Ranked 2 of 15 states · median $625/mo · CMS PY2026
Licensed Independent Agent · NPN #22052447 · 21 States
A 40-year-old realtor 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 counties covered, Ohio ranks 6 of 15 for this occupation.
Work that crosses county and state lines makes network geography the binding constraint. A cheap HMO that only contracts in one metro is worthless 200 miles away, so these pages rank states by network reach and flag the ones with no PPO on the exchange at all.
Occupational context: High driving exposure; irregular hours; showing-related risk.
Two things get confused here constantly. Risk exposure decides what coverage you should buy. It does not decide what you are charged — Ohio carriers rate on age, ZIP, tobacco and family size, full stop. A realtor with a bad back and a healthy 40-year-old office worker in the same county see the same number.
Premium is set by rating area, so a realtor 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 |
|---|---|---|---|---|
| Vinton | $536 | Oscar Health Insurance | $6,000 | 7 |
| Hardin | $538 | Molina Healthcare | $7,000 | 7 |
| Wayne | $540 | Antidote Health Plan of Ohio | $7,500 | 7 |
| Morrow | $547 | Oscar Health Insurance | $6,000 | 6 |
| Meigs | $604 | Antidote Health Plan of Ohio | $7,500 | 5 |
| Warren | $482 | Oscar Health Insurance | $6,000 | 8 |
The spread across just these six is $122/month — $1,465 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 reach | 2026 |
|---|---|
| Counties in the state | 88 |
| Counties with only one carrier | 0 (0%) |
| Plan types available | HMO |
| PPO available on exchange | No |
| Carriers filing in the state | 11 |
| Cheapest Silver @40 | $482 — Butler |
Ohio has no PPO plans on the exchange at all. For a realtor covering distance, that single fact outweighs premium: 0 of 88 counties here are served by one carrier, so an HMO bought in one metro may leave you out of network for the rest of your route.
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
Cross-state numbers are useful for understanding whether Ohio is treating you well, not for arbitrage. You cannot buy an out-of-state exchange plan. If you are a realtor weighing a relocation for other reasons, the premium difference is a real line item worth putting in the decision.
Self-employed Realtors in Ohio typically deduct: Vehicle, NAR dues, MLS fees, E&O insurance, marketing. 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.
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.
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 Realtors in Ohio and a blog covering deductibles, subsidies and special enrollment.