Hello,
With a NEET score of 490 and OBC category, you have a good chance of getting admission in government or low-fee private medical colleges, depending on your state quota and the cutoffs for the year. Government colleges have lower fees and allocate seats based on the state merit list and category reservations. You should participate in state counselling to explore available seats. Low-fee private colleges may also accept your score, but it is important to check the exact cutoff, seat availability, and fees for each college. Additionally, participating in counselling early increases your chances of securing a seat in a more affordable college.
Hope this helps you.

Hello

With a NEET score of 490 in the OBC category, getting a low-fees government MBBS seat is difficult because cutoffs usually go higher.
But you may still get chances in some private, semi-government, or low-fee state private colleges, depending on your state and counselling rounds.
Many students with similar scores get seats in later rounds or through the state quota if competition is lower.
BDS, BHMS, BAMS, or allied-health courses are also good low-fee options if MBBS doesn’t fit.
If your aim is strictly government MBBS, a reattempt next year can increase your chances a lot.

https://medicine.careers360.com/articles/neet-cut-off-for-government-colleges

Hope this information will help you.