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2025 Health Insurance Plans in Madison County, OH

Find and compare 2025 health plans in Madison County, OH. Every health insurance plan below offers 10 essential benefits and qualifies for cost assistance. Select a plan to learn more about cost-sharing, benefits, and how you can save.
Gold Standard w/ Virtual & Wellness (CLE-CARE)
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15600 per group
Deductible:

$3000 per group

Coinsurance:

25.00%
See Plan
Silver Standard w/ Virtual & Wellness (CLE-Care)
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$10000 per group

Coinsurance:

40.00%
See Plan
Bronze Standard w/ Virtual & Wellness (CLE-Care)
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$15000 per group

Coinsurance:

50.00%
See Plan
SilverSelect w/ Virtual & Wellness ON-EX
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$17000 per group
Deductible:

$0 per person
$0 per group

Coinsurance:

50.00%
See Plan
Silver Standard w/ Virtual & Wellness
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$10000 per group

Coinsurance:

40.00%
See Plan
Bronze HSA $7,300 ON-EX
2025
Expanded Bronze
HSA: Yes
Out-of-Pocket Maximum:

$14600 per group
Deductible:

$14600 per group

Coinsurance:

0.00%
See Plan
Bronze $8,300 w/ Virtual & Wellness ON-EX
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$16600 per group

Coinsurance:

50.00%
See Plan
Bronze Standard w/ Virtual & Wellness
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$15000 per group

Coinsurance:

50.00%
See Plan
Young Adult Essentials ON-EX
2025
Catastrophic
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$18400 per group

Coinsurance:

0.00%
See Plan
Gold $1250 w/ Virtual & Wellness ON-EX
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$14000 per group
Deductible:

$2500 per group

Coinsurance:

35.00%
See Plan
Silver $5000 w/ Virtual & Wellness ON-EX
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$15600 per group
Deductible:

$10000 per group

Coinsurance:

35.00%
See Plan
Gold Standard w/ Virtual & Wellness
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15600 per group
Deductible:

$3000 per group

Coinsurance:

25.00%
See Plan
Delta Dental Individual Pediatric-Only PPO, EHB Certified
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Delta Dental Individual Pediatric-Only PPO, EHB Certified
2025
High
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Delta Dental Individual Pediatric-Only PPO, EHB Certified
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
TruAssure Basic Adult or Child Dental Plan
2025
Low
HSA:
Out-of-Pocket Maximum:

$350 per person
$700 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
TruAssure Preferred Adult or Child Dental Plan
2025
High
HSA:
Out-of-Pocket Maximum:

$350 per person
$700 per group
Deductible:

$30 per person
per group not applicable

Coinsurance:

See Plan
TruAssure Preventive Dental Plan
2025
Low
HSA:
Out-of-Pocket Maximum:

$350 per person
$700 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Humana Dental Smart Choice
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Gold $500 w/ Virtual & Wellness ON-EX
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$14000 per group
Deductible:

$1000 per group

Coinsurance:

35.00%
See Plan
Delta Dental Individual PPO Silver Plan, EHB Certified
2025
High
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Delta Dental Individual PPO Silver Plan, EHB Certified
2025
High
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Delta Dental Individual Pediatric-Only PPO, EHB Certified
2025
High
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$13190 per group
Deductible:

$0 per person
$0 per group

Coinsurance:

50.00%
See Plan
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$13190 per group
Deductible:

$0 per person
$0 per group

Coinsurance:

50.00%
See Plan
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$10000 per group

Coinsurance:

40.00%
See Plan
Delta Dental Individual PPO Gold Plan, EHB Certified
2025
High
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Delta Dental Individual PPO Bronze Plan, EHB Certified
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Delta Dental Individual PPO Gold Plan, EHB Certified
2025
High
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Delta Dental Individual PPO Bronze Plan, EHB Certified
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$10000 per group

Coinsurance:

40.00%
See Plan
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$18390 per group
Deductible:

$0 per person
$0 per group

Coinsurance:

50.00%
See Plan
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18390 per group
Deductible:

$0 per person
$0 per group

Coinsurance:

50.00%
See Plan
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$18390 per group
Deductible:

$0 per person
$0 per group

Coinsurance:

50.00%
See Plan
Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care
2025
Expanded Bronze
HSA: Yes
Out-of-Pocket Maximum:

$14990 per group
Deductible:

$11390 per group

Coinsurance:

50.00%
See Plan
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18390 per group
Deductible:

$0 per person
$0 per group

Coinsurance:

50.00%
See Plan
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$15000 per group

Coinsurance:

50.00%
See Plan
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$18390 per group
Deductible:

$1790 per group

Coinsurance:

40.00%
See Plan
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15600 per group
Deductible:

$3000 per group

Coinsurance:

25.00%
See Plan
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$17390 per group
Deductible:

$14990 per group

Coinsurance:

50.00%
See Plan
Diabetes Silver 4000 $0 Select Drugs & Specialized Services
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$17600 per group
Deductible:

$8000 per group

Coinsurance:

50.00%
See Plan
Diabetes Gold 1100 $0 Select Drugs & Specialized Services
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15000 per group
Deductible:

$2200 per group

Coinsurance:

30.00%
See Plan
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15000 per group
Deductible:

$3000 per group

Coinsurance:

30.00%
See Plan
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$17600 per group
Deductible:

$9000 per group

Coinsurance:

50.00%
See Plan
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15000 per group
Deductible:

$3000 per group

Coinsurance:

30.00%
See Plan
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$17600 per group
Deductible:

$9000 per group

Coinsurance:

50.00%
See Plan
HDHP Preventive Silver 5500 $0 Select Drugs
2025
Silver
HSA: Yes
Out-of-Pocket Maximum:

$11000 per group
Deductible:

$11000 per group

Coinsurance:

0.00%
See Plan
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$15000 per group

Coinsurance:

50.00%
See Plan
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$17600 per group
Deductible:

$8000 per group

Coinsurance:

50.00%
See Plan
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15000 per group
Deductible:

$2200 per group

Coinsurance:

30.00%
See Plan
Core Gold 1500 $10 Generic Drugs
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$14000 per group
Deductible:

$3000 per group

Coinsurance:

25.00%
See Plan
Paramount Economy Bronze HSA NCO, Plus Adult Dental & Vision Off Exchange
2025
Expanded Bronze
HSA: Yes
Out-of-Pocket Maximum:

$15000 per group
Deductible:

$12000 per group

Coinsurance:

50.00%
See Plan
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$18000 per group
Deductible:

$12000 per group

Coinsurance:

40.00%
See Plan
Gold 1500 $15 Generic Drugs Adult Vision & Fitness
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15600 per group
Deductible:

$3000 per group

Coinsurance:

25.00%
See Plan
Silver 5000 $20 Generic Drugs Adult Vision & Fitness
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$10000 per group

Coinsurance:

40.00%
See Plan
Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$14000 per group
Deductible:

$3000 per group

Coinsurance:

25.00%
See Plan
Low Premium Silver 6000 $3 Generic Drugs
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$18000 per group
Deductible:

$12000 per group

Coinsurance:

40.00%
See Plan
Gold 1500 $15 Generic Drugs
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15600 per group
Deductible:

$3000 per group

Coinsurance:

25.00%
See Plan
Silver 5000 $20 Generic Drugs
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$10000 per group

Coinsurance:

40.00%
See Plan
Bronze First 7500 $25 Generic Drugs
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$15000 per group

Coinsurance:

50.00%
See Plan
Paramount Economy Bronze HSA NWO, Plus Adult Dental & Vision Off Exchange
2025
Expanded Bronze
HSA: Yes
Out-of-Pocket Maximum:

$15000 per group
Deductible:

$12000 per group

Coinsurance:

50.00%
See Plan
Paramount Standard Silver NCO OE
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$10000 per group

Coinsurance:

40.00%
See Plan
Paramount Essential Silver HRA NCO, Plus Adult Dental & Vision Off Exchange
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$13000 per group

Coinsurance:

40.00%
See Plan
Paramount Standard Expanded Bronze NCO OE
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$15000 per group

Coinsurance:

50.00%
See Plan
Paramount Essential Silver HRA NCO Off Exchange
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$13000 per group

Coinsurance:

40.00%
See Plan
Paramount Standard Silver NWO Off Exchange
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$10000 per group

Coinsurance:

40.00%
See Plan
Paramount Standard Expanded Bronze NWO OE
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$15000 per group

Coinsurance:

50.00%
See Plan
Paramount Value Bronze HRA NWO OE
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$18400 per group

Coinsurance:

0.00%
See Plan
Paramount Essential Gold NWO, Plus Adult Dental & Vision
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$13000 per group
Deductible:

$4000 per group

Coinsurance:

20.00%
See Plan
Paramount Essential Silver HRA NWO, Plus Adult Dental & Vision Off Exchange
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$13000 per group

Coinsurance:

40.00%
See Plan
Paramount Standard Gold NCO Off Exchange
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15600 per group
Deductible:

$3000 per group

Coinsurance:

25.00%
See Plan
Paramount Essential Gold NWO OE
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$13000 per group
Deductible:

$4000 per group

Coinsurance:

20.00%
See Plan
Paramount Everyday Silver NWO OE
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$8000 per group

Coinsurance:

30.00%
See Plan
Paramount Economy Bronze HSA NWO OE
2025
Expanded Bronze
HSA: Yes
Out-of-Pocket Maximum:

$15000 per group
Deductible:

$12000 per group

Coinsurance:

50.00%
See Plan
Paramount Essential Silver HRA NWO Off Exchange
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$13000 per group

Coinsurance:

40.00%
See Plan
Paramount Standard Gold NWO OE
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15600 per group
Deductible:

$3000 per group

Coinsurance:

25.00%
See Plan
Choice PPO Preventive
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Paramount Everyday Silver NCO Off Exchange
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$8000 per group

Coinsurance:

30.00%
See Plan
Paramount Economy Bronze HSA NCO OE
2025
Expanded Bronze
HSA: Yes
Out-of-Pocket Maximum:

$15000 per group
Deductible:

$12000 per group

Coinsurance:

50.00%
See Plan
Paramount Value Bronze HRA NCO OE
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$18400 per group

Coinsurance:

0.00%
See Plan
Delta Dental Individual PPO, EHB Certified
2025
High
HSA:
Out-of-Pocket Maximum:

$400 per person
$800 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Delta Dental Individual PPO, EHB Certified
2025
Low
HSA:
Out-of-Pocket Maximum:

$400 per person
$800 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Guardian Essentials for Families and Individuals
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

$50 per person
per group not applicable

Coinsurance:

See Plan
Guardian Select for Families and Individuals
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

$50 per person
per group not applicable

Coinsurance:

See Plan
Guardian Basics for Families and Individuals
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

$50 per person
per group not applicable

Coinsurance:

See Plan
Guaridan Preventive Plus for Families and Individuals
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

$50 per person
per group not applicable

Coinsurance:

See Plan
Choice PPO Basic Kids
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Choice PPO Premium Kids
2025
High
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Choice PPO Premium
2025
High
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Choice PPO Plus
2025
Low
HSA:
Out-of-Pocket Maximum:

$425 per person
$850 per group
Deductible:

per person not applicable
per group not applicable

Coinsurance:

See Plan
Silver 8
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$16000 per group
Deductible:

$10000 per group

Coinsurance:

40.00%
See Plan
Bronze 10
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$5700 per group

Coinsurance:

50.00%
See Plan
Silver 12 with first 4 free PCP or MH visits
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$14000 per group

Coinsurance:

20.00%
See Plan
Gold 1 with Adult Vision Services
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$16200 per group
Deductible:

$3280 per group

Coinsurance:

25.00%
See Plan
Silver 1 with Adult Vision Services
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$15880 per group
Deductible:

$11500 per group

Coinsurance:

40.00%
See Plan
Gold 1
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$16200 per group
Deductible:

$3280 per group

Coinsurance:

25.00%
See Plan
Silver 1
2025
Silver
HSA: No
Out-of-Pocket Maximum:

$15880 per group
Deductible:

$11500 per group

Coinsurance:

40.00%
See Plan
Bronze 8
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$18400 per group
Deductible:

$15000 per group

Coinsurance:

50.00%
See Plan
Gold 8
2025
Gold
HSA: No
Out-of-Pocket Maximum:

$15600 per group
Deductible:

$3000 per group

Coinsurance:

25.00%
See Plan
Bronze 9
2025
Expanded Bronze
HSA: No
Out-of-Pocket Maximum:

$15900 per group
Deductible:

$11900 per group

Coinsurance:

50.00%
See Plan