Ohio Marketplace Health Insurance Plans
Qualified Plans on Health Insurance Marketplace
Beginning October 1, 2013, each state was required by law to have a new online marketplace where residents can buy health insurance. In these marketplaces, most states will offer five tiers of Obamacare Health Exchange Plans: platinum, gold, silver, bronze and catastrophic. Platinum plans will offer the highest level of coverage but tend to cost more in monthly premiums. Bronze plans will cover only a bare minimum of health care expenses but tend to have low premiums. If you are relatively healthy and want to pay less up front, consider a lower-tier plan such as bronze or silver.
You should also look at a Health Insurance Marketplace plan if you are lower-income, because the government will give financial help on a sliding scale to pay for premiums, and better benefits if you select a silver-tier plan. If you have not already done so, we can tell you if a Health Insurance Marketplace plan makes sense given your income on the State Overview tab, under the heading, "Do I Qualify For a Tax Break?"
Read ACA and Health Insurance: Which "Metal" Tier is Right for You? for more advice on choosing between metal tiers.
AultCare. Established in 1985, AultCare is one of the largest preferred provider organizations (PPO) in the Midwest and has provided health care services to over 2,000 companies, according to the company. Its service area covers the following three counties: Stark, Tuscarawas and Carroll. AultCare offers PPO exchange plans in Catastrophic through Gold tiers.
Ambetter from Buckeye Community Health Plan. A subsidiary of Centene Corporation, Buckeye Community Health Plan has offered health care options to Medicaid beneficiaries since 2004 and has over 156,700 members. Ambetter offers HMO exchange plans in Bronze through Gold tiers.
Anthem Blue Cross and Blue Shield of Ohio. The company is affiliated with the Blue Cross Blue Shield Association, the oldest U.S. health insurance system. The Blue Cross Blue Shield Association offers coverage in all 50 states, the District of Columbia and Puerto Rico and has 37 Blue Cross and Blue Shield companies that serve over 100 million members (one third of all Americans), according to the company. Nationally, Blue Cross Blue Shield companies have contracts with over 96 percent of hospitals and 91 percent of providers. Ohio residents who buy an Anthem exchange plan may not have access to the entire network of doctors and hospitals. Anthem offers PPO exchange plans in Catastrophic through Gold tiers.
CareSource. This nonprofit is one of the largest U.S. Medicaid managed health care plans and serves over 950,000 residents in Ohio and Kentucky, according to the company. In 2012, CareSource and Humana formed an alliance to serve Medicaid members in Kentucky and the dual-eligible population in Ohio. CareSource offers HMO exchange plans in Silver and Gold tiers.
HealthAmericaOne. A subsidiary of Coventry Health Care, a company owned by Aetna, HealthAmericaOne offers statewide health coverage to Pennsylvania residents as well as coverage in the following counties in Ohio: Belmont, Columbiana, Harrison, Jefferson, Mahoning and Trumbull. The company offers PPO exchange plans in Catastrophic through Gold tiers.
HealthSpan. Established in 1991, HealthSpan is an auxiliary organization of Catholic Health Partners and is owned by member doctors and healthcare providers. HealthSpan Partners includes HealthSpan Physicians, a medical group serving Northeast Ohio and HealthSpan Integrated Care, formerly known as Kaiser Foundation Health Plan of Ohio. HealthSpan serves residents in or near most major cities, including Cincinnati, Dayton, Springfield, Lima, Findlay, Toledo, Lorain and Youngstown. Its network includes more than 22,000 doctors. HealthSpan offers HMO exchange plans in Bronze through Gold tiers.
Humana Health Plan of Ohio. Established in 1974 in Louisville, Ky., Humana is one of the largest U.S. health insurers with over 11.5 million members. Humana offers HMO exchange plans in Catastrophic as well as Silver through Platinum tiers.
Medical Mutual. Established in 1934, Medical Mutual is the oldest and largest health insurance company in Ohio, serving over 3.9 million members. Its network includes 32,000 doctors and 593 hospitals, according to eHealth. Medical Mutual offers PPO exchange plans in Catastrophic through Gold tiers.
Molina Healthcare. Established in 1980 in California, Molina Healthcare is a multi-state health care organization with a focus on providing government-sponsored health services to over 5 million Americans in 15 states, according to the company. Molina offers exchange plans in the nine states that it also serves approximately 2 million Medicaid patients. Molina offers HMO exchange plans in Bronze through Gold tiers.
Kaiser Foundation Health Plan of Ohio. On October 1, 2013, Kaiser Foundation Health Plan of Ohio was acquired by HealthSpan and renamed HealthSpan Integrated Care. Kaiser offers HMO exchange plans in Catastrophic through Gold tiers.
Paramount Insurance Company. Established in 1988, Paramount is a health maintenance organization (HMO) offering HMO exchange plans in Catastrophic through Gold tiers.
SummaCare. SummaCare was established in 1991 as a part of Summa Health System, an integrated health system including hospitals, community centers, and clinicians. SummaCare serves 120,000 members in eighteen counties of northeastern Ohio, according to eHealth. Its network includes over 7,000 doctors and 50 hospitals. SummaCare offers PPO exchange plans in Catastrophic through Gold tiers.
Last updated by Heilbrunn, Evi | November 26, 2013