Find 2019 Medicare Plans in Ohio - OH Medicare Insurance Overview

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Ohio Medicare Insurance

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

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Ohio Medicare Insurance Companies

There are 29 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 Aetna. 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

11 Plans

Aetna

11 Plans

Medigold

8 Plans

UPMC Health Plan

4 Plans

SummaCare

4 Plans

WellCare

3 Plans

Health Alliance Medicare

3 Plans

CareSource

3 Plans

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

2 Plans

OMAHA HEALTH INSURANCE COMPANY

2 Plans

Mutual of Omaha Medicare Advantage Company

2 Plans

allwell

1 Plans

CareSource MyCare Ohio

1 Plans

Buckeye Health Plan - MyCare Ohio

1 Plans

2019 Featured Medicare Plans in Ohio

There are 133 medicare plans in Ohio. The following are the 10 highest rated medicare plans in Ohio based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $0PrimeTime Health Plan - PrimeTime Health Plan Basic - MA Only (HMO-POS) - Carroll County
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from $0SummaCare - SummaCare Medicare Topaz (HMO) - Carroll County
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from $0PrimeTime Health Plan - PrimeTime Health Plan Aultimate (HMO-POS) - Carroll County
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from $39PrimeTime Health Plan - PrimeTime Health Plan Classic (HMO-POS) - Carroll County
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from $43SummaCare - SummaCare Medicare Ruby (HMO) - Ashland County
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from $76SummaCare - SummaCare Medicare Sapphire (HMO-POS) - Ashland County
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from $89PrimeTime Health Plan - PrimeTime Health Plan Plus (HMO-POS) - Carroll County
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from $180SummaCare - SummaCare Medicare Emerald (HMO-POS) - Ashtabula County
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from $0UPMC Health Plan - UPMC for Life (HMO) - Harrison County
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from $0Health Alliance Medicare - Reid Health Alliance Medicare HMO (HMO) - Darke County
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See all Medicare plans in Ohio

Ohio Featured Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in Ohio based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $0Aetna - Aetna Medicare Select Plan (HMO) - Brown County
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from $0Aetna - Aetna Medicare Value Plan (HMO) - Ashland County
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from $0Aetna - Advantra Silver (PPO) - Belmont County
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from $68Paramount Health Care - Paramount Elite - Enhanced Medical and Drug (HMO) - Allen County
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from $40Paramount Health Care - Paramount Elite - Enhanced Medical Only (HMO) - Allen County
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Ohio Featured Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Ohio based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $103Humana - Humana Gold Choice H8145-032 (PFFS) - Ashland County
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from $0Aetna - Aetna Medicare Select Plan (HMO) - Brown County
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from $0Aetna - Aetna Medicare Value Plan (HMO) - Ashland County
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from $87Humana - Humana Gold Plus H6622-019 (HMO) - Allen County
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from $46Humana - Humana Gold Plus H6622-011 (HMO) - Cuyahoga County
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Ohio Featured Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in Ohio based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $0Meridian Health Plan - MeridianCare Essential Smile (HMO) - Clermont County
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from $0Meridian Health Plan - MeridianCare Enhanced (HMO) - Clermont County
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from $0Meridian Health Plan - MeridianCare Essential (HMO) - Fulton County
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from $136Medical Mutual - MedMutual Advantage Preferred (PPO) - Adams County
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from $119Medical Mutual - MedMutual Advantage Premium (PPO) - Ashland County
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Ohio Featured Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in Ohio based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $120Aetna - Aetna Medicare Standard Plan (PPO) - Ashland County
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from $98Aetna - Aetna Medicare Choice Plan (PPO) - Ashland County
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from $87Humana - Humana Gold Plus H6622-019 (HMO) - Allen County
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from $46Humana - Humana Gold Plus H6622-011 (HMO) - Cuyahoga County
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from $15Humana - Humana Gold Plus H6622-055 (HMO) - Butler County
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Most Popular Medicare Doctors in Ohio

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
UrologyBLUE ASH, OH
AnesthesiologyWOOSTER, OH
Thoracic Surgery (Cardiothoracic Vascular Surgery)CLEVELAND, OH
OphthalmologyBEACHWOOD, OH
Internal MedicineSPRINGFIELD, OH
RadiologyCINCINNATI, OH
OphthalmologyCINCINNATI, OH
Thoracic Surgery (Cardiothoracic Vascular Surgery)CLEVELAND, OH
DermatologyLIMA, OH
Thoracic Surgery (Cardiothoracic Vascular Surgery)CLEVELAND, OH
See all doctors accepting Medicare in Ohio

Browse Medicare Plans by Cities

  1. Columbus, OH
  2. Cleveland, OH
  3. Cincinnati, OH
  4. Toledo, OH
  5. Akron, OH
  6. Dayton, OH
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