How much are specialist visits?

The 2026 Ohio brochure lists an $80 member cost for specialist visits.

How much is urgent care?

The 2026 Ohio brochure lists a $60 member cost for urgent-care services.

How much is the monthly premium?

The premium depends on rating area, age, household circumstances and eligibility for financial assistance. Get a personalized Marketplace quote.

Molina Silver Saver 70 Four Free PCP Visits Ohio 2026

Molina Silver Saver 70 with Four Free PCP Visits Overview

Molina Silver Saver 70 with Four Free PCP Visits is a 2026 Ohio Marketplace HMO health insurance plan. Its benefits include four eligible non-preventive office visits at no charge, with the $40 office-visit cost applying after those visits under the brochure terms. The plan has a $7,000 individual deductible and a $10,600 individual out-of-pocket maximum. Network, eligibility and service rules apply.

Silver Marketplace plan with four eligible office visits at no charge and a $7,000 individual deductible.

Expert Review of Molina Silver Saver 70 with Four Free PCP Visits

Molina's 2026 Ohio benefits brochure lists a $7,000 individual deductible and $10,600 individual out-of-pocket maximum. It lists a $40 primary-care cost with the first four eligible office visits at no charge, an $80 specialist cost and a $60 urgent-care cost. Emergency room and inpatient facility services are listed at 40% coinsurance after the deductible. Review the official Schedule of Benefits and provider directory before enrolling.

Pros

The first four eligible office visits have no charge under the brochure terms.
The plan publishes clear individual and family deductible amounts.
Urgent-care member cost is listed as $60.

Cons

The $7,000 individual deductible can mean substantial costs for deductible-based services.
Specialist visits are listed at $80 per visit.
Emergency room and inpatient facility services are listed at 40% coinsurance after the deductible.

About Molina Healthcare (Insurer Profile)

Molina Healthcare

Key Insights

Founded

1980

Molina Healthcare was established 46 years ago and has built strong credibility over time, backed by its long-standing presence in the market.

Claims Experience

0% CSR, calculated as a 3-year average

Molina Healthcare settles 0% of all claims it receives.

Network Hospitals

5.5 million members

Molina Healthcare has a network of 5.5 million members hospitals, ensuring wide accessibility and convenience for policyholders.

Molina Silver Saver 70 with Four Free PCP Visits Features and Benefits

Individual deductible

The 2026 Ohio brochure lists a $7,000 individual deductible.

Family deductible: $14,000, as listed in the brochure.

Out-of-pocket maximum

The individual out-of-pocket maximum is $10,600.

Family out-of-pocket maximum: $21,200. Policy rules determine eligible expenses.

Four free office visits

The first four eligible non-preventive office visits have no charge for the indicated visit types.

The brochure marks this benefit for primary care and specified other office-visit categories; check the official document for details.

Primary-care visits after free visits

The brochure lists $40 for primary care after the first four eligible office visits.

Visit categories and benefit conditions apply.

Specialist visits

The brochure lists an $80 member cost for specialist care.

Network and referral rules may apply.

Urgent care

The brochure lists a $60 member cost for urgent-care services.

Refer to the official Schedule of Benefits for applicable rules.

Emergency room services

The brochure lists 40% coinsurance after the deductible.

Check the plan document for emergency-care provisions.

Waiting Periods in Molina Silver Saver 70 with Four Free PCP Visits

Service-specific exclusions, network rules and authorization requirements may apply. Refer to the official 2026 plan documents.

What Molina Silver Saver 70 with Four Free PCP Visits Does Not Cover (Exclusions)

Conditions or treatments that the policy clearly says it will not cover.

Services excluded by the policy are not covered unless a stated exception applies.
Non-emergency out-of-network care may not be covered under standard HMO rules, subject to policy exceptions.
Some services may require prior authorization or satisfy medical-necessity criteria.

Disclaimer: For illustration purposes only - exact terms are in the policy wording.

What's missing in Molina Silver Saver 70 with Four Free PCP Visits

The monthly premium depends on county, age, household circumstances and financial assistance.
Confirm whether preferred doctors and hospitals are in the plan network.
Check the prescription formulary and prior-authorization requirements.

Molina Silver Saver 70 with Four Free PCP Visits FAQs

What is the deductible for Molina Silver Saver 70?

The 2026 Ohio brochure lists a $7,000 individual deductible and $14,000 family deductible.

What is the out-of-pocket maximum?

The brochure lists $10,600 for an individual and $21,200 for a family. Covered expenses count according to plan rules.

Are the first four office visits free?

The brochure indicates no charge for the first four eligible non-preventive office visits across specified visit categories. Check the official benefit document for exact conditions.