Out-of-Pocket Max

$12,000

Family: $24,000

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 Visit0.00% Coinsurance after deductible
Specialist Visit0.00% Coinsurance after deductible
Urgent Care0.00% Coinsurance after deductible
Emergency Room0.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$0.00
Brand Name Drugs0.00% Coinsurance after deductible
Specialty Drugs0.00% Coinsurance after deductible
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

$12,060

your estimated cost

Deductible
$12,000
Copays
$0
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$5,220

your estimated cost

Deductible
$5,200
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.
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Official Plan Documents
Published by MedMutual. These are the authoritative source for coverage details.
Who This Plan Is Best For

Review the plan details above to determine if this plan fits your healthcare needs and budget.

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

$1,474/month

Annual Premium

$5,688

OOP Maximum

$12,000

💡 What this means:

With a $12,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $12,000 total. Then insurance covers everything else for the year.

More plans from MedMutual in Ohio

View all Marketplace plans in Ohio

Frequently asked questions about MedMutual Bronze $12,000 Max Saver ON-EX

How much does MedMutual Bronze $12,000 Max Saver ON-EX cost per month?

MedMutual Bronze $12,000 Max Saver ON-EX from MedMutual starts at $474 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 MedMutual Bronze $12,000 Max Saver ON-EX?

The individual medical deductible is $12,000, and the family deductible is $24,000. 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 MedMutual Bronze $12,000 Max Saver ON-EX?

The most you would pay in a year for covered in-network care is $12,000 for an individual and $24,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is MedMutual Bronze $12,000 Max Saver ON-EX HSA-eligible?

Yes. MedMutual Bronze $12,000 Max Saver ON-EX is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.

What type of network does MedMutual Bronze $12,000 Max Saver ON-EX use?

MedMutual Bronze $12,000 Max Saver ON-EX 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.