Medicare in Ohio

Ohio Medicare
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By the numbers

In 2012, almost two million Medicare beneficiaries resided in Ohio, which was 17% of the state's population. More than one-third of Ohio's beneficiaries were enrolled in a Medicare Advantage plan.

Total enrollment in Medicare Advantage plans in Ohio, by type

  • Cost Plan - 18,125
  • Local Health Maintenance Organization (HMO) - 287,741
  • Local Preferred Provider Organization (PPO) - 313,965
  • Private Fee for Service (PFFS) - 6,940
  • Regional PPO - 82,542

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.

Medicare resources in Ohio

Ohio Medicare Savings Programs: Ohio offers Medicare Savings Programs that help pay for Medicare premiums, coinsurance, and deductibles. Most people who qualify for assistance have limited income and resources.

Ohio State Health Insurance Counseling and Assistance Program (SHIP): Ohio Senior Health Insurance Information Program (OSHIIP) offers one-on-one counseling, a speaker's bureau, hotline experts, and trained volunteers. They help educate residents about Medicare and other health insurance matters. It is free resource that is funded in part by a grant from the Centers for Medicaid and Medicare Services (CMS).

How healthy is the state of Ohio?

Ohio is the seventh most populous state in the U.S. and ranked as the 36th healthiest state to live. Ohio's strength as a healthy state is helped by its low occupational fatalities rate as well as high percentage rates of immunization coverage. Two challenges facing Ohio are its low per capita public health funding as well as high prevalence of smoking.

All data provided by the Kaiser Family Foundation.