Ohio Medicare Insurance Plans

The state flag of Ohio | Ohio Medicare Insurance Plans

Medicare is a federal health insurance program available for Ohio residents who’ve reached the age of 65 or who are under 65 with a qualifying illness, such as End-Stage Renal Disease (ESRD)

There are four main parts to Ohio Medicare: Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage Plans), and Part D (Prescription Drug Plans). You also have the option of enrolling in an Ohio Medicare Supplement Insurance plan to fill in the gaps in your Original Medicare (Part A and Part B) coverage.

Original Medicare is offered through the government but does not cover everything, so enrolling in supplemental coverage through private insurance companies could help you manage your health insurance costs. These private plans can cover the costs of prescription drugs and other expenses, but the price of each plan can vary, so be sure to compare plans to find one that is right for your needs.

Ohio Medicare Savings Programs

Medicare can be very costly, especially if you need regular medical attention and prescription drugs. If you need help managing these costs, you have four Ohio Medicare Savings Programs to choose from.

The following data is from 2016 and is based on federal amounts.  These amounts may increase in 2017.  If your income and resources are slightly higher, you should still apply, you may qualify for benefits even if your income is higher than the limits listed.*

  • Qualified Medicare Beneficiaries (QMBs): Ohio pays all Medicare Part B premiums and Part A and Part B copayments and deductibles for individuals with a monthly income under $1,010 and couples with a combined income under $1,355 per month.
  • Specified Low-Income Medicare Beneficiaries (SLMBs): The state pays the Medicare Part B premiums for individuals with a monthly income under $1,208 and couples with a combined monthly income under $1,622.
  • Qualified Individuals (QIs): Ohio pays for Medicare Part B premiums for individuals with a monthly income under $1,357 and couples with a combined monthly income under $1,823.
  • Low-income subsidy (Extra Help): In 2016, you may qualify if you have up to $17,820 in yearly income ($24,030 for a married couple)

*Data from Medicare.gov

**According to Secure.ssa.gov, you should be aware that several States may even disregard all resources for individuals or couples in certain categories.

Ohio Senior Health Insurance Information Program (OSHIIP)

The Medicare program, with all of its different moving parts, can be confusing to understand, but the Ohio Senior Health Insurance Information Program (OSHIIP) is there to help you with any questions you might have regarding the following topics:

  • Medicare health insurance
  • Medicare Prescription Drug Plans
  • Medicare Advantage Plans
  • Medicare Supplement Insurance
  • Financial assistance programs
  • Long-term care insurance

OSHIIP has trained and certified thousands of community-based volunteers and has saved Ohio Medicare beneficiaries more than $3.5 million. You can call your local OSHIIP office with any questions or make an appointment to meet with a counselor face-to-face.

Once you know which plan(s) you should enroll in, you can use the Medicare Solutions plan finder tool to compare Ohio medicare insurance plans. This tool allows you to see what each plan covers and what this coverage will cost, and you can also speak with a licensed sales agent who can help answer any questions you may have about these plans.