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Ohio Medicare 2020 – What You Need to Know

Ohio is known for many things; the Rock and Roll Hall of Fame, the Kings Island amusement park, and the Cuyahoga Valley National Park. But in addition to its famed landmarks, the state is also a leader in health research and coverage, as demonstrated by its wide variety of Medicare-related plans and programs. Follow along with our complete guide to Ohio Medicare in 2020, including pertinent information on the state’s Medicare Supplement Insurance and Medicare Advantage plans!

Ohio Medicare 2020

Overview of Medicare in Ohio

If you’re considering becoming a Medicare beneficiary in Ohio, know that you’re not alone! Last year, over 2.3 million people enjoyed the flexibility and peace of mind of Medicare. In addition:

  • 1.3 million beneficiaries are enrolled in Medicare Part A and/or Part B.
  • 1 million beneficiaries are enrolled in a Medicare Advantage plan.
  • 1.9 beneficiaries are enrolled in Medicare Part D.

Ohio Medicare Savings Program

For some Ohio beneficiaries, the cost of a standard Medicare program is far too great. To help alleviate the burden, the state offers several Medicare Savings Programs (MSP) that can cover some of the costs associated with Medicare coverage. The level of assistance that these beneficiaries receive will depend on their income, as well as their resource level.

Please note that all the programs listed below have a resource limit for applicants. To apply for MSPs, an individual’s asset cannot be worth more than $7,560. For married couples, the resource limit must not exceed $11,340. 

  • Qualified Medicare Beneficiary (QMB): This program offers financial assistance for Medicare Part A and Part B, as well as deductibles, coinsurance, and copays. To qualify, an individual must earn less than $1,032 per month, while a married couple’s monthly income must not be greater than $1,392.
  • Specified Low-Income Medicare Beneficiaries (SLMB): This program only offers financial assistance for Medicare Part B premiums. Individuals who apply must earn less than $1,234 per month, whereas couples must have a monthly income limit of $1,666. 
  • Qualified Individuals (QI): Like SLMB programs, a QI program only covers Medicare Part B premiums. To be eligible, individual applicants cannot earn more than $1,386 per month, while couples cannot exceed a monthly income of $1,872. 
  • Qualified Disabled and Working Individuals (QDWI): This program only offers financial assistance for the premiums associated with Medicare Part A coverage. If eligible to claim, an individual’s monthly income must also be limited to $4,132 and have assets worth less than $4,000. Meanwhile, married couples must earn less than $5,572 per month, and have a resource limit of $6,000.

Ohio State Health Insurance Counseling and Assistance Program

The Ohio Senior Health Insurance Information Program (OSHIIP) provides many helpful resources to state residents, including one-on-one counseling, hotline experts, and trained volunteers. These free resources are designed to educate Ohio residents about Medicare, as well as any other health insurance matters. 

Medicare Supplement Insurance in Ohio

Original Medicare (Part A and Part B) comes with out-of-pocket costs⁠—including copayments, coinsurance, and deductibles—that the plan holder is responsible for. Medicare Supplement plans (Medigap) fill in these gaps, covering a portion of the expenses not included by Original Medicare. These plans are not connected with the U.S. government or the federal Medicare program; instead, they are offered by private insurance companies.

Who Qualifies for Ohio Medigap?

In Ohio, residents who are 65 or older qualify for Medigap. However, the state does not require insurance companies to offer Medigap plans to those under the age of 65 who have qualified due to a disability.

In addition, it is worth noting that the Medigap Open Enrollment Period (OEP) is the best time to enroll in a Medicare Supplement plan. This period is unique for each beneficiary, as it begins on the first day of the month that the Ohio resident is enrolled in Medicare Part B. 

Comparing Ohio Medigap Plans

Since some Medigap plans offer coverage beyond Original Medicare, Ohio residents can find a plan that suits their specific needs. With plans varying in cost and coverage, residents must carefully compare plans to find the best option. 

In Ohio, the three most popular plans are Plan F, Plan G, and Plan N, with each option offering a different set of benefits. Plan F is recognized for offering the most comprehensive coverage, while Plan G and Plan N provide fewer benefits and smaller premiums. In addition to comparing the prices and ratings of each option, Ohio residents should also look into year-to-year rate increases for each plan. 

Medicare Advantage Plans in Ohio

If Medicare Supplement plans in Ohio are out of your budget range, it may be time to look into Medicare Advantage plans. Also referred to as Medicare Part C, these plans include the same coverage as Original Medicare, but may also cover other services, such as routine vision and dental services. Like with Medigap options, Medicare Advantage plans are offered through private insurance companies that have been approved by Medicare. 

Ohio Part C Plans for Special Needs

There are various Medicare Advantage options available for beneficiaries with special needs, including those who live in nursing homes or who suffer from chronic conditions. However, please note that not every kind of Special Needs plan is available in every location. 

Part D Coverage with Ohio Medicare Advantage

One of the many advantages of choosing a Medicare Advantage plan is the inclusion of Medicare Part D prescription drug coverage. Whereas Original Medicare coverage does not offer prescription drug benefits, Medicare Advantage options feature a comprehensive plan for those who require prescription drugs. 

Ohio Medicare FAQ

Which Medigap Plans are Available in Ohio?

Ohio offers all the Medigap plans available on the market, allowing you to compare several rates in order to find the most cost-effective plan. 

Can I Switch from my Medicare Advantage Plan to a Medigap Plan in Ohio?

Absolutely! Eligible beneficiaries can apply for a Medicare Supplement plan at any point throughout the year. Conversely, those wishing to enroll in a Medicare Advantage plan can only do so at certain times. As such, it is recommended to make the switch during the Annual Election Period or the Medicare Advantage Open Enrollment Period. 

How Much are Ohio Medicare Supplement Insurances?

The premiums for Ohio Medicare Supplement are dependent on an individual’s age, gender, ZIP code, as well as many other factors. In other words, a premium is unique to each individual.

If you have any questions about Ohio Medicare in 2020, and your eligibility for financial assistance, speak to one of our licensed agents today. Our agents will discuss your Medicare options and help find a plan that works for you. Call us today at 1-844-236-0228.

Interested in a quote for Ohio Medicare Insurance? Call 1-844-236-0228 to speak with a licensed agent. 

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