Ranked 2 of 15 states · median $625/mo · CMS PY2026
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A 40-year-old personal trainer 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 median Silver premium, Ohio ranks 2 of 15 for this occupation.
Patient-facing and standing work means steady, predictable utilization — regular visits, prescriptions, physical therapy. Copay structure and network breadth drive real annual cost more than the headline premium, so these pages rank states on median premium and carrier count together.
Occupational context: Musculoskeletal injury from demonstration and spotting.
None of that changes your price. ACA plans in Ohio are community rated — premium varies by age, ZIP code, tobacco use and household size only. Your occupation cannot be used to rate you, decline you, or exclude a condition. What it changes is which plan design is the right bet.
Premium is set by rating area, so a personal trainer 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 |
|---|---|---|---|---|
| Carroll | $504 | Molina Healthcare | $7,000 | 7 |
| Lucas | $515 | Antidote Health Plan of Ohio | $7,500 | 8 |
| Monroe | $523 | Ambetter from Buckeye | $6,000 | 6 |
| Darke | $526 | Antidote Health Plan of Ohio | $7,500 | 8 |
| Franklin | $528 | Antidote Health Plan of Ohio | $7,500 | 8 |
| Hocking | $537 | Oscar Health Insurance | $6,000 | 7 |
The spread across just these six is $33/month — $390 a year for the same metal tier. Statewide the range runs $482 to $924. Coverage by County publishes all 88 Ohio counties individually.
| Ohio — network and cost | 2026 |
|---|---|
| Median Silver premium @40 | $625 |
| Cheapest Silver @40 | $482 — Oscar Health Insurance (Butler) |
| Most expensive Silver @40 | $924 |
| Carriers filing in the state | 11 — Ambetter from Buckeye, Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, CareSource |
| Plan types available | HMO |
| Counties with only one carrier | 0 of 88 |
Ohio has 11 carriers filing and 0 of 88 counties served by a single issuer. For a personal trainer with an established provider relationship, that carrier count is the number that decides whether you keep your doctor.
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 personal trainer who moved this year, that move is a qualifying life event and opens a special enrollment period.
Deduction categories that generally fit this trade: Certification, gym rental, equipment, liability insurance. Note the ordering problem with health premiums: the §162(l) deduction lowers your AGI, and your AGI is what sets your premium tax credit, so the two calculate against each other. That is a CPA conversation and worth having before you enroll, not after.
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.
It cannot happen on an exchange plan. Rating in Ohio uses four inputs only: age, ZIP code, tobacco use and how many people are on the policy. Trade, injury history and pre-existing conditions are all excluded from pricing by law.
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.
Below the cliff. At this income a single-person household remains eligible for a premium tax credit in 2026.
This occupation is below the cliff in all 21 states reported.
What this figure is. It is the median annual wage BLS reports for Exercise Trainers and Group Fitness Instructors (SOC 39-9031) 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 personal trainer. 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 Personal Trainers 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 Personal Trainers 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.
Mark November 1, 2026 to open and December 15 to act. That second date guarantees cover from January 1 in Ohio regardless of how the current litigation over the enrollment window resolves.
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 personal trainer 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:
The sticker price is rarely what Personal Trainers in Ohio end up paying. Start with a ZIP and I will work out your actual number.