It’s understandable for some residents in Ohio to find the whole issue of health insurance somewhat confusing. You can buy private health insurance, but there is the matter of a federally facilitated exchange to consider. There are details about plan management, enrollment periods, and government health insurance assistance programs.
To unravel the complications of Ohio health insurance plans, You can simply get in touch with us here at HealthQuoteInfo. We can offer our assistance so that you can find the most suitable health insurance plan for your family within your budget. About 12% of adults in Ohio are uninsured, while 5% of the children also have no insurance. We want to help reduce those rates further.
Finding Proper Private Health Insurance in Ohio
It’s not a problem finding options on private health insurance. The Ohio exchange had 10 participating carriers in 2017, offering private health plans that complied with ACA requirements regarding essential benefits. For 2018, seven carriers remain to provide proper health insurance plans. Five of those carriers expanded their reach to cover counties that didn’t have prior access.
Prices for these plans haven’t increased substantially either, as the costs of these insurance plans only rose by an average of 2%. In contrast, the national rate increase for ACA-compliant plans across the US rose by a national average of 22%.
These plans may only be available for certain parts of the state, but it’s also simple enough to determine which plans are available for your area. You only need to enter your zip code into our search bar and you will find a list of the plans available for your location.
Employer-Sponsored Plans & Small Business Health Insurance Ohio
Another option for Ohio residents is to take advantage of the employer-sponsored plans. These plans are generally more affordable because employers contribute payments towards a large portion of the monthly premiums. Employers use these plans as a way to attract attention from qualified job applicants to fill their work positions.
These plans can simplify the process of choosing a health plan on your own, and they can also cover your dependents as well. If you lose your job, you may even use the COBRA program to extend the coverage for up to an additional 18-month period. You can then use this extension period to line up a new job with a health plan that you like or you can find a new health plan from the private market.
Medicare is the state-run program that offers health insurance coverage for individuals and families with limited income or special circumstances. To qualify, you may have to meet certain eligibility standards regarding your Ohio residency and your citizenship or immigration status. There is also an income ceiling for various applicants to make sure that only those with real need for assistance are able to enroll in Medicaid.
Qualified applicants include adults whose family incomes do not exceed 138% of the federal poverty level (FPL). This ceiling is equal to an annual income of $16,753.20 for an individual and $34,638 for a family of 4. Children are also eligible, with income ceilings reaching up to 206% FPL, while pregnant women can qualify with an annual income that is equal to or less than 200% FPL.
Once you’re approved for Medicare, you’re automatically entered into a Fee-for-Service program. This simply means that the health care providers are paid for each healthcare service they performed, rather than having the services bundled.
After that, most individuals who enroll in Medicare are required to join a managed care plan to receive their benefits. You will have to pick a plan, and if you don’t then one of these plans will be picked for you. These plans include the Buckeye Health Plan, CareSource Health Care with Heart, Molina Healthcare, Paramount Advantage, and UnitedHealthcare Community Plan. These plans come with a few differences regarding some of services they offer.
Enrollment for Medicare is for 12 months, after which your case will be reviewed again to determine your continuing eligibility. However, you need to inform Medicare about any changes to your situation that may affect your eligibility. For example, if you receive a huge promotion with a substantial increase in income, you may no longer be within the required income ceilings.
Ohio CHIP & Low Income Health Insurance Ohio
CHIP stands for Children’s Health Insurance Program, and it is meant to make sure that children receive coverage for necessary preventive, diagnosis, and treatment healthcare services. In particular, CHIP covers children whose families earn more than the income ceilings set by the Medicaid program, but is still not enough to cover the costs of private or employer-sponsored health insurance. In Ohio, this CHIP program covers the needs of about 220,000 children throughout the state.
The CHIP program is administered by the state’s Medicaid program. The state of Ohio pays for the medical services provided for the children enrolled in the program, but most of that money is reimbursed by the federal government. Up to 97% of those costs are returned to the state coffers.
However, federal funding for the program has ceased since September of 2017. While some temporary funds have been allocated, the reimbursement money from the federal government will soon run out. Medicaid will in all likelihood continue the program, though funding for other programs in the state may be affected.
Call us at HealthQuoteInfo if you’re enrolled into the Medicaid or CHIP program, so that we can keep you up to date regarding the latest developments regarding these programs.
Ohio Open Enrollment 2019 & Ohio Obamacare Insurance
The Ohio Open Enrollment period for health insurance in 2019 will run from November 1st, 2018 to December 15th, 2019.
For all your other questions regarding health insurance in Ohio, please do not hesitate to give us a call at 1-855-614-5057. We stand ready to guide you so that you can get the health & medical insurance coverage you need and deserve.