The Ohio Health Insurance Marketplace is a state-run exchange where residents of Ohio can purchase individual and family health insurance plans. The marketplace was created under the Affordable Care Act (ACA) and offers a variety of health insurance options to qualified individuals, families, and small businesses.
Benefits of the Ohio Health Insurance Marketplace
There are many benefits to using the Ohio Health Insurance Marketplace to purchase your health insurance. One of the biggest benefits is that you may be eligible for a premium tax credit if you meet certain income requirements. This tax credit can help reduce the amount you pay for your monthly premium. Other benefits include:
Benefits |
Description |
Choice of Plans |
The marketplace offers a variety of health insurance plans from different insurance companies, allowing you to choose the plan that best fits your needs and budget. |
No Discrimination |
Insurance companies cannot deny you coverage or charge you more based on your health status. |
Essential Health Benefits |
All plans offered on the marketplace must cover certain essential health benefits, such as preventive care, hospitalization, and prescription drugs. |
Cost-Sharing Reductions |
If you qualify, you may be eligible for cost-sharing reductions that can help lower your out-of-pocket costs, such as deductibles, copays, and coinsurance. |
One-Stop Shop |
You can compare plans, enroll, and manage your coverage all in one place. |
Who is eligible to use the Ohio Health Insurance Marketplace?
To be eligible to use the Ohio Health Insurance Marketplace, you must:
- Live in Ohio
- Be a U.S. citizen, national, or lawfully present immigrant
- Not be incarcerated
- Not be enrolled in Medicare
- Not have access to affordable coverage through your employer
If you are eligible, you can enroll in a health insurance plan during the open enrollment period, which typically runs from November 1 to December 15 each year.
How to enroll in the Ohio Health Insurance Marketplace
To enroll in a health insurance plan through the Ohio Health Insurance Marketplace, follow these steps:
- Create an account on the marketplace website
- Fill out an application and provide information about your household and income
- Compare plans and choose the one that best fits your needs and budget
- Enroll in the plan of your choice
If you need help enrolling, you can get assistance from a trained navigator or certified application counselor.
Frequently Asked Questions
Q: What happens if I don’t have health insurance?
A: If you don’t have health insurance, you may have to pay a penalty when you file your taxes. The penalty can vary depending on your income and the number of months you went without coverage.
Q: Can I keep my current health insurance plan?
A: You can keep your current health insurance plan as long as it meets certain standards, such as covering essential health benefits and not charging you more based on your health status. However, you may be able to find a better or more affordable plan on the marketplace.
Q: What is a premium tax credit?
A: A premium tax credit is a subsidy that can help reduce the amount you pay for your monthly premium. The credit is based on your income and the cost of the second-lowest-cost silver plan in your area.
Q: What is a deductible?
A: A deductible is the amount you have to pay out of pocket before your insurance starts to cover your expenses. For example, if you have a $1,000 deductible, you will have to pay the first $1,000 of your medical bills before your insurance starts to pay.
Q: What is a copay?
A: A copay is a fixed amount you pay for a covered service, such as a doctor’s visit or prescription drug. For example, if you have a $20 copay for doctor’s visits, you will have to pay $20 each time you see a doctor.
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