2026 data Public-data reference. official source

Jefferson, Ohio Health Insurance

Open-data reference.

82 ACA plans from 5 issuers — Plan year 2026

Jefferson, Ohio offers 82 ACA marketplace plans from 5 issuers for plan year 2026. Bronze plans start at $400/mo and Silver plans start at $429/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$513
Avg Silver Premium/mo
$436
Benchmark Premium/mo
+22.4%
Year-over-Year Change
$4,919
Avg Deductible

What the Numbers Say About Jefferson

Jefferson, Ohio has 82 ACA marketplace plans offered by 5 issuers for plan year 2026. The average Silver-tier premium comes in at $513/mo for a 27-year-old non-tobacco user, with the lowest Silver at $429 and the highest at $609. Bronze plans start at $400/mo — useful for healthy enrollees who want catastrophic protection with the lowest monthly outlay.

The benchmark (second-lowest Silver) premium is $436/mo, the figure used to calculate your Advance Premium Tax Credit (the federal subsidy). Enrollees whose expected income-based contribution falls below this amount receive a subsidy for the difference. Across all plans, the average annual deductible is $4,919 and the average out-of-pocket maximum is $8,970 — numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Jefferson shifted by +22.4%, a signal of how local issuer pricing and risk-pool dynamics are trending.

Issuer count is one of the strongest predictors of affordability: with 5 issuers active in Jefferson, consumers have meaningful competition to pressure premiums lower. This page is informational only and is not insurance, medical, or tax advice — verify your eligibility, network coverage, and final pricing at HealthCare.gov before enrolling. Source: CMS Marketplace PUF, plan year 2026.

Premiums by Metal Level

Bronze

2 plans
$402/mo avg
$400 — $405

Silver

28 plans
$513/mo avg
$429 — $609

Gold

27 plans
$610/mo avg
$428 — $788

Benchmark Premium & Subsidies

The benchmark premium (2nd-lowest Silver plan) in Jefferson is $436/mo for a 27-year-old. This is the amount used to calculate your premium tax credit. If your expected contribution (based on income) is less than the benchmark, you receive a subsidy for the difference. The higher the benchmark, the larger the potential subsidy.

ACA plans available

82

Plan year 2026

Issuers in market

5

Competitive market

Benchmark Silver

$436 /mo

Sets your subsidy ceiling

Avg deductible

$4,919

Across all metal tiers

Jefferson ACA plans by premium and deductible

Each marker is the Jefferson average for one metal tier — monthly premium (age 27) plotted against the average annual deductible, both computed directly from this county's plans. The classic ACA tradeoff is visible: lower-premium Bronze tiers carry the highest deductibles, while Gold and Platinum invert it.

Source: CMS Marketplace Public Use Files for Jefferson, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

Source: CMS Marketplace Public Use Files for Jefferson, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible). Scatter plot of 4 data points. 020004000600080001000012000 350400450500550600650 Monthly premium ($, age 27) Avg annual deductible ($) Bronze (2 plans)Expanded Bronze (25 plans)Silver (28 plans)Gold (27 plans)
Source: CMS Marketplace Public Use Files for Jefferson, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

Issuers in Jefferson

Issuer Plans Avg Premium (Age 27)
Molina Healthcare 22 $483/mo
CareSource 21 $586/mo
Ambetter from Buckeye Health Plan 16 $415/mo
MedMutual 12 $569/mo
Anthem Blue Cross and Blue Shield 11 $502/mo

All Plans in Jefferson

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)
Anthem Blue Cross and Blue Shield
Bronze HMO $399.57 $487.26 $10,600 $10,600
Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Anthem Blue Cross and Blue Shield
Bronze HMO $404.98 $493.86 $10,600 $10,600
Standard Expanded Bronze
Ambetter from Buckeye Health Plan
Expanded Bronze HMO $348.91 $425.49 $7,500 $10,000
Everyday Bronze
Ambetter from Buckeye Health Plan
Expanded Bronze HMO $349.56 $426.28 $8,450 $10,150
Standard Expanded Bronze + Vision + Adult Dental
Ambetter from Buckeye Health Plan
Expanded Bronze HMO $359.67 $438.60 $7,500 $10,000
Everyday Bronze + Vision + Adult Dental
Ambetter from Buckeye Health Plan
Expanded Bronze HMO $360.33 $439.42 $8,450 $10,150
Choice Bronze HSA
Ambetter from Buckeye Health Plan
Expanded Bronze HMO $377.68 $460.57 $7,250 $7,250
Choice Bronze HSA + Vision + Adult Dental
Ambetter from Buckeye Health Plan
Expanded Bronze HMO $389.32 $474.76 $7,250 $7,250
Molina Bronze Saver 7000
Molina Healthcare
Expanded Bronze HMO $410.16 $500.17 $7,000 $10,200
Molina Bronze Standard
Molina Healthcare
Expanded Bronze HMO $413.64 $504.42 $7,500 $10,000
Molina Bronze Saver 7000 Plus with Adult Vision
Molina Healthcare
Expanded Bronze HMO $413.69 $504.48 $7,000 $10,200
Low Premium Bronze 10600 $25 Generic Drugs
CareSource
Expanded Bronze HMO $417.00 $508.51 $10,600 $10,600
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness
CareSource
Expanded Bronze HMO $420.38 $512.64 $10,600 $10,600
Molina Bronze Smart Heart Health
Molina Healthcare
Expanded Bronze HMO $421.48 $513.97 $4,000 $9,950
Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Blue Cross and Blue Shield
Expanded Bronze HMO $422.16 $514.80 $6,000 $10,600
Bronze $8,300 w/ Virtual & Wellness ON-EX
MedMutual
Expanded Bronze HMO $422.36 $515.05 $8,300 $10,000
Molina Bronze Enhanced 3500
Molina Healthcare
Expanded Bronze HMO $424.56 $517.74 $3,500 $9,950
Molina Bronze Saver 7000 Plus with Adult Dental and Vision
Molina Healthcare
Expanded Bronze HMO $425.74 $519.17 $7,000 $10,200
Molina Bronze Enhanced 3500 Plus with Adult Vision
Molina Healthcare
Expanded Bronze HMO $428.09 $522.04 $3,500 $9,950
Bronze 7500 $25 Generic Drugs
CareSource
Expanded Bronze HMO $429.62 $523.91 $7,500 $10,000
Anthem Bronze Pathway 8500 for HSA
Anthem Blue Cross and Blue Shield
Expanded Bronze HMO $430.77 $525.31 $8,500 $8,500
Bronze $8,300 w/ Adult Dental ON-EX
MedMutual
Expanded Bronze HMO $431.05 $525.65 $8,300 $10,000
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Blue Cross and Blue Shield
Expanded Bronze HMO $432.64 $527.58 $7,500 $10,000
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness
CareSource
Expanded Bronze HMO $433.07 $528.12 $7,500 $10,000
Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision
Molina Healthcare
Expanded Bronze HMO $440.14 $536.74 $3,500 $9,950
Bronze Standard w/ Virtual & Wellness
MedMutual
Expanded Bronze HMO $441.10 $537.91 $7,500 $10,000
Bronze HSA $7,300 ON-EX
MedMutual
Expanded Bronze HMO $444.30 $541.81 $7,300 $7,300
Standard Silver
Ambetter from Buckeye Health Plan
Silver HMO $429.26 $523.46 $6,000 $8,900
Complete Silver
Ambetter from Buckeye Health Plan
Silver HMO $436.45 $532.23 $5,950 $8,850
Standard Silver + Vision + Adult Dental
Ambetter from Buckeye Health Plan
Silver HMO $442.48 $539.59 $6,000 $8,900
Complete Silver + Vision + Adult Dental
Ambetter from Buckeye Health Plan
Silver HMO $449.90 $548.64 $5,950 $8,850
Molina Silver Saver with Four Free PCP Visits
Molina Healthcare
Silver HMO $469.21 $572.19 $7,000 $10,150
Molina Silver Smart Heart Health
Molina Healthcare
Silver HMO $469.45 $572.48 $6,000 $8,990
Molina Silver Core
Molina Healthcare
Silver HMO $470.38 $573.61 $6,000 $8,990
Molina Silver Core Plus with Adult Vision
Molina Healthcare
Silver HMO $473.96 $577.98 $6,000 $8,990
Molina Silver Standard
Molina Healthcare
Silver HMO $477.51 $582.30 $6,000 $8,900
Molina Silver Core Plus with Adult Dental and Vision
Molina Healthcare
Silver HMO $486.19 $592.90 $6,000 $8,990
Low Premium Silver 6200 $3 Generic Drugs
CareSource
Silver HMO $494.20 $602.66 $6,200 $9,800
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness
CareSource
Silver HMO $497.60 $606.80 $6,200 $9,800
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services
CareSource
Silver HMO $508.02 $619.52 $5,000 $9,500
Diabetes Silver 5000 $0 Chronic Care Drugs & Services
CareSource
Silver HMO $509.85 $621.75 $5,000 $9,500
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
CareSource
Silver HMO $511.41 $623.64 $5,000 $9,500
Silver 6000 $20 Generic Drugs
CareSource
Silver HMO $511.76 $624.07 $6,000 $8,900
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
CareSource
Silver HMO $513.24 $625.88 $5,000 $9,500
Silver 6000 $20 Generic Drugs + Adult Vision & Fitness
CareSource
Silver HMO $515.03 $628.06 $6,000 $8,900
Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Blue Cross and Blue Shield
Silver HMO $524.10 $639.13 $5,000 $8,950
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Blue Cross and Blue Shield
Silver HMO $532.57 $649.45 $6,000 $8,900
Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Blue Cross and Blue Shield
Silver HMO $543.70 $663.03 $4,000 $9,200
Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Anthem Blue Cross and Blue Shield
Silver HMO $549.11 $669.62 $4,000 $9,200
Anthem Silver Pathway 5500 for HSA
Anthem Blue Cross and Blue Shield
Silver HMO $568.57 $693.35 $5,500 $5,500
Silver $5,800 w/ Virtual & Wellness ON-EX
MedMutual
Silver HMO $582.35 $710.15 $5,800 $9,800
HDHP Preventive Silver 5500 $0 Chronic Care Drugs
CareSource
Silver HMO $588.47 $717.61 $5,500 $5,500
Silver Standard w/ Virtual & Wellness
MedMutual
Silver HMO $596.52 $727.43 $6,000 $8,900
Silver $5,000 w/ Virtual & Wellness ON-EX
MedMutual
Silver HMO $596.97 $727.99 $5,000 $8,500
Silver $5,000 w/ Adult Dental ON-EX
MedMutual
Silver HMO $608.86 $742.48 $5,000 $8,500
Clear Gold
Ambetter from Buckeye Health Plan
Gold HMO $427.77 $521.65 $1,200 $9,150
Standard Gold
Ambetter from Buckeye Health Plan
Gold HMO $438.94 $535.27 $2,000 $8,200
Clear Gold + Vision + Adult Dental
Ambetter from Buckeye Health Plan
Gold HMO $440.95 $537.73 $1,200 $9,150
Standard Gold + Vision + Adult Dental
Ambetter from Buckeye Health Plan
Gold HMO $452.46 $551.76 $2,000 $8,200
Complete Gold
Ambetter from Buckeye Health Plan
Gold HMO $459.31 $560.11 $1,450 $7,500
Complete Gold + Vision + Adult Dental
Ambetter from Buckeye Health Plan
Gold HMO $473.46 $577.37 $1,450 $7,500
Molina Gold Core 1640
Molina Healthcare
Gold HMO $542.89 $662.03 $1,640 $8,100
Molina Gold Smart Heart Health
Molina Healthcare
Gold HMO $544.62 $664.15 $1,640 $8,100
Molina Gold Enhanced 895
Molina Healthcare
Gold HMO $544.72 $664.26 $895 $8,700
Molina Gold Core 1640 Plus with Adult Vision
Molina Healthcare
Gold HMO $546.41 $666.33 $1,640 $8,100
Molina Gold Enhanced 895 Plus with Adult Vision
Molina Healthcare
Gold HMO $548.25 $668.57 $895 $8,700
Molina Gold Core 1640 Plus with Adult Dental and Vision
Molina Healthcare
Gold HMO $558.47 $681.03 $1,640 $8,100
Molina Gold Enhanced 895 Plus with Adult Dental and Vision
Molina Healthcare
Gold HMO $560.30 $683.26 $895 $8,700
Molina Gold Standard
Molina Healthcare
Gold HMO $566.90 $691.31 $2,000 $8,200
Gold Standard w/ Virtual & Wellness
MedMutual
Gold HMO $666.00 $812.16 $2,000 $8,200
Gold $500 w/ Virtual & Wellness ON-EX
MedMutual
Gold HMO $675.14 $823.31 $500 $7,500
Gold $1,000 w/ Virtual & Wellness ON-EX
MedMutual
Gold HMO $676.05 $824.42 $1,000 $8,000
Gold $1,000 w/ Adult Dental ON-EX
MedMutual
Gold HMO $688.39 $839.47 $1,000 $8,000
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Blue Cross and Blue Shield
Gold HMO $711.40 $867.53 $2,000 $8,200
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services
CareSource
Gold HMO $715.78 $872.87 $3,000 $8,500
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
CareSource
Gold HMO $719.17 $877.00 $3,000 $8,500
Diabetes Gold 3000 $0 Chronic Care Drugs & Services
CareSource
Gold HMO $721.36 $879.67 $3,000 $8,500
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
CareSource
Gold HMO $724.74 $883.80 $3,000 $8,500
Core Gold 1500 $10 Generic Drugs
CareSource
Gold HMO $750.45 $915.15 $1,500 $8,000
Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness
CareSource
Gold HMO $753.83 $919.28 $1,500 $8,000
Gold 2000 $15 Generic Drugs
CareSource
Gold HMO $784.23 $956.35 $2,000 $8,200
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness
CareSource
Gold HMO $787.62 $960.47 $2,000 $8,200

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $414/mo $322 $516 31 4
2023 $457/mo $378 $543 28 4
2024 $471/mo $383 $605 31 5
2025 $448/mo $373 $590 26 5
2026 $513/mo $429 $609 28 5

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Frequently Asked Questions

How many ACA plans are available in Jefferson, OH?

There are 82 ACA marketplace plans available in Jefferson from 5 insurance issuers for plan year 2026.

What is the cheapest health insurance plan in Jefferson?

The lowest-premium plan in Jefferson starts at $400/mo (Bronze tier, age 27). Silver plans start at $429/mo. Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Jefferson?

The benchmark (second-lowest Silver) premium in Jefferson is $436/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.

How have premiums changed in Jefferson?

Average premiums in Jefferson changed by +22.4% year-over-year. Premium trends are tracked from 2022 to 2026 across all metal levels.

What is the average deductible and out-of-pocket maximum in Jefferson?

The average annual deductible across all plans in Jefferson is $4,919, and the average out-of-pocket maximum is $8,970. Bronze plans generally have higher deductibles but lower premiums, while Gold and Platinum plans have lower deductibles but higher monthly costs.

Which insurance companies offer plans in Jefferson?

There are 5 insurance issuers offering ACA marketplace plans in Jefferson, including Molina Healthcare, CareSource, Ambetter from Buckeye Health Plan, and others. Competition among issuers affects plan variety and pricing. More issuers generally mean more choices and potentially lower premiums.

Disclaimer: This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are for a 27-year-old non-tobacco user unless otherwise noted. Your actual premium depends on age, location, tobacco use, and subsidy eligibility. Visit HealthCare.gov for official enrollment. Source: CMS Marketplace PUF, PY2026.

Data sourced from the CMS Health Insurance Marketplace Public Use Files. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial

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