Whether you are a student, recent graduate, early retiree, working without health insurance or between jobs, there is an Ohio individual health insurance plan available to suit your needs.
You can choose from indemnity and managed health care plans. While indemnity plans offer a greater choice of health care providers, you have to pay up front and the insurance company pays its share later. In managed-care plans, the health insurance company networks with selected health care providers to provide services at fixed rates. These include HMO (Health Maintenance Organization), PPO (Preferred Provider Organization), and POS (Point of Service) plans. The health care provider submits the claim directly to the insurance company and the insured person has less paperwork and lower out-of-pocket costs with managed care.
Health Savings Accounts (HSAs) help individuals pay for current medical expenses and save for future qualified medical costs on a tax-free basis. A HSA is used along with a ‘High Deductible Health Plan’ (HDHP). It could be an HMO, PPO or indemnity plan, as long as it meets the necessary conditions. To qualify for a HSA you must be covered by a HSA-qualified HDHP.
Ohio High Risk Pool
Recent health care reform measures will provide health insurance access for more than 109,000 Ohioans over the next three years. One of the most redeeming features of the new law is the Ohio High Risk Pool that provides Ohio residents with pre-existing conditions access to health insurance. You are eligible for the High Risk Pool insurance if you are certified as having a qualifying pre-existing condition and meet the following conditions:
- You are a citizen or national of the United States or lawfully present in the United States and an Ohio resident at the time of application
- You have been uninsured for six months prior to the date you apply for coverage
- You are not eligible for coverage under the federal Medicare program, the Ohio Medical Assistance Program, the Ohio Children’s Health Insurance Program, individual coverage or an employer-sponsored group health plan, unless subject to a mandatory initial waiting period.
Getting in touch with an experienced insurance agent is the best way to go about getting affordable Ohio individual health insurance. You can get free quotes as well as expert assistance to choose the plan that best suits your needs.