Who are the major Ohio health insurance companies?
Anthem Blue Cross, Aetna, United Healthcare (UHC) and Medical Mutual offer the most competitive rates in Ohio. UnitedHealthcare, Humana and Assurant offer very competitive short term temporary rates.Celtic is another carrier that does business in the state.
What if I only need coverage for a few months?
An Ohio “short-term” policy might be your best option. Premiums are substantially lower than regular policies and you can pick the number of months you would like to be covered. Applications are brief and are often approved within 24 hours. As previously mentioned UnitedHealthcare (also known as "Golden Rule" and Humana offer very low pricing.
What are the Exchanges?
The "Exchanges," also known as a "Marketplace," will be available in October for 2014 effective dates. It is one component of the "Affordable Care Act," which was the overhaul of the US healthcare system. Some of the changes include the elimination of medical underwriting (other than smoking status) and the addition of tax-credit subsidies that could potentially reduce premiums, depending upon your household income
Policy choices will be limited, since you only choose between four basic levels - Platinum, Gold, Silver and Bronze. However, there are some variations of each level that we will explain. And many additional benefits will be mandated (meaning that they must be included), which may raise the cost for many persons.
How Do I Buy A Policy Through The Ohio Exchange?
Actually, the process will be simple. You can continue to use our website as your primary source of information, quotes and applying. However, there will be no medical questions and we will help you find out the amount of federal subsidy you will receive to lower your premium. Since it is income-based, you could receive anywhere from $0 to $15,000.
If your household income is below 133% of the federal poverty level, then you would become eligible for Medicaid. For example, If you are 55 years old and make less than $15,000 your cost would be very low because of your Medicaid eligibility.
What is “catastrophic” health coverage and should I consider it?
“Catastrophic” plans are designed to cover major medical expenses, such as hospital visits, surgical expenses and emergency room charges. Ohio Premiums are quite low, but office visits and prescriptions are generally not covered. For healthy individuals and families, this type of coverage can potentially save a substantial amount of money, and is worth considering.
A common catastrophic plan is a "High Deductible Health Plan," (HDHP) which is required to take advantage of a Health Savings Account. Preventive benefits are completely paid by the carrier and additional tax savings is part of the contract.
What is a PPO?
A PPO is a “preferred provider organization" that negotiates lower rates with groups of doctors, hospitals and other providers. Membership in the PPO provides a substantial discount below their regularly charged rates. Most Ohio companies offer PPO policies, and they are the most popular type of option.
In most parts of the state, there are a large number of available network providers. Anthem has the largest number of providers, followed by Aetna and UHC (Golden Rule). With most plans, you can still be treated "out of network," although you may have to pay more.
Will my pre-existing condition be covered?
That depends on the type of condition and the insurer you are applying with. Many pre-existing conditions are automatically included in benefits. Anthem, Medical Mutual and Aetna are more likely to cover certain conditions than other companies. Sometimes, an existing condition will be included, although rates may increase to pay for expenses paid by the insurer. Typically, you must have prior credible coverage to have your pre-existing condition covered.
Under current national health reform, children under age 19 can purchase a policy (if available) without being denied coverage. In 2014, no applicant can be denied medical coverage. Also, at that time, all pre-existing conditions will be included in benefits without a waiting period.
How much do I have to pay to use this Web service?
There is no cost for our services and we never charge any fees. We can also guarantee that you will receive the lowest allowable premium since the Department of Insurance regulates rates. No other company or website can legally quote a lower rate. And our free service continues after you purchase a policy.
Can I buy a customized Ohio health insurance policy?
Yes, you can. Once we have determined the type of plan you want, we can create a personalized recommendation that features the deductibles, copays and premium that you want. We’ll make sure that your doctors are network-approved and the company is highly-rated. The benefits and rate will match your needs and budget.
How long do I have to keep my policy?
Fortunately, every policy allows you to cancel the plan at any time. Whether you need coverage for a month or 20 years, you are never required to keep the policy any longer than you want. Cancellation is quick and easy, and refunds are promptly returned by the insurers.
I already have health insurance but my rate keeps increasing. Should I change?
If you are in good health and there is a substantial savings by purchasing a new policy, it may be advisable to apply. However, it is imperative that you do not cancel the existing policy until you have been approved and have had ample time to thoroughly study the new offer. Also, Open Enrollment restrictions must be considered.