Ohio Medicare insurance offers coverage primarily to qualified citizens over 65, but workers and younger people with specific disabilities may also be eligible. Even though this is a federally funded program, the state of Ohio also offers certain assistance packages to residents who are receiving Medicare benefits.
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Ohio Medicare Insurance Trends
The Centers for Medicare & Medicaid Services (CMS) reported the following information on 2025 Medicare trends in Ohio:
- A total of 2,468,713 residents of Ohio are enrolled in Medicare.
- The average monthly Medicare Advantage plan premium changed from $16.12 in 2024 to $15.51 in 2025.
- There are currently 224 Medicare Advantage plans available in Ohio.
- All Medicare recipients in Ohio can purchase a Medicare Advantage plan, including those with $0 premiums.
- There are 16 stand-alone Medicare prescription drug plans offered in Ohio for 2025.
- The lowest monthly premium for a Medicare prescription drug plan is $0.
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Thanks to the Inflation Reduction Act, people with Medicare may qualify for even more savings through the Extra Help program.
Medicare Offered in Ohio
Medicare is a government health care program that offers financial assistance to those 65 or older and people of any age with specific disabilities.
Original Medicare
Original Medicare allows you to receive the core coverage benefits afforded by the program. This is made up of Medicare Part A for hospital insurance covering services such as inpatient care and Medicare Part B for medical insurance, including coverage for treatments, medical supplies, and preventive services.
Medicare Advantage
Instead of obtaining Original Medicare and supplemental plans separately, beneficiaries can instead purchase a comprehensive Medicare Advantage Plan that combines all the benefits of Part A, Part B, and supplemental plans such as Part D.
In contrast to traditional Medicare, the two main advantages of a Medicare Advantage plan are prescription drug coverage and dental and vision care. You have fewer out-of-pocket costs with this option than you would if you were, on average, using Original Medicare plans.
As these plans may offer different extra benefits and coverage aside from the core Original Medicare coverage, they will have additional costs. It will also depend on which of the Medicare-approved carriers the beneficiaries buy these plans from, also known as Medicare Part C.
Some of the companies who offer Medicare Advantage plans in Ohio may include:
- Aetna Medicare
- Anthem Blue Cross and Blue Shield
- Cigna
- Humana
- Medical Mutual of Ohio
- MediGold
- UnitedHealthcare
- WellCare by Allwell
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Medicare Supplement Plans
Some beneficiaries feel that the basic Original Medicare coverage has significant gaps. To compensate for this, they can opt to get Medigap supplemental plans from private health insurance carriers with Medicare approval. However, these plans will come with a premium requirement separate from the premium required by Medicare Part B.
Some of the companies offering Medigap plans who offer Medicare Supplement plans in Ohio may include:
- Anthem Blue Cross and Blue Shield – Ohio
- Cigna
- Colonial Penn
- Heartland National
- Humana
- Mutual of Omaha
- Oxford Life
- State Farm
- UnitedHealthcare
Ohio Medicare Enrollment
Ohio residents are eligible for Medicare if they are U.S. citizens and above 65 years old or are under 65 but are permanently disabled, have end-stage renal disease, or Amyotrophic Lateral Sclerosis. Use Medicare’s online eligibility tool if you are unsure if you qualify.
Requirements
- You are 65 or older, and you or your spouse worked and paid Medicare taxes for at least 40 quarters.
- You are under age 65 and collect benefits from Social Security or the Railroad Retirement Board for at least 24 consecutive months.
- You have ESRD or ALS.
Enrollment Period Dates
Initial Enrollment Period
This is a seven-month window that allows you to sign up for a plan
- Begins 3 months before the month you turn 65
- Ends 3 months after the month you turn 65
Medicare Open Enrollment Period
This is when you can sign up for a plan, switch a plan or leave a plan
- Begins Starts October 15th
- Ends December 7th
Special Enrollment Period
Special enrollment periods allow you to enroll outside the regular enrollment periods under specific circumstances.
General Enrollment Period
This is when you can sign up for Medicare Part A and/or Part B if you didn’t sign up when first eligible or if you’re not qualified for a Special Enrollment Period.
- Starts January 1st
- Ends March 31st
Medicare Advantage Open Enrollment Period
This is when you can switch or leave a Medicare Advantage Plan
- Starts January 1st
- Ends March 31st
Ohio Enrollment Tips & Advice
Whether you’re deciding between original Medicare and Medicare advantage, it can be hard to choose the right plan for your needs. You want to keep in mind the cost of each plan, the types of coverage you will receive, the provider network, your options for further coverage, and the ratings of each plan.
Some other resources you can access include:
How Do I Enroll in a Medicare Plan?
If you have any questions about Ohio Medicare, speak to one of our licensed agents today. Our agents will discuss your Medicare options and help find a plan that works for you.
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