Ohio individual and Medicare health insurance plans can be purchased online on our website. Many large companies offer a large selection of plans to meet the ever-changing needs of consumers. Regardless if you're an individual, family, student, self-employed, between jobs, an early retiree or uninsured, we'll find the right private health insurance plan for you. We simplify the process of comparing Marketplace plans and enrolling online.
And unlike many other online sites, we're located in the state (Springboro) and are recognized as the top website for affordable Ohio private medical insurance. The rates you view are the lowest prices offered by each carrier, whether on or off-Exchange. If you aren't offered group benefits by your employer, you will be able to easily choose a budget-friendly plan and obtain coverage.
In Ohio, UnitedHealthcare, Anthem Blue Cross and Blue Shield, Aetna, Humana, Molina, and Medical Mutual offer the most competitive rates. Competitively-priced options are also available through Premier, Ambetter, SummaCare, HealthSpan, InHealth, and CareSource. Individual policies are no longer medically underwritten, so pre-existing conditions do not increase the rate.
NOTE: policies are not offered in all counties from each company. For example, Premier writes business in the Dayton area (Montgomery, Warren, Greene Butler County area), while SummaCare writes business in the Akron/Canton area.
Fairly recent reform changes impact the rate you pay, now that federal subsidies are available to reduce the cost of your policy. We review those changes with you, and discuss what specific steps should be taken to maximize your savings. New policies are issued as Exchange (or Marketplace) contracts and new coverage is added each year.
For example, "essential benefits" are included in all policies. This coverage provides traditional items (office visits, prescriptions, ER, and inpatient/outpatient hospital treatment) along with maternity and mental-illness assistance. Depending on the "Tier" of your plan, you may not have to meet a deductible for many expensive expenses and procedures.
Types Of Private Plans
The three types of private Ohio individual health insurance are “comprehensive,” “catastrophic,” and Health Savings Accounts (HSAs).” All three types of coverage are easily purchased with multiple deductible options. Higher deductibles can substantially reduce rates. NOTE: There are many variations of each type of coverage. Deductibles and/or copays may apply to less-expensive options, while smaller and fewer out-of-pocket costs will likely be found in more expensive Silver and Gold-tier plans (and occasionally the Bronze-tier).
Catastrophic plans generally place a deductible on most major medical expenses, and rates tend to be very low. Sometimes referred to as a "High Deducible Plan," out of pocket expenses are higher, with limitations on office visit and prescription coverage. Preventive benefits are always included and are not subject to a deductible. However, there may be a limitation on the number of primary-care-physician (pcp) office visits that are provided free or with a small copay.
When a "Network" provider is used, out-of-pocket costs are often discounted. Ideally, this type of individual plan is appropriate when you are willing to pay the smaller and routine medical expenses and can easily afford out-of-pocket expenses of $2,500 or more. Since there will be Open Enrollments every year, your risk reduces with these types of policies because you can change to a different option every 12 months.
The number of available "catastrophic options is also very limited. Carriers are not required to offer policies on the Marketplace. Also, unless you are under age 30, or can prove "financial hardship," you will not meet the eligibility requirements. The least expensive plans that are offered include Humana Basic 6850, InHealth Catastrophic, Medical Mutual, Market Young Adult Essentials, Anthem Pathway X 6850 0, and SummaCare Value.
Comprehensive plans add office visit and prescription coverage, and tend to be the most expensive plans. But raising the deductible can keep the premium quite affordable. Selected plans will offer a reduced rate, by limiting the number of covered office visits. And of course, qualifying for a financial subsidy can reduce rates, and lower deductibles and copays on Silver-tier plans (with "cost-sharing").
The most desirable features of a comprehensive policy include unlimited office visits for both primary care physicians (pcp) and specialists, elimination of deductibles for some (or most) prescriptions, and large network-negotiated discounts for claims that are subject to a deductible (MRIs, diagnostic tests, x-rays, inpatient and outpatient surgery etc...) Listed below are popular (and affordable) options available on and off the Marketplace:
Aetna Bronze $15 Copay - One of the least expensive health insurance plans in Ohio. $15 pcp office visit copay with $6,850 deductible.
Aetna Silver $10 Copay - $10 and $75 office visit copays with $3,500 deductible.
Molina Marketplace Silver - $20 and $55 office visit copays with $10 and $55 copays on generic and brand drugs. Low $2,000 deductible.
Anthem Silver Pathway X 4250 30 - $25 and $50 office visit copays. $15 generic drug copay and $4,250 deductible.
Anthem Silver Pathway X 2850 15 - Lower $2,850 deductible with $15 pcp office visit copay. However, specialist visits must meet deductible.
UnitedHealthcare Silver Compass 2000 - $30 and $60 office visit copays with $10 and $50 generic and brand drug copays. Deductible is $2,000.
InHealth Silver 1 - $30 and $50 office visit copays with low $2,250 deductible. $15 generic drug copay and copays on most other prescriptions.
Premier Health One Silver 4500/20 - $20 and $40 office visit copays with $4,500 deductible. Plan is only available in several counties in SW Ohio.
HSAs, a popular option, are most effective when major medical and preventative coverages are a priority. Rates are often fairly low, and additional tax advantages help make the HSA an attractive option to consider. The amount of premium saved by purchasing the lower-premium/higher deductible policy can be deposited into an Ohio HSA account, to pay for qualified medical expenses.
You control the money in the account and have complete access at all times. Preventive benefits are not subject to a deductible and other covered expenses receive a negotiated "repricing" discount. When you retire, you can continue to use (or withdraw) any of your money. Shown below are all available HSA options. NOTE: Several plans are not offered in all areas of the state.
Aetna Bronze Deductible Only HSA Eligible
HealthSpan Select Bronze 4500-70
HealthSpan Silver 3500
HealthSpan Select Bronze 6000
HealthSpan Select Silver 1500-70
UnitedHealthcare Bronze Compass HSA 5500
UnitedHealthcare Bronze Navigate Plus HSA 5500
UnitedHealthcare Silver Compass HSA 3000
InHealth Bronze 2
InHealth Silver 2
InHealth Silver 3
InHealth Gold 3
Medical Mutual Market HMO (and PPO) 6000
Medical Mutual Market HSA 4000
Anthem Bronze Pathway X PPO 0
Anthem Silver Pathway XPPO 10
As always, our website makes it easy for you to compare and apply for the most affordable health insurance plans in Ohio. We will help you with your federal tax subsidy (if you are eligible) and assist you in understanding your benefits and how to get the lowest rates.