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Ohio Medicare Advantage Plans in 2022

The rates of people who have enrolled in Medicare Part A and Part B but have chosen to switch to one of the best Medicare Advantage plans in Ohio for 2022 have increased. In fact, nearly 1 million beneficiaries are enrolled in an Ohio Medicare Advantage plan. If you need a way to manage the coinsurance, copays and deductibles from Original Medicare without draining your savings account, you might decide Medicare Advantage gives you the best option.

Medicare Advantage plans in Ohio

Medicare Advantage in Ohio is layered coverage which includes the following:

– Medicare Part A
– Medicare Part B
– Medicare Part D

Part A and Part B make up Original Medicare, and Medicare Advantage is known as Part C. Part C is one plan that covers hospital insurance(Medicare Part A), medical insurance (Medicare Part B), and prescription drug coverage (Medicare Part D).

Medicare Advantage Plan in Ohio has topped Original Medicare and has become the more popular in coverage options. Insurance carriers provide Part C plans and benefits that are connected to a service area of certain hospitals, health care facilities, and specific network providers.

Medicare Advantage health insurance plans will also have additional benefits like vision, hearing, dental, gym memberships (SilverSneakers), meal delivery, medical appointment transportation, and over-the-counter prescription allowance.

Note: If you have end-stage Renal Disease or a disability, you will qualify for Medicare coverage in Ohio. You can be younger than 65 years old.

What is the Best Medicare Advantage plan in Ohio for 2022?

Best for network freedom: Medicare Advantage PPO

PPO Plans Benefits:

Larger network and noreferrals

– $0 to $100 per month for PPO premiums

Best for lowest out-of-pocket: Medicare Advantage HMO Plan

HMO Benefits:

HMO Premiums are generally $0 cost monthly premium

– Lower out of pocket because it uses the HMO referral network

Best for low income or health conditions: Medicare Advantage D-SNP

If you should have low income or health conditions, then a Special needs plan (SNP) is best. It will help with the costs of the following:

  • Part B premium
  • Copays/Coinsurance
  • Deductibles
  • Monthly premiums

Note: You can have Medicare and Medicaid to help with costs.

Ohio Enrollment facts:

1. Number of lives enrollment in Medicare Advantage in Ohio: 1 million

2. Number enrolled by plan specifically the 3 plans below:

Local HMO: 470,645
Local PPO: 343,915
PPFS: 2,285
Regional PPO: 43,038

3. Percentage of Medicare beneficiaries enrolled in Medicare advantage in Ohio: 42%

4. Number of people enrolled in Medicare Advantage nationwide: 29.5

5. Percentage of Medicare beneficiaries enrolled in Medicare Advantage nationwide: 42%

How much does Medicare Advantage in Ohio cost?

Most states have an HMO plan that offers a $0 per month premium as well as a PPO with $0 monthly premiums. However, it is becoming more standard to see PPOs with premiums.

Plan availability varies from county to county. In Ohio, the average Medicare plan with a prescription drug plan is $43 a month. The Part D drug deductible is about $116.

When can I enroll in a Medicare Advantage plan?

During specific times of the year, you can enroll in Medicare Advantage plans.

Initial Enrollment Period

Eligibility for Initial enrollment happens at 65.

At 65, you are eligible to join the health plans Medicare Part A and Part B.

Open Enrollment Period – AKA Annual Election Period

October 15th until December 7th is the period of time when you can join, drop, or make changes to an Ohio Medicare Advantage Plan. Coverage for Part C starts January 1st, provided that the plan is complete and turned in by December 7th.

Medicare Advantage Open Enrollment Period

You can switch plans or join Original Medicare or a Medicare Supplement plan from January 1st until March 31st.

Special Enrollment Periods – Special Circumstances

When special circumstances in life arise, you may need to change your Medicare Advantage and Medicare prescription drug coverage plan. Events that would warrant changes would be an address change, your plan changes with Medicare, losing current coverage, or having the ability to have coverage with your employer (VA/Tricare/PACE).

Other special considerations may also include:

– You being eligible for both Medicare and Medicaid
– Eligibility for Extra Help
– State Pharmaceutical Assistance Program enrollment
– dropping of a Medigap plan
– Special needs or a disability

5-star Special Enrollment Period

From December 8th until November 30th, the five-star rating enrollment period can be used once. Plans are rated with satisfaction surveys which help compare plans based on their quality and performance. The five-star rating is the highest rating to be given. To learn more about this rating, visit here.

Special Enrollment Periods if you get “Extra Help”

Special enrollment applies to you if you receive extra help, which is defined as qualifying for extra help, eligibility for Medicare or Medicaid, or enrollment into the State Pharmaceutical Assistance Program.

Which companies offer Medicare Advantage plans in Ohio?

Related Topics

Ohio State Links

Ohio Medicare Resources

Get more information about Original Medicare from these authority resources:

Ready to learn more?

We help educate Medicare beneficiaries on their Medicare Advantage options and help them go through the process of reviewing and comparing plans. We work with most of the nation’s top-rated Medicare Advantage carriers. Give us a call today, or request a quote online to learn more about plan options.

Key Take Aways
  • In Ohio, PPO Medicare Advantage Plans are very popular for many Medicare beneficiaries.
  • Medicare Advantage health insurance plans will also have additional benefits like vision, hearing, dental, gym memberships (SilverSneakers), meal delivery, medical appointment transportation, and over-the-counter prescription allowance.
  • Nearly 1 million beneficiaries are enrolled in an Ohio Medicare Advantage plan.