MedMutual Gold Standard $2,500 ON-EX
Starting at
$790
/month before subsidy
MedMutual Gold Standard $2,500 ON-EX is a 2027 Gold HMO health insurance plan from MedMutual, sold on the ACA Marketplace in Ohio under plan ID 80627OH0250016. The monthly premium starts at $790 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,500 ($5,000 for a family), and the individual out-of-pocket maximum is $8,600 ($17,200 for a family). After the deductible, coinsurance is 25% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 80627OH0250016
- Plan year
- 2027
- State
- Ohio
- Metal level
- Gold
- Plan type
- HMO
- HSA-eligible
- No
Individual Deductible
$2,500
Family: $5,000
Out-of-Pocket Max
$8,600
Family: $17,200
Coinsurance
25%
You pay after deductible
Network Type
HMO
OHN001
Medical Services
Prescription Drugs
Having a baby
Normal delivery
$5,070
your estimated cost
- Deductible
- $2,500
- Copays
- $10
- Coinsurance
- $2,500
Managing type 2 diabetes
A year of routine care
$1,020
your estimated cost
- Deductible
- $100
- Copays
- $900
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,300
your estimated cost
- Deductible
- $2,100
- Copays
- $200
- Coinsurance
- $0
Enter your ZIP code first to search nearby doctors.
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.
If you max out this year
$1,507/month
Annual Premium
$9,480
OOP Maximum
$8,600
💡 What this means:
With a $2,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 25% (coinsurance) until you hit $8,600 total. Then insurance covers everything else for the year.
More plans from MedMutual in Ohio
- MedMutual Catastrophic ON-EXfrom $406/mo
- 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
Frequently asked questions about MedMutual Gold Standard $2,500 ON-EX
How much does MedMutual Gold Standard $2,500 ON-EX cost per month?
MedMutual Gold Standard $2,500 ON-EX from MedMutual starts at $790 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 Gold Standard $2,500 ON-EX?
The individual medical deductible is $2,500, and the family deductible is $5,000. 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 Gold Standard $2,500 ON-EX?
The most you would pay in a year for covered in-network care is $8,600 for an individual and $17,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is MedMutual Gold Standard $2,500 ON-EX HSA-eligible?
No. MedMutual Gold Standard $2,500 ON-EX 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 MedMutual Gold Standard $2,500 ON-EX use?
MedMutual Gold Standard $2,500 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.