Job & Family Services Ohio Medicaid

Premiums for CBI
Each child enrolled in CBI will have an insurance premium.  The amount of the premium depends on your household size and household annual income. 

 To estimate your child's premium, use the table below.

1) Find your household size
2) Find your total annual income
3) Your child's estimated premium is at the bottom of the column you choose

Household Size Household Annual Income Household Annual Income Household Annual Income
2 $43,710-$58,279 $58,280-$72,849 $72,850+
3 $54,930-$73,239  $73,240-$91,549 $91,550+
4 $66,150-$88,199 $88,200-$110,249 $110,250+
5 $77,370-$103,159 $103,160-$128,949 $128,950+
6 $88,590-$118,119 $118,120-$147,649 $147,650+
7 $99,810-$133,079 $133,080-$166,349 $166,350+
Monthly premium per child $252.58 $378.87 $505.16

The CBI program also includes a yearly deductible amount, co-payments, and co-insurance amounts.