Key Takeaways
Medicare in Ohio is health insurance available to all legal U.S. residents aged 65 and older. The federal government partially funds it through taxes.
Original Medicare (Parts A and B) helps cover hospital and medical costs. Medicare Advantage in Ohio combines Parts A and B and often bundles Part D and other services.
The price of Medicare in Maryland starts with standard costs but is adjusted based on details like your work history and income.
If you have a question about Rock ‘n’ Roll, chili, or the Buckeyes, ask someone from Ohio. If you have a question about Medicare in Ohio, ask GoHealth!
Who Qualifies for Medicare in Ohio?
Eligibility for Medicare in OH begins at 65 for U.S. citizens, unless you qualify for benefits before 65. If you’re living with a disability or are a railroad retiree and have received Social Security benefits for 24 months, you may qualify for Medicare in OH. If you qualify for Medicare in OH and you are wondering about costs or how to enroll, we’ve got you covered.
How do I get Medicare in Ohio?
When you’re ready to enroll in Medicare in OH, you have more than one option:
- A licensed GoHealth agent can help you compare plans and enroll at no cost.
- You can enroll in Medicare at your local Social Security Office.
- You can call the Social Security Administration to enroll in Medicare.
- You can enroll in Medicare online at ssa.gov
- You can mail a signed and dated letter to Social Security that includes your name, Social Security number, and the date you would like to be enrolled in Medicare in OH.
How much does Medicare cost in Ohio?
The cost for Medicare in OH will be the same for most Ohioans. Still, some plans and premiums may vary based on different factors, such as:
- Income level
- Assets and resources
- Extra coverage
- Whether you have Original Medicare or Medicare Advantage
As you can see, there’s a lot to consider when you’re getting started with Medicare. But, that’s where a GoHealth licensed insurance agent can help. You can save time by letting GoHealth compare costs, find savings, and match your needs to a plan that fits your budget.
What Are the Different Plans of Medicare?
If you’re new to Medicare in Ohio, it’s best to consider the four different plans of Medicare.
- Original Medicare (Part A and Part B)
- Medicare Advantage (Part C)
- Prescription Drug Part D
- Medicare Supplement Insurance (Medigap)
Naturally, your next question may be one of the following: What is the best Medicare plan in Ohio? What is the best Medicare Advantage plan in Ohio? Or, what is the best Medicare Supplement plan in Ohio?
The answer to each is the same. When it comes to Medicare in OH, your health needs will determine which plan best meets your needs. Whether you choose Original Medicare or Medicare Advantage, the different parts of Medicare can work alongside each other to cover your needs. A GoHealth licensed insurance agent can help you compare different plans to make sure your benefits and costs align with your needs and budget.
What Are the 4 Types of Medicare Advantage Plans?
If you’re new to Medicare in Ohio, you may not know about the four types of Medicare Advantage plans: HMO, PPO, PFFS, or SNP. If you’re familiar with only Original Medicare (Part A and Part B), sometimes called traditional Medicare, let’s take a closer look at your Medicare Advantage options.
As a refresher, Medicare Advantage (Part C) replaces Original Medicare (Part A & B) but offers the same Part A and B benefits or coverage as Original Medicare. Along with receiving Part A and B benefits, Medicare Part C often bundles additional services like dental, hearing, vision and prescription drug coverage. Here are the four types of Medicare Advantage plans:
Who Has the Best Medicare Advantage Plan?
As is the case most often, there is not a single Medicare Advantage plan that is “best” for everyone. You need to find a plan that best meets your needs. For example, a Five Star-rated Medicare Advantage plan that doesn’t include a provider you need would not be “best” for you, even though it has a high Star Rating. Likewise, a high rated Part D plan that doesn’t offer your prescription at an affordable price may not be “best” for you.
What is the Medicare Star Rating System?
Medicare uses a Star Rating System to measure how well Medicare Advantage and Part D plans perform. Plans are rated by category and assigned one overall star rating for its performance. Medicare reviews plan performance annually and ratings can change from year to year.
Medicare Advantage Plans are rated in five different categories:
- Staying healthy: screenings, tests, and vaccines
- Managing chronic (long-term) conditions
- Plan responsiveness and care
- Member complaints, problems getting services, and choosing to leave the plan
- Health plan customer service
Part D plans are rated in four different categories:
- Drug plan customer service
- Member complaints, problems getting services, and choosing to leave the plan
- Member experience with the drug plan
- Drug pricing and patient safety
Medicare in Ohio by the Numbers
Thousands of older adults enroll in Medicare every day across the United States. The latest CMS data shows that 2,269,020 people are enrolled in Medicare Part A and B in Ohio. The total number of beneficiaries enrolled in Medicare Advantage Increased from 1,061,016 to 1,147,579 year over year. Medicare Advantage participation in Ohio went from 47.78% to 50.58% year over year. If you’d like to dive deeper into how Medicare in Ohio breaks down across the state, we provide a glance at who is using Medicare and how.
Medicare
Ohio
2,269,020 Beneficiaries with Part A & Part B
1,147,579 Medicare Advantage Beneficiaries
50.58% Meducare Advantage Participation Rate
53.97% Female
46.03% Male
87.30% Non-Hispanic White
7.21% African American
1.15% Hispanic
4.34% Other/Unknown
15.26% Eligible for Medicaid
0.99 Average HCC Score
$10,140.62 Actual Per Capita Costs
18.68% Hospital Readmission Rate
29.09% of Beneficiaries with an Emergency Department Visit
1,061,016 Medicare Advantage Beneficiaries, Previous Year
Increased Medicare Advantage, Year over year
47.78% Meducare Advantage Participation Rate, Previous Year
See more +
Table reflects the latest Beneficiary Demographics Data: Medicare Geographic Variation – by National, State & County
Average HCC Score: The Hierarchical Condition Category score gauges a population’s overall health. The score is based on a value of 1.0. Populations with an HCC score of less than 1.0 are considered relatively healthy. The score can be used to estimate health costs.
Ohio Medicare Resources & Contacts
Beneficiaries spend an average of $10,599.47 each year on Medicare in Ohio. To be certain you are not leaving anything on the table, give us a call. A GoHealth licensed insurance agent can assess your coverage or explain which Ohio-based resources, like these, may be able to help:
Nationwide Resources
Medicare Learning Guides
Healthcare is personal. So is choosing insurance. If you are new to Medicare, a beneficiary researching options, or a caregiver, we have tailored Medicare Guides for you.
Medicare guide
Before 65 Guide
Understanding health insurance before age 65, especially when considering early retirement
Medicare guide
Medicare Plans Guide
Costs, coverage and enrollment details for each Medicare plan
Medicare guide
Medicare Beneficiary Guide
For those currently enrolled in Medicare
Medicare guide
Low Income and Medicare Guide
For individuals with a qualifying income status
Medicare guide
A Caregiver’s Guide
For individuals with a qualifying income status
