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Anthem BCBS And Premier Exit 2018 Ohio Health Insurance Marketplace

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Ohio health insurance availability has taken another major hit with the exit of Anthem Blue Cross Blue Shield and Premier. Suddenly, the Buckeye State, in many counties, will no longer offer a plentiful number of medical plan options through the subsidized Marketplace. Previously, Aetna, UnitedHealthcare, and Humana announced they will not offer private individual or family plans through the Exchanges. More than 10,000 persons in 18 counties no longer have participating carriers offering Marketplace coverage. Rate volatility and unpredictable company choices are continuing concerns.

However, Senior Medigap contracts, including Advantage, Supplement, and Part D prescription drug plans remain unaffected. Other ancillary products will continue to be offered, including dental, vision, life, critical-illness, and short-term plans. Group coverage offered by small and large businesses will also not be impacted by the erosion of the Affordable Care Act (Obamacare). Grandfathered and grandmothered plans are also not affected. Short-term health insurance plans continue to be available, although they are not compliant with current legislation, and do not cover pre-existing conditions.


Anthem BC Plans In Ohio

Hey Kid! You Won’t Find Anthem Or Premier Down There!



Current policyholders will be receiving an email detailing the effective date of termination (December 31), and verification that their current coverage is compliant with ACA guidelines. “Continual changes” and lack of predictability”  were reasons cited by Anthem for their exit. Wisconsin and Indiana are two additional states that Anthem will either leave or only offer coverage in limited areas.

Although Anthem’s Ohio rates have not been especially competitive the last few years, 2017 coverage is offered in every county, and they are one of the few carriers that offer HSA plans through the federal Exchange. Popular plan options available that will not be offered in 2018 include Bronze Pathway PPO 5150, Bronze Pathway PPO 0% For HSA, Bronze Pathway HMO 5000, Silver Pathway PPO 2000, and Silver Pathway PPO 3000.


Dayton-based Premier Health Plan serves areas of Southwestern Ohio with individual, family, Senior, and Group coverage. Rates have been most competitive in Warren, Montgomery, and Greene Counties. An additional six counties are in the service area. However, after featuring extremely competitive rates in 2016, Premier substantially raised premiums for 2017 effective dates, and still has been struggling in the Under-65 market. Although customer satisfaction has been high, competition from other carriers kept Premier from sustaining significant growth.

Policies no longer available for 2018 include Health One Bronze 7150, Health One Bronze 6550, Health One Bronze 6250, Health One Bronze 6500, Health One Silver 5000, Health One Silver 4750, Health One Silver 4500, Health One Silver 3250, Health One Silver 3000, and Health One Gold 1750. Current customers can retain their existing policies through December 31st.

Future Healthcare Legislation

The current Administration, is attempting to repeal and replace The Affordable Care Act (aka Obamacare), with new legislation that could possibly reduce health insurance costs, and offer more customized low-cost plans. With less than three weeks left until a summer recess, Senate Majority Leader Mitch McConnell needs further compromises to pass a partisan bill.

New Anthem Blue Cross Plans In Ohio

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There’s a new affordable Anthem Blue Cross plan in Ohio. Individual medical insurance plans in the Buckeye state are typically priced low and feature a large number of participating doctors and other providers. But this option is fairly cheap, provides comprehensive benefits and will save you money on your medical coverage.

Anthem BC has introduced its “SmartSense” plans, an affordable alternative to its more expensive “Premier” plan. Three PCP/Specialist office visits are covered with a $35 copay. A deductible applies to any remaining office visit. The savings can easily be hundreds of dollars per month on may family plans where a higher deductible is selected.

This new policy is ideal for individuals or families that want comprehensive benefits without having to pay “top dollar” for it. The price is right and it has become very popular. You can also find additional information regarding applying for an Anthem Ohio plan.

Cheap Anthem Ohio Health Insurance

Apply For Anthem Ohio Coverage

Generic formulary, plus limited number of brand-name drugs are subject to a $15 copay or 60%, whichever is higher. Non-formulary prescription drugs are not covered. However, often a non-generic prescription is prescribed or you can request a generic alternative to a more expensive prescription.

Most Ohio individual health insurance plans include some adult preventative coverage. The “SmartSense” plan, unfortunately, only covers Mammography and Pap Tests after the deductible. Child preventative services are covered after the deductible. (NOTE- All preventative benefits are now covered at 100% due to new legislation that was passed in 2010)

For additional details, please call us at (888) 513-6446 or utilize the contact page.