How To Find the Best Health Insurance in Ohio

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Even though Ohio health insurance shoppers enjoy relatively low rates compared to the rest of the country and coverage is not compulsory, it’s still recommended that they compare quotes from multiple health insurance companies in order to find the lowest possible rate for a plan that can protect them from severe medical debt.

Keep reading to learn more about Ohio health insurance such as when residents can enroll in a health plan and how much they might have to pay if they live in one of Ohio’s biggest cities.

Key Takeaways

  • Ohio residents pay an average monthly premium of $435 for Marketplace benchmark health plans.
  • You don’t have to worry about incurring a tax penalty if you opt not to buy health insurance in Ohio.
  • Molina boasts the lowest starting rates for silver health plans among health insurance providers in Ohio.
  • Health insurance open enrollment lasts from November 1 to January 15 in Ohio.
  • Low-income Ohioans and other select populations can qualify for affordable government-funded health care through Medicaid.

Is Health Insurance Required in Ohio?

There is no tax penalty for people who choose not to have health insurance in Ohio. Although the federal government officially requires everyone living in the United States to be insured, the requirement is not enforced at the federal level and most states — including Ohio — do not impose individual mandate penalties.[1]

Ohio Health Insurance Rankings

Ohio has a slightly below-average health care system compared to other states and Washington, D.C., ranking 31st out of 51 in a study conducted by the Commonwealth Fund. The state performed best on racial and ethnic health equity and worst on avoidable hospital use and cost. For a rundown of how Ohio fared in other areas, see the table below.[2]

Dimension

National Rank

Reproductive & Women’s Health

31

Access & Affordability

26

Prevention & Treatment

23

Avoidable Hospital Use & Cost

49

Healthy Lives

39

Income Disparity

36

Racial & Ethnic Health Equity

21

How Much Does Health Insurance Cost in Ohio?

OH Monthly Premium for Lowest-Cost Plan by Metal Tier

A benchmark plan purchased through the Health Insurance Marketplace in Ohio costs $435 per month on average. In comparison, the national average benchmark plan premium is a bit higher at $477 per month. Ohioans also pay an average monthly rate of $354 for the state’s cheapest plan in the bronze tier, $431 for the cheapest silver plan and $477 for the cheapest gold plan.[3]

Average Cost Benchmark Premium by State

Cheapest Health Insurance Options in Ohio

If you want low premiums and aren’t concerned about high copays, coinsurance and deductibles each time you receive care, then a bronze plan may be a good fit for you.[4] In addition, you may save on premiums and out-of-pocket costs by opting for a health maintenance organization (HMO) plan over a preferred provider organization (PPO) plan, though you will miss out on coverage for some benefits like care from out-of-network providers and unreferred specialists.[5]

health insurance tiers

What Is the Average Cost of Health Insurance in Ohio by City?

See the below table for the median monthly health insurance costs without considering premium tax credits for 30-year-old individuals with an annual income of $40,000 living in five of the largest cities in Ohio.[6]

City, Zip Code

Quote

Columbus, 43004

$453.29

Toledo, 43601

$429.59

Cleveland, 44101

$426.17

Akron, 44301

$422.08

Cincinnati, 45201

$409.86

OH Median Monthly Rates in Major Cities

Which Health Insurance Companies Are the Most Affordable in Ohio?

Molina offers the lowest starting rates for silver health insurance coverage among 40-year-olds in Ohio. You can go over the following table to see which Ohio insurance carriers sell this type of affordable health insurance for less than $800 per month.[7]

Insurance Company

Cost Range

Molina

$398 to $536

SummaCare

$414 to $485

AultCare

$429 to $560

CareSource

$432 to $574

Oscar

$434 to $634

Anthem

$439 to $768

Ambetter

$443 to $557

UnitedHealthcare

$444 to $493

Paramount

$522 to $711

When Is Open Enrollment for Health Insurance in Ohio?

Ohioans are free to sign up for health coverage through the federal Health Insurance Marketplace during open enrollment from November 1 to January 15. Those who enroll by December 15 will be able to start taking advantage of their plan at the beginning of the new year, while those who sign up later will have to wait until February 1 for their coverage to begin.[8]

Outside of open enrollment, the only way to sign up for a Marketplace health plan is by qualifying for a special enrollment period. These enrollment periods are triggered by major life events that substantially change your health care or coverage needs such as getting married or having a baby.[9]

What Types of Health Insurance Are Available in Ohio?

Some of the main types of health insurance residents of Ohio may be able to obtain include the following:

How To Get Health Insurance in Ohio

Acquiring health insurance quotes from about three to five different insurance companies can help you ensure that you’re getting the best possible deal on the coverage you need. Unfortunately, it can be very time-consuming to call multiple carriers to provide them with information like your location and income so they can provide you with quotes.

However, you can speed up the process significantly by using an online marketplace platform like SmartFinancial. After you fill out a brief questionnaire, we’ll connect you with agents who can help you find the right health plan for your situation. Start comparing health insurance quotes at no cost today.

Get a Free Quote for Ohio Health Insurance Today!

FAQs

Is health insurance expensive in Ohio?

Marketplace benchmark plans are cheaper in Ohio than they are throughout the United States by $42 per month on average.[3]

Is Medicare available in Ohio?

If you live in Ohio and qualify for Medicare, you can sign up for Original Medicare through the federal government or a Medicare Advantage plan through a private health insurance company.

Have health insurance rates gone up in Ohio?

The average monthly cost of a benchmark plan in Ohio was $64 higher in 2024 than it was in 2018.[3]

What happens if I don’t sign up for health insurance in Ohio?

You won’t face any sort of penalty for failing to sign up for health insurance in Ohio. That said, if you miss open enrollment, you won’t be able to get coverage until the next open enrollment period unless you qualify for a special enrollment period or purchase a short-term policy or some other kind of plan directly from an insurer outside of the Marketplace.

Is there access to free health care in Ohio?

Ohio residents may secure low-cost or free health insurance through Medicaid if they are low-income, infants or children, pregnant, elderly or disabled.[10]

Sources

  1. Internal Revenue Service. “Questions and Answers on the Individual Shared Responsibility Provision.” Accessed Sept. 11, 2024.
  2. Commonwealth Fund. “2023 Scorecard on State Health System Performance: Ohio,” Page 1. Accessed Sept. 11, 2024.
  3. KFF. “Average Marketplace Premiums by Metal Tier, 2018-2024.” Accessed Sept. 11, 2024.
  4. HealthCare.gov. “Bronze Health Plan - Glossary.” Accessed Sept. 11, 2024.
  5. Humana. “HMO vs PPO: What’s the Difference Between HMO and PPO Plans?” Accessed Sept. 11, 2024.
  6. HealthCare.gov. “Health Insurance Plans & Prices.” Accessed Sept. 12, 2024.
  7. ValuePenguin. “Best Cheap Health Insurance in Ohio (2024).” Accessed Sept. 12, 2024.
  8. HealthCare.gov. “When Can You Get Health Insurance?” Accessed Sept. 12, 2024.
  9. HealthCare.gov. “Special Enrollment Period (SEP) - Glossary.” Accessed Sept. 12, 2024.
  10. Ohio Department of Medicaid. “Who Qualifies.” Accessed Sept. 12, 2024.

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