Medicare Advantage in Ohio
If you’re in search of an alternative way to collect Medicare benefits, you may want to consider a Medicare Advantage plan. Medicare Advantage (also known as Medicare Part C) replaces Original Medicare with a plan from a private insurance company.
Thirteen insurance companies in Ohio offer Medicare Advantage plans.1 While there are 119 plans available in Ohio,2 where you live in the state dictates which ones you can choose. These plans are fairly popular in Ohio—39% of Medicare beneficiaries in the Buckeye State have a private health insurance plan like Medicare Advantage.3
Find out how to pick the best Medicare Advantage plan for you.
Medicare Advantage plan benefits
Medicare Advantage plans provide every service offered by Original Medicare (Parts A and B), and many Medicare Advantage plans also offer extra perks. Here’s a look at several of the additional benefits that are widely available in Medicare Advantage plans in Ohio:4
- Prescription drug coverage
- Eye exams and glasses
- Dental coverage
- Fitness programs
- Hearing aids
- Over-the-counter allowances
If you’re an Ohio resident with a chronic illness, you may be able to get a Medicare Advantage plan that includes other services to enhance your quality of life. Home modifications, air conditioners, non-medical transportation, and meal delivery are examples of these services.5
Medicare Advantage plan costs in Ohio
How much you pay for Medicare Advantage in Ohio depends on the plan you pick and where you live. As shown in the chart below, the average monthly premium for a Medicare Advantage plan in Ohio is less than $65.
|Average annual cost||$5,749.93|
|Average monthly premium||$64.36|
|Average drug deductible||$125.26|
|Annual max out-of-pocket||$4,852.40|
Table created from data at https://www.healthmarkets.com/content/medicare-advantage-costs-index. Data as of 6/2/2020.
Medicare Advantage insurers in Ohio
According to the US Centers for Medicare and Medicaid Services (CMS), here are insurance providers that offer Medicare Advantage plans in Ohio:
- Blue Shield
- Bright Health
- Lasso Healthcare
- Medical Mutual
- Mutual of Omaha
- The Health Plan
Top-rated Medicare Advantage providers
The Centers for Medicare and Medicaid Services annually rates Medicare Advantage plans on a 5-star scale, with 5 stars being the best.
In 2020, only 20 of the 400 Medicare Advantage plans rated nationwide by the CMS received a 5-star rating, and none of those 5-star plans were available in Ohio. The average star rating for Medicare Advantage plans in Ohio in 2020 was 4–4.5 stars, but it should be noted that the CMS doesn’t rate every single Medicare Advantage plan in the state.The Medicare Star Rating is used by the CMS to help beneficiaries find the right plan for them.6
Find the Medicare Advantage plan that fits you best
|Low monthly premiums|
|Can only see in-network providers|
|Referral required to see a specialist|
|Referrals required to see a specialist|
|Out-of-network providers are available at an additional cost|
|A primary care physician is optional|
|Can see a specialist without referrals|
|The plan (not Medicare) determines how much you’ll pay for it as well as any services you receive|
|No need to select a primary care physician|
|A referral is not necessary to see a specialist|
|May or may not be an in-network provider network|
In Ohio, there are 32 local PPO plans, 83 local HMO plans, one PFFS plan, and three regional PPO plans.7
If you’re in the market for a Medicare Advantage plan in Ohio, reach out to us today. We can connect you to a licensed Medicare insurance agent who can help you choose the right plan for your particular situation.
Local resources in Ohio
- The Ohio Senior Health Insurance Information Program: Provides Ohioans with free health insurance advice through one-on-one counseling.
- Ohio Department of Insurance: Regulates insurance companies in the state to protect residents in the state.
1. Medicare, “Find a Medicare Plan”
2. Kaiser Family Foundation, “Medicare Advantage Plans, by Plan Type”
3. Kaiser Family Foundation, “A Dozen Facts about Medicare Advantage in 2020”
4. Kaiser Family Foundation, “A Dozen Facts about Medicare Advantage in 2020”
5. Avalere, “Medicare Advantage Beneficiaries Will Again See a Jump in Supplemental Benefit Offerings in 2020”
6. CMS.gov, “2019 Star Ratings Fact Sheet”
7. Kaiser Family Foundation, “Medicare Advantage Plans, by Plan Type”
Content on this site has not been reviewed or endorsed by the Centers for Medicare & Medicaid Services, the United States Government, any state Medicare agency, or any private insurance agency (collectively "Medicare System Providers"). Eligibility.com is a DBA of Clear Link Technologies, LLC and is not affiliated with any Medicare System Providers.