Ranked 2 of 15 states · median $625/mo · CMS PY2026
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A 40-year-old general contractor in Ohio pays a median $625/month for a Silver plan before subsidies — 2th of 15 on cost. The cheapest plan in the state is $482 from Oscar Health Insurance in Butler. On highest out-of-pocket maximum, Ohio ranks 9 of 15 for this occupation.
Trade work concentrates cost into rare, expensive events rather than spreading it across the year. That inverts the usual shopping logic: a lower premium with a $9,200 ceiling is a worse deal than a higher premium with a $6,000 one, because the ceiling is what you actually hit. These rankings follow the ceiling.
Occupational context: Falls, struck-by injuries, and heavy-equipment exposure.
Worth being clear about what this does and does not affect: a carrier in Ohio cannot ask what you do for a living, cannot charge a general contractor more than a librarian of the same age in the same ZIP, and cannot exclude anything you were already treated for. Occupation only tells you which plan structure to shop for.
Premium is set by rating area, so a general contractor in one Ohio county can pay materially more than one an hour away. Six counties from across the state, cheapest Silver plan for a 40-year-old:
| County | Cheapest Silver @40 | Issuer | Deductible | Carriers |
|---|---|---|---|---|
| Stark | $504 | Molina Healthcare | $7,000 | 8 |
| Coshocton | $519 | Oscar Health Insurance | $6,000 | 6 |
| Noble | $523 | Ambetter from Buckeye | $6,000 | 6 |
| Greene | $526 | Antidote Health Plan of Ohio | $7,500 | 8 |
| Licking | $528 | Antidote Health Plan of Ohio | $7,500 | 6 |
| Fayette | $538 | Oscar Health Insurance | $6,000 | 6 |
The spread across just these six is $34/month — $408 a year for the same metal tier. Statewide the range runs $482 to $924. Coverage by County publishes all 88 Ohio counties individually.
| Ohio — worst-case exposure | 2026 |
|---|---|
| Lowest annual out-of-pocket maximum | $5,500 |
| Highest annual out-of-pocket maximum | $10,600 |
| Cheapest Gold plan @40 | $482 — Oscar Health Insurance |
| Gold deductible | $2,000 |
| Cheapest Silver @40 | $482 — Oscar Health Insurance |
| Cheapest Silver @50 | $674 |
For a general contractor, the gap between $5,500 and $10,600 in annual out-of-pocket maximum is worth more than any premium difference on this page. One serious injury reaches that ceiling regardless of which plan you picked.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 9,038 plan records across 88 Ohio counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Indiana ($558). More expensive: South Carolina ($636), Alabama ($680), Wisconsin ($687).
Side-by-side: Ohio vs Indiana · Ohio vs South Carolina · Ohio vs Alabama
This only matters if you can actually choose — you buy in the state where you live, not where you work. If you are a general contractor who moved this year, that move is a qualifying life event and opens a special enrollment period.
Self-employed General Contractors in Ohio typically deduct: Tools, truck, liability insurance, bonding, licensing. Health premiums sit separately, above the line under IRC §162(l), and only when neither you nor a spouse could have joined an employer plan — eligibility disqualifies you even if you declined the coverage.
If your household income is above the subsidy range, ACA is not automatically the answer. There are other categories of coverage that may fit, and they work very differently. That is a conversation, not a web page.
The cheapest Silver plan for a 40-year-old in Ohio is $482 per month from Oscar Health Insurance, with a state median of $625. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
No. Under the ACA, carriers cannot rate, decline, or exclude based on occupation or health history. Rates vary only by age, ZIP code, tobacco use and household size.
No. Only HMO plans were filed for 2026.
Ohio ranks 2 of 15 states covered here, at a median $625 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
Above the cliff. At this income a single-person household receives no premium tax credit for 2026 and pays the full premium.
This occupation sits above the cliff in 20 of the 21 states reported and below it in the other 1, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for First-Line Supervisors of Construction Trades and Extraction Workers (SOC 47-1011) in Ohio. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed general contractor. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.
Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2026 the 400% FPL limit applies again, so household income above $62,600 ends premium tax credit eligibility outright.
This page compares states. For Ohio specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for General Contractors in Ohio and a blog covering deductibles, subsidies and special enrollment.
Right now 11 carriers file plans across the 88 counties of Ohio. Participation is reset annually, which is why General Contractors should check the roster in November rather than assume this year’s options carry over.
On price the only honest number today is national: the Peterson-KFF read of 2027 filings puts the median proposed rise near 15%, spanning −1% to 54%. Final Ohio rates are not approved, so any precise 2027 figure quoted for this state is guesswork.
The window opens November 1, 2026, and December 15 is the date worth writing down — it is what secures January 1 cover in Ohio and everywhere else. You will find later dates quoted; they stem from a 2025 rule that was vacated in June 2026 and is under appeal.
There is still no PPO on the Ohio marketplace — not in any of its 88 counties. Every plan is an HMO, EPO or POS, which for a general contractor working across a wide area is the binding constraint, not price.
Because Ohio sells no PPO in any of its 88 counties, the thing that will decide your 2027 experience is which network your providers sit in — and that is far easier to check now than during the rush.
Give me a ZIP and I will tell you three things:
Coverage for General Contractors is priced county by county across Ohio. Enter your ZIP and I will show you what is on the table.