Find 2020 Medicare Plans in Ohio - OH Medicare Insurance Overview

Medicare Insurance in Ohio

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Ohio Medicare Insurance

Ohio Medical Insurance Stats

Medicare in Ohio

Medicare offers healthcare coverage to Ohio residents age 65 or older, or to those Ohio residents that suffer from certain medical disabilities. In 2016, 2,088,000 people are enrolled in Medicare in Ohio, accounting for 18.3% of the population in Ohio. Approximately $10,300 was spent on each Medicare enrollee in Ohio in 2009, slightly lower than the national average of $10,365 by 0.63%. Between 2015 to 2030 the number of seniors in Ohio is expected to rise by an estimated 33.45% according to calculations based off of the 2000 Census. Therefore the number of eligible Medicare beneficiaries in Ohio is also predicted to grow.

Local Medicare Resources

Medicare beneficiaries and their caregivers in Ohio can receive free, one-on-one, and unbiased health insurance counseling through Ohio’s Senior Health Insurance Information Program (OSHIIP). Ohio’s Senior Medicare Patrol (SMP), managed by Pro Seniors, Inc., is a program which aims to help educate and empower individuals on how to identify, avoid, and report cases of Medicare fraud, waste, and/or abuse.

Types of Medicare Coverage

Individuals that qualify for Medicare can sign up for Medicare Part A (hospital services) and Part B (medical services) through the Federal government. Part A is generally paid for by paycheck deductions from their working years (or their spouse's) but most Medicare beneficiaries pay for Part B through monthly premiums unless they qualify for financial assistance. If you are eligible for Original Medicare (Parts A & B) or if you are already enrolled in it, you also have the option to enroll in a Medicare Advantage Plan (Medicare Part C) instead of Original Medicare or add a standalone prescription drug plan (Part D) to your current Original Medicare coverage. Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Many Medicare beneficiaries will elect to enroll in a Medicare Advantage plan that includes prescription drug coverage (MAPD) or purchase a standalone prescription drug plan to go with their Original Medicare coverage. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Additional benefits of Medicare Advantage plans such as dental, vision, or hearing coverage can help reduce out-of-pocket expenses for seniors with certain medical needs.

Ohio 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in Ohio is $68.93, 10.32% greater than the national average of $62.48. 22.07% of 2017 Medicare Part C insurance plans in Ohio have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $400, but in Ohio the average annual drug deductible for Medicare Part C insurance plans with drug components is $113.55. 33.68% of 2017 Medicare Part C insurance plans with a drug component in Ohio have a $0 annual drug deductible.
  • The average total monthly premium for a 2017 Medicare Advantage plan without a drug component in Ohio is $15.21. 49.43% of 2017 Medicare Part C insurance plans without a drug component in Ohio have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Ohio is $4877.27. 8.17% of 2017 Medicare Advantage plans in Ohio had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in Ohio was 3.6 stars in 2017.
  • Among Ohio's 2017 Medicare Advantage plans with CMS star ratings:
    • 2.22% earned a score of 5 stars
    • 33.56% earned a score of 4 or 4.5 stars
    • 24.65% earned a score of 3 or 3.5 stars
    • 9.74% earned a score of 2 or 2.5 stars
    • 29.82% of plans are “Not enough data available” or “Too new to be measured”.

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

There are 31 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Ohio. Of these, the companies that offer the largest variety of plans to choose from are Humana, Anthem BCBS, and UnitedHealthcare. In Ohio,Humana has the largest selection of Medicare Advantage plans while Humana offers the most Medicare Part D plans. The following are all medicare insurance providers in Ohio:

Humana

29 Plans

Anthem BCBS

12 Plans

Aetna

10 Plans

Medigold

9 Plans

WellCare

6 Plans

SummaCare

6 Plans

Paramount Elite/Medicare Plans

6 Plans

UPMC for Life

5 Plans

Bright Health

4 Plans

Health Alliance Medicare

3 Plans

Bright Health

3 Plans

allwell

2 Plans

UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY

2 Plans

OMAHA HEALTH INSURANCE COMPANY

2 Plans

Mutual of Omaha Medicare Advantage

2 Plans

CareSource

2 Plans

CLEAR SPRING HEALTH INSURANCE COMPANY

2 Plans

Paramount Elite/Medicare Plans

1 Plans

Lasso Healthcare

1 Plans

CareSource MyCare Ohio

1 Plans

Buckeye Health Plan - MyCare Ohio

1 Plans

MediGold Southwest OH Essential Care (HMO)
TYPE:HMOCOST:from $0CMS Rating:
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MediGold Essential Care (HMO)
TYPE:HMOCOST:from $0CMS Rating:
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UPMC for Life HMO No Rx (HMO)
TYPE:HMOCOST:from $0CMS Rating:
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HumanaChoice H5525-042 (PPO)
TYPE:PPOCOST:from $0CMS Rating:
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UPMC for Life HMO Deductible with Rx (HMO)
TYPE:HMOCOST:from $22CMS Rating:
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Humana Value Plus H5525-041 (PPO)
TYPE:PPOCOST:from $23CMS Rating:
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MediGold Southeast OH Essential Care (HMO)
TYPE:HMOCOST:from $39CMS Rating:
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UPMC for Life HMO Rx Choice (HMO)
TYPE:HMOCOST:from $40CMS Rating:
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MediGold True Advantage (HMO)
TYPE:HMOCOST:from $59CMS Rating:
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MediGold Medical Only (HMO)
TYPE:HMOCOST:from $60CMS Rating:
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MedMutual Advantage Premium (PPO)
TYPE:PPOCOST:from $124CMS Rating:
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Reid Health Alliance Medicare HMO Rx Plus (HMO)
TYPE:HMOCOST:from $91CMS Rating:
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Humana Gold Plus H6622-019 (HMO)
TYPE:HMOCOST:from $89CMS Rating:
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MedMutual Advantage Preferred (PPO)
TYPE:PPOCOST:from $74CMS Rating:
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Reid Health Alliance Medicare HMO Rx (HMO)
TYPE:HMOCOST:from $51CMS Rating:
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Humana Gold Plus H6622-019 (HMO)
TYPE:HMOCOST:from $89CMS Rating:
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HumanaChoice H5216-050 (PPO)
TYPE:PPOCOST:from $78CMS Rating:
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HumanaChoice H5216-024 (PPO)
TYPE:PPOCOST:from $74CMS Rating:
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Anthem MediBlue Plus (HMO)
TYPE:HMOCOST:from $65CMS Rating:
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HumanaChoice H5216-045 (PPO)
TYPE:PPOCOST:from $64CMS Rating:
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The following are the most popular medicare doctors in Ohio based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
RadiologyCLEVELAND, OH
PathologyCLEVELAND, OH
RadiologyCINCINNATI, OH
DermatologyDAYTON, OH
RadiologyCINCINNATI, OH
Emergency MedicineCOLUMBUS, OH
DermatologyPEPPER PIKE, OH
DermatologyDAYTON, OH
DermatologyLIMA, OH
DermatologyTOLEDO, OH

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).