MedMutual Catastrophic ON-EX
Starting at
$406
/month before subsidy
MedMutual Catastrophic ON-EX is a 2027 Catastrophic HMO health insurance plan from MedMutual, sold on the ACA Marketplace in Ohio under plan ID 80627OH0250015. The monthly premium starts at $406 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
- 80627OH0250015
- Plan year
- 2027
- State
- Ohio
- Metal level
- Catastrophic
- 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
Medical Services
Prescription Drugs
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
$4,920
your estimated cost
- Deductible
- $4,700
- Copays
- $200
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,800
your estimated cost
- Deductible
- $2,800
- Copays
- $0
- Coinsurance
- $0
Enter your ZIP code first to search nearby doctors.
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 $12,000 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.
If you max out this year
$1,406/month
Annual Premium
$4,872
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
- MedMutual Bronze $12,000 Max Saver ON-EXfrom $474/mo
- MedMutual Bronze $8,300 ON-EXfrom $500/mo
- MedMutual Bronze Standard $7,500 ON-EXfrom $510/mo
- MedMutual Silver $5,000 ON-EXfrom $748/mo
- MedMutual Silver $6,900 ON-EXfrom $726/mo
- MedMutual Silver Standard $6,400 ON-EXfrom $739/mo
- MedMutual Gold $1,000 ON-EXfrom $800/mo
- MedMutual Gold $3,500 HSA ON-EXfrom $796/mo
Frequently asked questions about MedMutual Catastrophic ON-EX
How much does MedMutual Catastrophic ON-EX cost per month?
MedMutual Catastrophic ON-EX from MedMutual starts at $406 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 Catastrophic 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 Catastrophic 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 Catastrophic ON-EX HSA-eligible?
Yes. MedMutual Catastrophic 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 Catastrophic ON-EX use?
MedMutual Catastrophic 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
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
- The SLCSP benchmark
The Silver plan that sets your subsidy and Form 1095-A
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.