Within Ohio, certain large insurance carriers cover a majority of Medicare Advantage enrollees. Specifically, 29 percent of enrollees have Humana plans and 23 percent have Anthem. With more than 11.6 million people in 88 counties, Ohio ranks as the seventh most populous state. In fact, Ohio has a larger share – 38 percent – of Medicare Advantage members than most states.
Medicare Advantage enrollment in Ohio represents 39% of the total Medicare population here, according to data compiled by the Kaiser Family Foundation. That tracks with the nationwide trend. Across the country, over a third of all Medicare members now opt for a private plan instead of traditional Medicare.
Private plans are sold by individual companies, which means benefits vary. But federal law requires all Advantage plans to cover at least the same benefits as Original (Parts A and B together). Advantage may also include benefits like prescription drugs, dental and vision services, hearing aids and exams, and more.
In exchange for broader benefits, you may have a premium for Medicare Advantage. According to the Centers for Medicare and Medicaid Services, the average premium for Medicare Advantage in Ohio is $20.69 a month in 2021.
You’ll always pay any premiums associated with Original Medicare, even if you have a private plan, but you may or may not have an additional premium depending on your plan.
Everyone in Ohio will have access to at least one Medicare Advantage plan and at least one plan with a $0 premium next year. Insurance carriers selling private Medicare plans in Ohio include UnitedHealthcare/AARP, Humana, Aetna, Anthem and Molina.
There are a total of 202 Medicare Advantage plans in the Buckeye State in 2021, an increase of about 25 plans over last year. Access to specific plans depends on where you live in the state.
Kaiser Family Foundation, “A Dozen Facts About Medicare Advantage in 2020”
CMS, state data fact sheet released September 24, 2020
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