I’m also in NE Ohio. There are some varieties that just get CAR so bad it affects the fruit. I know Honeycrisp can be a tough one for a lot of people.
Hopefully someone else will jump in with spray suggestions as I’m not a sprayer of much. I’ve tried to plant mostly disease resistant trees (here’s a thread you might find useful). A consideration would be adding or grafting some of these in to help ensure a decent crop during bad rust years.