Ohio residents on Original Medicare can supplement their Part A and Part B coverage with Medicare Supplement Insurance (Medigap plans). There are ten different plan options available in Ohio. Each plan pays different out-of-pocket costs.
This article breaks down the best Medigap plans and insurance companies in Ohio for 2024.
Table of Contents
What You Need to Know
- Private insurance companies offer supplemental Medicare insurance in Ohio, not the government.
- Supplemental Medicare insurance is available in 10 different plan options, labeled A through N, each providing a different level of Medicare coverage.
- Ohio residents become eligible for supplemental Medicare insurance at age 65.
- All plans offer coverage for Medicare Part A coinsurance and hospital costs, Medicare Part B copayments or coinsurance, and the first three pints of blood.
- Most plans also cover the Medicare Part A deductible and Skilled Nursing Facility coinsurance.
- It's important to note that Medicare Supplement Insurance does not cover long-term care, vision, dental, hearing aids, or private-duty nursing.
- The average costs for a 65-year-old can vary significantly based on factors such as gender, tobacco use, your location in Ohio, and the level of coverage you select.
- A Medicare Supplement Plan is not classified as health insurance; it falls under indemnity insurance and operates under its own set of rules.
The 5 Best Medicare Supplement Plans Sold in Ohio
There are ten distinct Medigap plans, A through N, all of which adhere to federal Medicare program standards.
For the 2024 plan year in Ohio, the top-rated plans are Medicare Supplement Plan F, Plan C, Plan D, Plan G, and Plan N. These plans are considered the best because they provide the most comprehensive coverage.
However, the key question is, which one of these plans is the most suitable choice for you?
An effective way to gain insights into each of these ten plans is to refer to a Medicare Supplement Plan chart. This chart shows how each plan covers expenses such as Medicare Part A and Medicare Part B deductibles, coinsurance, and copayments.
NOTE: Medicare Part A and Medigap Plan A can be confusing, as are Medicare Part D and Medigap Plan D. Medicare benefits come in “parts,” whereas insurance companies sell “plans.”
Comparing Medicare Supplement Plans in Ohio
Every Medicare beneficiary has unique requirements. Your age, gender, Ohio zip code, utilization of medical services, preferred healthcare providers, emergency care needs, and necessities for medical supplies and durable equipment all contribute to the factors you must consider.
These factors play a significant role in determining your available plan options. It's essential to carefully assess your needs for outpatient and inpatient care when deciding.
When Best = Most Coverage Available in Ohio
Most Medicare insurance experts in Ohio will tell you that opting for Plan G is the wisest decision if you're enrolling in Medicare with one or more chronic health conditions. This plan offers the most extensive coverage available for those who qualify for Medicare on or after January 1, 2020.
CRUCIAL: While Plan F provides slightly more coverage than Medicare Supplement Plan G, it comes at a significantly higher cost and is only available to beneficiaries who became eligible for Medicare before 2020.
- Get Plan F and Plan G Quotes in Your Zip Code
- See All Companies Offering Plan F in Ohio
- See All Companies Offering Plan G in Ohio
When Best = Good Coverage & Monthly Savings
If you are enrolling in Medicare and find yourself in excellent health or require solid coverage but have budget constraints that prevent you from considering Plan G, Medicare Supplement Plan N presents a viable alternative. Plan N provides comprehensive coverage throughout Ohio for inpatient hospital stays and most medical expenses.
Plan N is particularly suitable for individuals in good health because it involves cost-sharing. In return for lower monthly premiums, participants in this plan contribute a nominal copayment. For doctor office visits there's a $20 copay. If you use the emergency room you'll pay up to $50.
When Best = Cheapest Plan Available in Ohio
Many Ohio beneficiaries don't require comprehensive coverage or simply can't manage it in their budget. If you're concerned about the monthly premium burden, consult with your insurance agent regarding Medicare Supplement Plan K and the High Deductible Plan G (HDG).
These two plan options represent the most economical choices available. Many well-informed Ohio seniors prefer these plans over a Medicare Advantage plan.
Are Plan A, B, C, D, L and M Available in Ohio?
In Ohio, Medicare Supplement Plan A is the most basic coverage option available. Interestingly, in many areas, its cost surpasses that of Plan N. Would you pay more to get less coverage?
While Medicare Supplement Plan C and Plan D offer coverage similar to Plan G, they come with a higher price tag. Furthermore, akin to Plan F, Plan C is exclusively available to Ohio beneficiaries who enrolled in Medicare prior to 2020.
It's important to note that only a handful of insurance companies in Ohio offer Plan L or Plan M. They rarely pan out as a good option.
Health Insurance Company vs. Life Insurance Company: Which is Best?
Every Medigap insurance carrier operating in Ohio must adhere to federal and state insurance regulations. They can't deviate from the standardized plans designated by letters A through N.
To give an example, a Plan F policy from Aetna Medicare provides identical coverage and benefits (same out-of-pocket costs covered) as a Plan F policy from Mutual of Omaha, United Healthcare, Humana, Cigna, or Blue Cross Blue Shield. This standardization simplifies the process of comparing Medigap plans.
The most important difference is the strength and quality of insurance company standing behind the plan and how they rate their plan for premium increases. It's crucial to research a company's Medicare Supplement rate increase history before making a final decision.
Ohio state laws may impose enrollment and rating limitations on carrier. For detailed information, refer to the Ohio Department of Insurance website at http://www.insurance.ohio.gov/.
Medicare Supplement Plan F Companies in Ohio
Medicare Supplement Plan F (Medigap Plan F) is Ohio’s most popular Medigap plan. Here are the 10 best companies that offer Plan F policies in Ohio based on our reviews (click for details):
Required Benefits of Plan F in Ohio
Medigap Plan F is standardized like all Medicare Supplement Plans in Ohio. Insurance carriers are required to cover certain benefits. Plan F is the most comprehensive plan because it covers all gaps in Original Medicare.
Although Original Medicare does not cover foreign travel medical emergencies, Plan F does (up to 89%). In addition to this extra benefit, companies may offer limited additional features. One example is Physician Mutual’s Preventive Care and Hearing Loss Testing benefits.
Medicare Supplement Plan G Companies in Ohio
Medicare Supplement Plan G (Medigap Plan G) is rapidly gaining popularity with Ohio seniors. With Plan F no longer available to new Medicare beneficiaries, Plan G is the new gold standard. Here are the 10 best insurance companies that offer Medigap Plan G policies in Ohio based on our reviews (click for details):
Required Benefits of Plan G in Ohio
All Medigap plans in Ohio, including Medigap Plan G, are standardized. Insurance companies must provide the standard coverage. Plan G covers all gaps in Original Medicare except the Part B deductible. And it only covers 80% of foreign travel medical emergencies that fall within your policy’s limits.
Companies may offer additional features like UnitedHealthcare’s fitness program, Renew Active, or the Silver Sneakers fitness program.
Medicare Supplement Plan N Companies in Ohio
Medicare Supplement Plan N is similar to Plan D (not to be confused with Medicare Part D) but covers Medicare Part B coinsurance costs differently. Due to its lower cost and good coverage, it's catching the attention of many Arizona seniors. Here are the 10 best insurance companies that offer Medigap Plan N policies in Ohio based on our reviews (click for details):
Required Benefits of Plan N in Ohio
All Medicare Supplement Plans in Ohio are standardized, including Medigap Plan N. Like Plan G, Plan N does not cover the Part B deductible. It also does not cover Part B excess charges. But it does cover 80% of foreign travel medical emergencies up to the policy’s limits.
Medicare limits the types of extra benefits companies can offer. One excellent additional benefit is UnitedHealthcare’s NurseLine, which lets you talk to an experienced nurse, day or night.
Medcare Eligibility for Medigap Plans
In Ohio, you have the opportunity to apply for a Medicare Supplement Plan during your Medigap Open Enrollment Period (OEP). This six-month period commences upon your enrollment in Medicare Part B. Your Medicare eligibility date determines your available plan types.
Under federal law, you are granted guaranteed issue rights throughout your Medigap Open Enrollment Period. This means you can secure a Medigap plan during this period, regardless of your health history or chronic health conditions. You can apply with any insurance company in Ohio that sells Medicare Supplement Insurance.
Enrolling in a Medicare Supplement Plan in Ohio typically involves assistance from a licensed insurance agent. If you don't have an insurance agent, we recommend HealthCompare, an Allstate company. You can reach them at 1-855-728-0510 (TTY 711). They sell policies from the leading insurance companies nationwide, and there's no obligation.
Is a Medicare Supplement Right for You?
Why You Should Consider a Medicare Supplement Insurance Plan:
- You expect the need for frequent healthcare services now and/or in the future and want to limit your deductibles and co-pays.
- You can afford the monthly premiums of Medicare Supplement Insurance and don't qualify for Medicaid.
- You want the freedom to choose your doctors and other Medicare providers without network restrictions.
- You need nationwide coverage and/or travel abroad.
- You are in your Initial Enrollment Period and have guaranteed issue rights to join a Medigap plan regardless of your health condition.
- You don’t want a Medicare Advantage plan and the hassle of referrals and pre-authorization to receive healthcare services.
Explore Alternatives to a Medicare Supplement When:
- You don’t expect the need for frequent healthcare now or in the future.
- You missed your Medigap open enrollment period and cannot pass medical underwriting to get the Medigap policy you want.
- You want a Medicare Advantage plan with low or no monthly premiums.
- You have Medicaid, TRICARE, VA, retiree benefits, or other coverage options that will pay for most of your Medicare out-of-pocket expenses.
- You prefer an HMO or PPO plan with a Part D prescription drug plan, Silver Sneakers, and routine dental, vision, and hearing care.
- You can adhere to the rules and restrictions of a Medicare Advantage plan.
Alternatives to Ohio Medicare Supplement Plans
If you've determined that a Ohio Medicare Supplement Plan isn't the best choice for your situation, or if none of the 10 plan types align with your budget, you have several alternative options to consider:
- You can choose to stick with Original Medicare, add a Medicare Part D plan to cover prescription drugs, and be responsible for all Part A and Part B deductibles, coinsurance, and copayments out-of-pocket.
- If you meet the qualifications for both Medicare and Medicaid or have a serious health condition, enrolling in a Medicare Advantage Special Needs Plan may be the best alternative.
- For individuals with VA health benefits, using healthcare services exclusively from the nearest VA hospital is an option. In such cases, the VA will bill Medicare and cover the remaining costs.
- Consider enrolling in a Medicare Advantage Plan with a low maximum out-of-pocket (MOOP) limit and affordable deductibles and copayments.
Your Medicare coverage decision is a crucial one, and it can greatly influence your healthcare and financial stability. It's essential to evaluate your individual requirements and priorities carefully. If you find yourself seeking more information or guidance on the choices accessible to you in Ohio, don't hesitate to reach out to our preferred agency, HealthCompare, at 1-855-728-0510 (TTY 711). They can provide personalized support, ensuring that you make an informed choice that aligns with your unique healthcare needs and preferences.
The next step is to get a FREE Medigap Rate Comparison Report. It will arm you with all of the information you need to make an informed decision.
MedicareWire is a Medicare consulting agency. We are not insurance agents. Our job is to help people navigate Medicare without marketing interference.
Our free report will show you rates from all carriers without a sales pitch. No Calls. No Email Spam. No Kidding!
If you would prefer to speak with an agent, our preferred, nationwide agency is HealthCompare, an Allstate company. Give them a call at 1-855-728-0510 (TTY 711).
Citations & References
- Costs of Medigap policies, Medicare.gov, Last Accessed October 4, 2023
- What's Medicare Supplement Insurance (Medigap)?, Medicare.gov, Last Accessed October 4, 2023
- Find a Medigap policy that works for you, Medicare.gov, Last Accessed October 4, 2023
- How to compare Medigap policies, Medicare.gov, Last Accessed October 4, 2023
- How Original Medicare works, Medicare.gov, Last Accessed October 4, 2023
- Your Medicare coverage choices, Medicare.gov, Last Accessed October 4, 2023