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. Confirm applicable benefit terms.

Molina Silver Standard 70 Ohio Health Insurance Plan 2026

Q: How much are primary-care visits?

The 2026 Ohio brochure lists a $40 member cost for primary-care visits.

Molina Silver Standard 70 Overview

Molina Silver Standard 70 is a Silver-tier HMO Marketplace plan listed in Molina Healthcare of Ohio's 2026 benefits brochure. The plan uses a provider network and has defined cost-sharing for primary care, specialist visits, urgent care and hospital services. Availability, premiums and final benefits depend on the applicable service area and official plan documents.

2026 Ohio plan with a $6,000 individual deductible and $8,900 individual out-of-pocket maximum.

Expert Review of Molina Silver Standard 70

The 2026 Ohio brochure lists a $6,000 individual deductible and an $8,900 individual out-of-pocket maximum. It lists $40 for primary care, $80 for specialist care and $60 for urgent care. Emergency room and inpatient facility services are listed at 40% coinsurance after the deductible. Members should verify provider-network participation, prescription coverage and any prior-authorization rules before enrolling.

Pros

The official brochure specifies the individual deductible and out-of-pocket maximum.
Primary-care and specialist visit costs are clearly listed in the benefits summary.
Urgent-care member cost is listed as a fixed $60 amount.

Cons

The $6,000 individual deductible can mean substantial initial costs for deductible-based services.
Emergency room and inpatient facility services are listed at 40% coinsurance after the deductible.
HMO network rules can limit coverage for non-emergency out-of-network care.

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 Standard 70 Features and Benefits

Individual deductible

The 2026 Ohio brochure lists a $6,000 individual deductible.

Family deductible rules may differ.

Out-of-pocket maximum

The individual out-of-pocket maximum is listed as $8,900.

Policy rules determine which covered expenses count toward this limit.

Primary-care visits

The brochure lists a $40 member cost for primary-care visits.

Confirm applicable network and service rules.

Specialist visits

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

Referral and network requirements may apply.

Urgent care

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

Check the official plan documents for applicable conditions.

Emergency room services

The brochure lists 40% coinsurance after the deductible.

Review emergency-care rules and the applicable benefit terms.

Waiting Periods in Molina Silver Standard 70

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

What Molina Silver Standard 70 Does Not Cover (Exclusions)

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

Services not covered by the policy are not payable unless a stated policy 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 meet medical-necessity criteria.

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

What's missing in Molina Silver Standard 70

The monthly premium cannot be determined accurately without rating area, age and subsidy details.
Check the current provider directory for preferred doctors and hospitals.
Review the current prescription formulary and prior-authorization requirements.

Molina Silver Standard 70 FAQs

What is the deductible for Molina Silver Standard 70?

The 2026 Ohio brochure lists a $6,000 individual deductible. Family rules may differ.

What is the out-of-pocket maximum?

The brochure lists an $8,900 individual out-of-pocket maximum. Check the policy for the expenses that count toward this limit.

How much is the monthly premium?

The premium varies by county, age, household circumstances and eligibility for financial assistance. Use the Marketplace for a personalized quote.

How much are primary-care visits?