Individual student health insurance plans in Ohio are very affordable and provide all required benefits you need. We show you high-quality policies at the least expensive rate. You can easily apply online for quick coverage. Office visits, OBGYN exams and prescriptions are typically included with only a small copay.
Preventive benefits are covered at 100% and outstanding protection for inpatient, outpatient and ER are generally included. Student Medical Center coverage on campus is often considered inside the network, and therefore included in a policy. Even if you're on a tight budget, there are several excellent options.
During Open Enrollment and other parts of the year, if you qualify for a federal subsidy, most of your premium can be paid by the federal government, and all pre-existing conditions will be covered. If you are currently listed on a parent's plan, several low-cost options are offered. If you are ineligible for financial aid to lower your rate, there are still many affordable options that provide comprehensive benefits. Until age 26, you can remain on a parent's policy.
Before determining which option is the most affordable, it is important to understand the health insurance requirement of the college. Here in Ohio, each university has different compulsory coverage. Whether you are attending Miami, Ohio State, Toledo, Cincinnati, Kent State, Bowling Green, or any other school, there will be slight differences in the specific mandatory benefits.
Typically, Buckeye State colleges require office visit, prescription and major medical coverage. You may be required to select a deductible of $3,000 or less, or include maternity, mental health and Urgent-Care facility benefits. Maximum out-of-pocket expenses are capped, and inpatient and outpatient therapy may be required. Additional information regarding the ACA legislation that impacts these mandates can be found here.
We have listed below several of the most common requirements, which are also recommended by the American College Health Association Standards for Student Health Insurance Plans. Institutions of higher education adhere to these standards for completely insured and self-funded plans.
1. As a condition of full-time enrollment, proof of qualified healthcare coverage must be provided.
2. Provided plans must act and perform as if they are the primary coverage (not secondary or supplementary) of the student. Thus, preventative, major medical, office visit, prescription drug, mental health, and pre-existing conditions must be covered.
3. Fiduciary responsibility management.
4. Full and complete compliance of all federal and state regulations.
5. Student staff and other persons affiliated with the program, help determine plan options.
6. Annual review of program costs and benefits.
7. Insurance companies, agents, brokers, and all service providers must disclose expenses and fees.
We'll carefully review the requirements of your school and find the private plan that provides the benefits that are needed. But we don't stop there. Many personal student plans contain important coverage that university policies omit, and we feel it's important to have them included in the policy you select. Also, if you are in graduate school, you'll still be able to purchase coverage.
Buying Your Own Policy Vs. School Policy
There are several advantages when you purchase your own coverage. Generally, your catastrophic benefit is significantly higher, since there is no lifetime maximum of covered benefits. Also, you can use off-campus medical facilities, giving you a much broader choice of options. However, sometimes, remaining on a parent's group or private plan is the best option, depending on the cost of adding a dependent.
Routine office visits, specialist visits and non-generic prescription coverage will tend to be more comprehensive under an individual plan. And this can be a big money-saver if you develop a condition that requires expensive visits to specialists and non-formulary prescriptions. If you take medication that must be renewed each month, once again, a private policy may offer you more flexibility regarding where you can go to have the prescription filled.
When you carry your own policy, it's likely that your network extends throughout the entire country. If you visit or vacation in another state, or even transfer to a different college, you can still keep your coverage. If you develop a serious medical condition that requires extensive treatment, you can also keep your policy.
Larger carriers such as Aetna, Humana, UnitedHealthcare, and Cigna feature nationwide provider networks. However, Medical Mutual, SummaCare, and Oscar typically do not feature as many national (and sometimes local) options, especially if you require a specialist or specific facility treatment.
University Health Insurance Plans In Ohio
Most universities in the state offer their own options. Each policy must be ACA-compliant and contain 10 "Essential Health Benefits" as required by the Obamacare legislation.
Ohio State University - All OSU domestic and international students are required to have healthcare benefits if they are actively enrolled (half-time) in a degree program (six credit hours for undergraduates and four hours for professional and graduate). The 2018-2019 rate per semester is $1,628 for a single student, $3,252 for a student and spouse, or a student and one child, $4,878 for a student, spouse, and one or two children, $4,878 for a student and two children, and $6,504 for a student, spouse, and two or more children. Outside of the enrollment period, a qualified exception is needed to apply for coverage.
UnitedHealthcare underwrites the plan, offering a $20 copay of primary-care physician and specialist office visits. Preventative benefits are included with no copay or coinsurance, and Urgent Care visits are subject to only a $25 copay. The policy deductibles for Franklin County providers are $500 per person and $1,500 per family. The policy deductibles outside of Franklin County are $150 and $350.
Generic, preferred brand, and non-preferred brand drugs are subject to 10%, 20%, and 50% coinsurance respectively. Medical procedures, diagnostic tests, and office visits performed at the Wilce Student Health Center are not subject to copays, coinsurance, or a deductible. Network coverage is also available outside of the Columbus area.
Ohio University (Athens) Students enrolled in five or more credit hours are required to secure coverage. The rate per semester is $1,090 for a student or spouse. Each additional child also costs $1,090. However, the cost for two or more children is capped at $2,180. For students initially enrolling in the Spring of 2019, prices are higher.
UnitedHealthcare continues to offer coverage with a Platinum-level plan. The deductibles remain low ($150 per person and $300 per family), with an out-of-pocket expenses maximum of $1,500 per person, and $3,000 per family (assuming network utilization). Treatment at the OUCC (including office visits) is covered with a $15 copay. Pharmacy benefits are provided for Tier 1, Tier 2, and Tier 3 drugs with copays of $15, $30, and $45 respectively. The 90-day supply copay is discounted. The Campus Care Pharmacy copays are $5, $20, and $35.
Global emergency services are provided when a student is more than 100 miles away from the campus, home, or while studying abroad. A 24/7 physician service (Healthiest You) is also included in the benefit package. The telehealth service provides a toll-free number that can save money, time, and offer a quick medical response in specific situations.
Bowling Green utilizes Aetna for their student medical coverage. Two plans (Plan 1 and Plan 2) are offered. Full-time domestic students much purchase coverage (or show proof of other qualified benefits). International students are required to purchase Plan 2.
Plan 1 has a $2,000 deductible with maximum out-of-pocket expenses of $7,150. Office visits are subject to a $25 copay and 20% coinsurance. Diagnostic tests are subject only to 20% coinsurance. Copays for generic, preferred brand, non-preferred brand, and specialty drugs are $15, $30, $45, and $100 respectively. Urgent Care visits are subject to a $35 copay and 20% coinsurance. ER visits are subject to 20% coinsurance.
Plan 2 has a $500 deductible with maximum out-of-pocket expenses of $7,150. Office visits are subject to a $25 copay and 20% coinsurance. Diagnostic tests are subject only to 20% coinsurance. Copays for generic, preferred brand, non-preferred brand, and specialty drugs are $15, $30, $45, and $100 respectively. Urgent Care visits are subject to a $35 copay and 20% coinsurance. ER visits are subject to 20% coinsurance.
The University of Toledo (pictured above) has a mandatory coverage rule if you are enrolled in six or more hours of classes. The Main Campus Medical Center provides proximity and the cheapest copays and out-of-pocket cost. Bronze, Silver, Gold, and a supplemental plan are offered. The Anthem Blue Cross provider network is available for Tier 2 coverage. The deductibles for the three levels are $800, $600, and $400, with maximum coinsurance of $6,250, $5,250, and $4,250.
But the cost is not cheap. The annual student cost of the Bronze plan is $1,962 (student only) $7,181 (student and spouse), and $10,304 (family). The Silver plan cost is 2,452 (student only) $8,976 (student and spouse), and $12,880 (family). The Gold plan cost is 3,065 (student only) $11,221 (student and spouse), and $16,100 (family).
The University of Cincinnati provides a UnitedHealthcare plan that is similar to "Gold-tier" contracts that are available on the Marketplace. The deductible is $500, with 20% coinsurance and maximum out-of-pocket expenses of $5,000. The ER copay is $150 and 20%, for in-network and non-network treatment. Office visits and Urgent Care visits must meet policy deductible. Generic and brand name prescription drug copays are $15 and $30.
Annual rates (one person) are $1,232 for each semester (Fall and Spring). The Summer semester rate is $597. Additional annual rates are $4,494 (student plus one child under age 18), $4,928 (student plus spouse or child age 18 or older), $6,524 (student plus children under age 18), $7,392 (student plus spouse and child age 18 or older), and $9,856 (student plus spouse plus children age 18 or older).
The University of Dayton does not offer healthcare benefits to students. However, they do require that all students provide proof that they are covered under a private contract. International students have more rigorous requirements, including deductibles of $500 (or less), $50,000 of medical evacuation, and at least $25,000 of repatriation to your home country. The Student Health Center (Gosiger Hall) is available to law students and undergraduates at no charge.
Medical Mutual, Anthem BCBS, CareSource, Ambetter and Molina are popular private plan options for persons that live in the Dayton area. Montgomery County offers many local providers that accept multiple insurers and their discounted rates.
An individual policy is likely to cost much less, although there will be different levels of deductibles and coinsurance provided. We'll provide an unbiased comparison of your specific school policy and a private plan from a major carrier such as Anthem Blue Cross, UnitedHealthcare, Medical Mutual, Humana, Kaiser, SummaCare or Aetna. It's likely that many cheap medical plans will be offered.
If you have a pre-existing condition (whether you are actively being treated for it or not), it will automatically be covered. You also may be able to receive a subsidy (earlier discussed) that can potentially pay most of your premium. We can quickly determine your eligibility and amount of financial aid you can receive.
In many instances, the policy you have may be less expensive than the plan that your new employer offers. And due to the new healthcare laws, many employers may opt to pay a small fine instead of offering benefits to employees. In those situations, you may keep your policy, despite no longer being enrolled in any type of school.
Student plans are also very flexible. Many different types of billing methods are available, and a policy can be canceled without a penalty at any time. Most Ohio plans are "PPO" based although a few "HMO" contracts are available. However, the "HMO" options may not be the best choice since coverage is limited to only portions of the state.
Also, certain carriers only offer coverage in small areas. For example, Oscar provides very competitive pricing, but outside of the Cleveland and Columbus areas, it may be difficult to find local network providers. SummaCare also offers outstanding products in 40 counties in Northeastern Ohio. But outside of that area, an alternative company should be chosen.
Please feel free to contact us if you would like to compare student rates from the top-rated companies. You can also view rates by utilizing the quote box at the top of the page or by calling or emailing us.