Affordable Ohio Health Insurance Plans

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2017 Ohio Health Insurance Plan Rate Projections – Individual/Group

Ohio health insurance companies are required by the Affordable Care Act legislation to provide rate increase requests of more than 10% to the federal or state government. These price increases will be studied and reviewed, to determine if the changes are fair and warranted. Consumers can voice their opinion regarding the evidence the insurers have provided to justify the premium hikes. Below, we have provided ACA-compliant plans in Ohio and their requested (from the insurer) rate increases for January 1, 2017 effective dates. It is unlikely that the Department of Insurance will approve all premium increases in their entirety. Information is imported from “Rate Review,” which is managed by the Center for Medicare and Medicaid Services. Aetna 13.19% – HMO Small Group 9.02% – HMO Sam’s Small Group 7.28% – Indemnity Plan Small Group 12.57% – PPO Small Group 12.97% – Managed Choice – PD – Individual 11.37% – Managed Choice Individual AultCare 9.95% – Small Group HMO 10.43% – Small Group 24.09% – Individual Anthem BCBs (Community Insurance) 12.04% – HMO Individual 9.48% – PPO Individual 4.96% – PPO Small Group 2.5% – PPO Off-Exchange Buckeye Community Health Plan (Ambetter) -0.79% – Ambetter Individual -1.14% – Ambetter Individual Plus Vision CareSource 13.29% – HMO Enhanced Individual 13.53% – HMO Basic Individual Consumers Life (MedMutual) 1.86% – Off Exchange Individual 1.88% –...

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Paramount Health Insurance Plans And Rates In Ohio

Low-cost health insurance in Northwest Ohio is offered by Paramount. Plans are available to individuals and groups, both on and off the Marketplace Exchange. Residents can choose affordable HMO, Elite, and Advantage options that provide quality coverage at a competitive price. The rates you view on our website from your free quote request, are the lowest offered prices since the Department of Insurance regulates pricing. Paramount has offered policies for more than 25 years, and features popular consumer-driven products to applicants under the age of 65, along with Seniors that are eligible for Medicare. A National Committee for Quality Assurance (NCQA) accreditation was originally awarded in 1995. A “Quality Improvement Program” has been implemented, and is designed to improve patient treatment and service, and review the effectiveness and efficiency of their providers. Affiliated with ProMedica, plans are also offered to small and large companies that are providing group benefits to their employees. Policies are offered in 4o counties in Northeastern Ohio and Southern Michigan. Partial benefits are provided in Delaware, Hardin, Knox, Allen, and Paulding counties. If additional areas are added to their network coverage area, we will update the map below. Available Individual And Family Plans – Under Age 65 Exchange (and off-Exchange) coverage is offered during Open...

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2016 Healthcare Changes In Ohio – What To Expect

2016 Ohio health insurance plans will look different in 2016. The rates will change. Some plans will be added, while others will be eliminated. New carriers may enter the Marketplace, while others, such as Assurant, will exit the Exchanges. Federal tax subsidies will be different, depending on your projected household income. Who knows what Ohio healthcare will look like in 2016. Well, We think we do! Our tongue and cheek predictions below may not come true, but we had a lot of fun writing them! January – In an unprecedented move, all major Ohio health insurance companies offer to slash their 2016 rates by 60%. However, there is a big caveat. The stipulation is that the Cleveland Browns must win the Super Bowl on February 7th if prices are to decrease. The problem is that the Browns finished the season with a  7-9 record, missed the playoffs, and aren’t even playing in the Super Bowl! When asked to comment, a Humana spokesman stated that  they will extend the offer to 2017 since the risk would still be “incredibly low.” Thankfully, the Bengals were not included in this offer. February – Open Enrollment ends on January 31st, and millions of Americans, including many households in the Buckeye State, are still without coverage. However, on February 1, the Department of Health and Human Services announces that OE will be extended until December 31st. To ease the burden on...

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If You Missed Ohio Open Enrollment – 10 Things You Need To Know

Open Enrollment to purchase subsidized health insurance in Ohio typically occurs between November and February each year. During that time, no medical questions are asked, and single and family plan rates are  reduced by the federal government by using a subsidy in the form of an instant tax-credit. On and off Marketplace coverage is available, so if your income is high, you can still enroll in an affordable plan. However, if you didn’t watch the news or read a newspaper, procrastinated too long, or simply didn’t have money set aside to buy a policy, you probably missed the OE period. But you can still obtain affordable healthcare benefits. Here are 10 items that will help you secure coverage now, and ensure you won’t miss Open Enrollment next year! 1. Don’t miss Open Enrollment this year! There’s always plenty of advertising in both the print and online media. Generally, if you want your policy to be effective January 1, the deadline is December 15th, so don’t wait after the Holidays to do your healthcare shopping. November 1st is the first day, and it runs through January 31st. If you miss the cutoff, you will probably need an “SEP” (discussed later) to receive favorable treatment. 2. Consider purchasing a temporary Ohio health insurance plan. No, it won’t match the office visit and prescription copays that an Exchange policy offers, but it will provide a very inexpensive...

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Premier Health Insurance Plans For Individuals – Low Southwestern Ohio Rates

Dayton’s biggest hospital network offers private health insurance plans in Ohio. Premier Health’s private and employer-sponsored policies are available through and outside the Marketplace. Open Enrollment for 2017 effective dates began November 1st and continues through January 31st. Special enrollment exceptions (if qualified) are available throughout the year. Plans are offered in the Dayton area and the Southwestern portion of the Buckeye state. For seniors, Medicare Advantage contracts are offered when their Open Enrollment begins on October 15th and continues through December 7th. However, if you turn age 65 or become eligible for Medicare, you have a special  “initial” enrollment period at any time throughout the year. It lasts for a total of seven months, beginning three months before your eligibility. Note: Often, there is a gap between retirement and Ohio Medicare eligibility. In these situations, a private plan can act as a bridge for this period of time, which may be only a few months, or  as long as 5-10 years. Subsidized policies are available. “Short-term” contracts can be approved in 24 hours but receive no government assistance. Some of the popular and most-utilized services offered  include emergency and trauma, cancer care, maternity, sports medicine, neurosciences, orthopedics, cardiology,  gynecology, primary and after-hours treatment. Additional resources...

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Ohio Obamacare Rates For 2016 – Instantly Compare Plans

Health insurance rates in Ohio have increased for 2016, although the price hikes are relatively modest for most of the major companies with the largest market share. 2016 prices have been filed with the Oh Department of Insurance, and will be subsequently approved, or sent back for revision. The Department of Health And Human Services (HHS) must also approve any changes to Obamacare policies. Only three companies have requested price increases of more than 10%. Free or low-cost medical coverage is still available in our state. With the availability of subsidized plans, dozens of policies from reputable carriers such as Medical Mutual, Anthem, Aetna, Premier, Ambetter, and UnitedHealthcare can be compared and purchased in minutes. It’s not unusual to find a family plan that costs between $40 and $150 per month. And the King Vs. Burwell Supreme Court decision ensures that federal subsidies will continue to be available. Predicting Future Rates There is great uncertainty when attempting to project the most appropriate price to charge consumers for their medical coverage here in the Buckeye state. There also is not a  a substantial amount of data that is available from the 2015 Open Enrollment since it ended less than one year ago. And very few claims have been processed and studied. However, a plethora of data has been gathered from the first year of the ACA legislation (2014),...

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Ohio Health Insurance Coverage After Open Enrollment Ends

Ohio Open Enrollment for single and family Obamacare health insurance Exchange plans ends on January 31st, 2016. After that date, you need to purchase a plan through a “Special Enrollment,” (SEP) that allows you to qualify for available federal subsidies and have any pre-existing condition covered without proving insurability. Marketplace plans are available when you enroll using an SEP. What Is A “Special Enrollment” In Ohio? This refers to specific situations that allow Buckeye consumers to buy policies outside of the normal period. For about 60 days, all Exchange plans that are offered on the Marketplace will be available, regardless of what time of the year this occurs. ACA tax subsidies apply and there are no extra fees or charges. To take advantage of these “special” situations, you must have a “qualifying life event.” Your enrollment eligibility is not impacted by your income (unless you are Medicaid-eligible). Thus, if you have a high income that excludes you from receiving a tax subsidy, it will not affect your right to purchase a policy during this special period. Of course, if you apply during the OE period, you can view specific tips and information here.  And you won’t need a special exemption. What Are The Qualifying Events?” No Longer Eligible For Medicaid – If suddenly (for income reasons), you lose Medicaid eligibility, you can enroll. Remember that Medicaid...

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Broker, Insurance Company Or Government Exchange?

Purchasing healthcare coverage is like filing your tax return. You know you have to do it, but it’s time-consuming, frustrating and you hope you don’t have to pay too much. And thankfully, you only have to take care of it once per year. You hope your premiums didn’t go up from the previous year (or not much), and you won’t spend too much time on the shopping, comparison and enrollment process Here in Ohio, we get a big break. Not only are rates lower than most states, but we have a much broader selection of companies that offer policies. Whether its Anthem BC, Medical Mutual, Premier, Aetna, Ambetter, CareSource, Humana,  HealthSpan, or UnitedHealthcare, low-cost policies are typically available. And of course, the federal subsidy often saves thousands of dollars per year in premiums for Marketplace plans. Where Do You Get The Lowest Health Insurance Rates In Ohio? So…Back to the original question. When you’re shopping for a policy, where do you find the best prices? Since rates are closely scrutinized and mandated by the Department Of Insurance,  you can’t get a better “deal” by using a specific, broker, company website or Exchange. However, finding the best low-cost plans that match YOUR unique needs are best addressed by an experienced broker. Instead of comparing policies from one specific carrier, you can view the best available policies from all major top-rated...

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