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Antidote Health Plans in Ohio

Antidote Health is a virtual-first HMO that sells ACA individual and family health plans to Ohio residents. Its Ohio plans are insured by Antidote Health Plan of Ohio, Inc. According to Antidote, it offers plans to individuals in more than 65 Ohio counties, including the Cleveland, Cincinnati and Columbus areas. Antidote pairs ACA-compliant coverage with built-in virtual care, with in-person care through its contracted network.

Want to know if Antidote is available at your address? Availability and premiums depend on your county, ZIP code, age and income. We are licensed Ohio brokers and can check Antidote against every other Ohio carrier for you at no cost.
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Antidote Plan Options in Ohio

Antidote organizes its individual plans into four suites:

Plan suite	Metal levels
Complete	Bronze, Silver, Gold
Elite	Bronze, Silver, Gold
Standard	Bronze, Silver, Gold
Catastrophic	Catastrophic (limited eligibility)

Features Antidote advertises across its plans:

Virtual care: $0 virtual visits with Antidote clinicians on its Complete and Elite plans.
$0 primary care visits: with designated Tier-1 primary care providers, up to 4 visits per plan year.
One app to manage coverage, find doctors and search the drug list.
ACA coverage rules: essential health benefits, preventive care and coverage of pre-existing conditions, with premium tax credits available on Marketplace plans for those who qualify.

Benefits, copays and plan availability differ by plan and county. Read the plan's Summary of Benefits and Coverage before you enroll, or let us walk you through it.

Antidote Health In-Network Hospitals: Ohio

Antidote is an HMO, so the hospital you use matters: care outside the network is generally not covered except in an emergency. The table below lists 75 hospitals filed in Antidote Health Plan of Ohio's machine-readable provider directory for the 2026 plan year. Every facility in the directory is filed at the Tier-1 network level. The network is concentrated in northeast, central and southwest Ohio, built mainly around University Hospitals, Mercy Health, Kettering Health and Mount Carmel.

Health system	Hospital	City	Type
University Hospitals	University Hospitals Cleveland Medical Center	Cleveland	Acute care
University Hospitals	University Hospitals Rainbow Babies & Children's Hospital	Cleveland	Children's hospital
University Hospitals	University Hospitals Ahuja Medical Center	Beachwood	Acute care
University Hospitals	University Hospitals Beachwood Medical Center	Beachwood	Acute care
University Hospitals	University Hospitals Rehabilitation Hospital	Beachwood	Rehabilitation hospital
University Hospitals	University Hospitals Avon Rehabilitation Hospital	Avon	Rehabilitation hospital
University Hospitals	University Hospitals Parma Medical Center	Parma	Acute care
University Hospitals	University Hospitals St. John Medical Center	Westlake	Acute care
University Hospitals	University Hospitals Elyria Medical Center	Elyria	Acute care
University Hospitals	University Hospitals Geauga Medical Center	Chardon	Acute care
University Hospitals	University Hospitals TriPoint Medical Center	Painesville	Acute care
University Hospitals	University Hospitals Lake West Medical Center	Willoughby	Acute care
University Hospitals	University Hospitals Geneva Medical Center	Geneva	Critical access
University Hospitals	University Hospitals Conneaut Medical Center	Conneaut	Critical access
University Hospitals	University Hospitals Portage Medical Center	Ravenna	Acute care
University Hospitals	University Hospitals Samaritan Medical Center	Ashland	Acute care
Mercy Health	Mercy Health - Anderson Hospital	Cincinnati	Acute care
Mercy Health	Mercy Health - Fairfield Hospital	Fairfield	Acute care
Mercy Health	Mercy Health - Kings Mills Hospital	Mason	Acute care
Mercy Health	Mercy Health - Harrison Medical Center	Harrison	Acute care
Mercy Health	Mercy Health - Mount Orab Medical Center	Mount Orab	Acute care
Mercy Health	Mercy Health - Clermont Hospital	Batavia	Acute care
Mercy Health	Mercy Health - Springfield Regional Medical Center	Springfield	Acute care
Mercy Health	Mercy Health - Lorain Hospital	Lorain	Acute care
Mercy Health	Mercy Health - Allen Hospital	Oberlin	Critical access
Mercy Health	Mercy Health - St. Elizabeth Youngstown Hospital	Youngstown	Acute care
Mercy Health	Mercy Memorial Hospital (Urbana Hospital)	Urbana	Critical access
Mercy Health	Mercy Health - Defiance Hospital	Defiance	Acute care
Mercy Health	Mercy Health - Tiffin Hospital	Tiffin	Acute care
Mercy Health	Mercy Health - Willard Hospital	Willard	Acute care
Mercy Health	Mercy Health - St. Charles Hospital	Oregon	Acute care
Mercy Health	Mercy Health - St. Anne Hospital	Toledo	Acute care
Mercy Health	Mercy Health - St. Vincent Medical Center	Toledo	Acute care
Mercy Health	Mercy Children's Hospital	Toledo	Children's hospital
Mercy Health	Mercy Health Behavioral Health Institute, Warren	Warren	Behavioral health
Kettering Health	Kettering Health Dayton	Dayton	Acute care
Kettering Health	Kettering Health Soin Medical Center	Beavercreek	Acute care
Kettering Health	Kettering Health Franklin	Franklin	Acute care
Kettering Health	Kettering Health Hamilton	Hamilton	Acute care
Kettering Health	Kettering Health Middletown	Middletown	Acute care
Kettering Health	Kettering Health Troy	Troy	Acute care
Kettering Health	Kettering Health Greene Memorial	Xenia	Acute care
Kettering Health	Kettering Health Springfield	Springfield	Acute care
Mount Carmel	Mount Carmel Dublin	Dublin	Acute care
Mount Carmel	Mount Carmel New Albany	New Albany	Acute care
Mount Carmel	Mount Carmel East Hospital (Reynoldsburg emergency room)	Reynoldsburg	Acute care
Mount Carmel	Mount Carmel Health Systems	Westerville	Acute care
Mount Carmel	Rehabilitation Hospital of Westerville (Mount Carmel)	Westerville	Rehabilitation hospital
Ohio State University	Ohio State East Hospital	Columbus	Acute care
Ohio State University	Ohio State Harding Hospital	Columbus	Behavioral health
Aultman Health	Aultman Hospital	Canton	Acute care
Aultman Health	Aultman Alliance Community Hospital	Alliance	Acute care
Aultman Health	Aultman Orrville Hospital	Orrville	Critical access
Akron Children's	Akron Children's Hospital	Akron	Children's hospital
Adena Health	Adena Regional Medical Center	Chillicothe	Acute care
Adena Health	Adena Pike Medical Center	Waverly	Critical access
Holzer Health	Holzer Gallipolis	Gallipolis	Critical access
Holzer Health	Holzer Medical Center - Jackson	Jackson	Critical access
Independent / other	Marietta Memorial Hospital	Marietta	Acute care
Independent / other	Selby General Hospital	Marietta	Critical access
Independent / other	Licking Memorial Health Systems	Pataskala	Acute care
Independent / other	Coshocton Regional Medical Center	Coshocton	Acute care
Independent / other	Hocking Valley Community Hospital	Logan	Critical access
Independent / other	East Ohio Regional Hospital	Martins Ferry	Acute care
Independent / other	Barnesville Hospital	Barnesville	Critical access
Independent / other	WVU Harrison Community Hospital	Cadiz	Critical access
Independent / other	Southeastern Ohio Regional Medical Center	Cambridge	Critical access
Independent / other	Mary Rutan Health Center	Bellefontaine	Acute care
Independent / other	Diley Ridge Medical Center	Canal Winchester	Acute care
Independent / other	Southwest General Health Center	Cleveland	Acute care
Independent / other	Hillcrest Hospital	Cleveland	Acute care
Independent / other	Haven Behavioral Hospital of Dayton	Dayton	Behavioral health
Independent / other	Beckett Springs	Dayton	Behavioral health
Independent / other	Columbus Springs	Pickerington	Behavioral health
Independent / other	Highland Springs	Solon	Behavioral health

Hospital list compiled from Antidote Health Plan of Ohio's CMS-filed machine-readable provider directory for plan year 2026 (directory records last updated November 2025), retrieved October 2026. Facility types come from each facility's federal NPI registration. Hospitals are listed under the names they were filed, so a hospital you use may appear under a different name, or may not be in the network at all. Outpatient clinics, urgent care, surgery centers, dialysis and nursing facilities in the directory are not shown. Networks change during the plan year and may change for 2027. Always confirm your own hospital and doctors in Antidote's live provider directory before you enroll, or let us check for you.

Check your doctors too. The directory also lists thousands of individual physicians and specialists, and not every doctor at an in-network hospital is in the network. We will confirm your hospitals and doctors before you enroll, at no cost.
Antidote Ohio Provider Search

Frequently Asked Questions

Is Antidote Health real ACA insurance?

Yes. Antidote's individual and family plans are ACA-compliant HMO plans, and you may qualify for premium tax credits based on your income when you buy through the Marketplace.

What does virtual-first mean?

Routine care can start with a virtual visit, which is usually faster and cheaper than an office visit. You still get in-person care through the plan's network when you need it.

When can I enroll in an Antidote plan in Ohio?

During Open Enrollment, which starts November 1 for coverage the following year, or mid-year if you qualify for a Special Enrollment Period. Ask us which dates apply to you.

Where do I enroll in an Antidote plan in Ohio?

Ohio residents shop for ACA plans on the federal Marketplace at HealthCare.gov. We can enroll you for free through our licensed Ohio agents, and compare Antidote with the other Ohio carriers such as Anthem, Medical Mutual, CareSource, Oscar, Ambetter and Molina.

Will Antidote's 2027 Ohio plans and premiums be different?

Plans and rates change every year. Antidote Health Plan of Ohio has proposed an average rate increase of 15.8% for 2027 before premium subsidies, according to HealthInsurance.org. Your own price depends on your age, county and subsidy. We will confirm final 2027 Ohio plans and premiums before Open Enrollment and update this page.

What Antidote drug coverage looks like today in Arizona

Antidote files a separate drug list in each state, so we cannot tell you from this comparison how its Ohio formulary treats any one drug. What we can show you is how Antidote builds a formulary in a state where it also operates. We pulled all seven Arizona carriers' 2026 drug lists as filed with CMS and compared them drug by drug.

2026 Arizona carrier	Covers Ozempic	Prior authorization required
Antidote Health	Yes	No
Blue Cross Blue Shield of Arizona	Yes	Yes
Ambetter	Yes	Yes
Oscar Health	Yes	Yes
UnitedHealthcare	Yes	Yes
Cigna	Yes	Yes
Imperial	Yes	Yes

The same pattern holds across the whole class. Rybelsus, Mounjaro and Trulicity are all covered by Antidote with no prior authorization, while every other Arizona carrier requires it on all three.

The honest trade-off: Antidote applies step therapy instead. That means you may need to try a preferred alternative first and have it not work for you. You are swapping an approval process your doctor has to fight for a treatment sequence you have to follow. For many people that is the better deal, but it is not nothing, and it is worth knowing before you enrol rather than at the pharmacy counter.

Two more places Antidote comes out ahead in the filings: it is the only Arizona carrier listing insulin glargine with no prior authorization, no step therapy and no quantity limit, and the only one listing Eliquis with no quantity limit.

Source: each Arizona issuer's machine-readable formulary filed with CMS for plan year 2026, retrieved August 2026. This is Arizona data, not a description of Ohio plans. Antidote's Ohio drug list is searchable on its website, and we will compare Ohio carriers the same way.

This page is general information, not an offer of insurance. Sources: Antidote Health public website (plan suites, features, Ohio service area), Antidote Health Plan of Ohio's CMS-filed provider directory for 2026, and HealthInsurance.org (proposed 2027 rate change), reviewed October 2026. Always confirm benefits, premiums and network participation for your county before you enroll.

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