Individual student health insurance plans in Ohio are very affordable and will provide all of the major benefits you need or are required to have. 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 or all of your premium could 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.
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 coverages. 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.
With most schools, some office visit, prescription and major medical coverage must be included. You may also be required to select a deductible of $2,500 or less, or include maternity, mental health and Urgent-Care facility benefits. Maximum out-of-pocket expenses may be 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.
* The company must be legitimate, owned and operated in the United States.
* Must pay at least 80% of hospital-related fees.
* Out-of-pocket maximum expenses must not exceed $2,500.
* No waiting period and pre-existing conditions must be covered.
* Inpatient substance abuse and mental health must be covered for at least one month.
* Proof of coverage (ID Card) must be available.
* NOT a high deductible, such as $6,000 or $5,000.
* Provides mandated preventive benefits with no copay, coinsurance or deductible.
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 coverages 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. A 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 are able to 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. So 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 Humana feature nationwide provider networks. However, Premier, SummaCare, and HealthSpan typically do not feature as many national (and sometimes local) options, especially if you require a specialist or specific facility treatment.
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.
For example, The Ohio State University features a "comprehensive" Aetna plan for domestic enrollees. Visits to the Wilce Health Center usually don't require a copay. Network visits have a $15 copay ($25 for Urgent Care). Dental and vision benefits are included, although there are numerous exclusions and limitations. Your BuckID card may also be able to be used to pay copays etc...
The semi-annual cost of the OSU package is $1,150 per semester or $2,300 per year. If a spouse is added, the prices increase to $3,370 and $6,740 respectively. A special "summer only" rate is available for classes taken during the summer term.
Ohio University (Athens) charges $1,635 per year for coverage (domestic rate). UnitedHealthcare issues the contracts that feature a $150 deductible per person ($300 per per family) and a maximum $1,500 of out-of-pocket expenses per year. However, by not utilizing Choice Plus in-network facilities, the maximum expenses drastically increase.
Most drugs (Tiers 1, 2 and 3) are subject to copays instead of a deductible. Acupuncture, cosmetic procedures, and dental treatment are not covered.
Bowling Green is another UnitedHealthcare customer. There are two available plans (Plan I and II). Plan II offers better benefits and accordingly, is more expensive. Once a policy is selected, you can not change to the other policy until the following year. The "Choice Plus" network is pre-selected and covers most facilities in the Bowling Green area.
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 close proximity and the cheapest copays and out-of-pocket cost. CampusFirst Plan 1 is the most comprehensive policy provided.
But the cost is not cheap. The annual student cost is $3,590 and $7,662 for a married couple. The family premium is a whopping $12,019. International or domestic students often select CampusFirst Plan 2, which is a high-deductible plan that cost about 25% less.
The University of Cincinnati also utilizes a UnitedHealthcare plan that is similar to their "Gold-tier" contracts that are available on the Marketplace. The premium is $2,068 per year, which includes a $300 deductible. The drug copay is $15, $30, and $60 (depending on the tier with a $150 emergency room copay.
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.
Miami Valley Hospital and the Premier network are popular choices for persons that live in the Dayton area. Humana also offers very attractive options including a high-deductible HSA plan.
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, Premier provides very competitive pricing, but outside of the Dayton area, it will 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.
Additional Information - The University of Toledo has adjusted its student medical coverage requirements for the upcoming 2015-2016 academic year. Many students will no longer be forced to purchase coverage through the school. However, non-citizens and medical school students will have to enroll in either a UT or private plan. Many others can voluntarily buy a policy.
Last year, less than 2,000 persons enrolled in plans, which represented the lowest number in more than 20 years. Since the Affordable Care Act provides easy access for young persons to obtain affordable (most of the time!) benefits, college plan enrollments are reducing. Toledo's own Fall Open enrollment begins July 11th and continues through September 30th.