Ranked 2 of 15 states · median $625/mo · CMS PY2026
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A 40-year-old roofer 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.
Injury exposure means the number that matters is the out-of-pocket maximum, not the premium. A single ER visit and follow-up can hit that ceiling in one month, so these pages rank states by worst-case annual exposure rather than by monthly cost.
Occupational context: One of the highest fall-fatality rates of any US trade; heat illness.
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 roofer 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 |
|---|---|---|---|---|
| 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 |
| Portage | $492 | Antidote Health Plan of Ohio | $7,500 | 8 |
| Huron | $497 | Molina Healthcare | $7,000 | 6 |
| Columbiana | $506 | Molina Healthcare | $7,000 | 6 |
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 — 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 roofer, 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
Read the comparison as context, not as a shopping list. Your county of residence determines what you can buy, and for a roofer that is fixed unless you relocate. Where it is actionable is a move already in progress — that is a qualifying life event, and you have 60 days on either side of it.
Expense categories that typically apply to this trade: Tools, truck, fall-protection gear, liability insurance. Premiums are generally deductible above the line under IRC §162(l) when no employer plan is available to you or your spouse — a question for your CPA, not your agent.
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.
Below the cliff. At this income a single-person household remains eligible for a premium tax credit in 2026.
This occupation sits above the cliff in 1 of the 21 states reported and below it in the other 20, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for Roofers (SOC 47-2181) 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 roofer. 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 Roofers 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 Roofers should check the roster in November rather than assume this year’s options carry over.
Nobody can tell you your 2027 Ohio premium yet. Filings nationally cluster around a 15% median increase, with the full spread running −1% to 54% — and until this state signs off, a specific local number is invention.
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 roofer 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:
There is no single Ohio price. Enter your ZIP and I will pull what is filed in your county, then work out what help you qualify for.