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Ohio Health Insurance Exchange 2019

 

 
The Affordable Care Act (ACA) requires that every state have an exchange where consumers can buy individual health insurance policies.  In Ohio, the federal government runs the health insurance exchange.  Ohioans who do not have health insurance through their employer, Medicare or Medicaid may be eligible to purchase coverage through the exchange.  Open enrollment for coverage next year (2019) begins November 1, 2018.  Below is preliminary data based on the filings submissions of insurers in Ohio.  Once filings are approved in late summer/early fall, final information will be posted.
 
Ohio’s Health Insurance Market (2018–2019)
 
  • In 2018, 8 companies sold health insurance products on the exchange in Ohio and 42 counties had just one insurer with an additional 20 counties having only two.
  • For 2019, 10 companies have filed rates and forms for the Department to review and all 88 counties will have at least one insurer.  Preliminary filings show 16 counties with just one insurer and 33 counties with two.
 
 
Individual Market Premium Information for 2019
 
Following implementation of the ACA, plan options and the premiums associated with those plans underwent significant changes.  Since 2013, the Department has provided information prior to open enrollment each year as plans and premiums change.  In 2018, the weighted average premium for an on-exchange individual market plan was $5,798.83 and for 2019, companies are proposing to sell products with a weighted average premium of $6,274.08.  That is an increase of 8.2 percent.
 
Questions and Answers
 
When do I begin shopping for my new coverage?
 
All Ohioans who purchased health insurance through the federal exchange in 2018 will need to select a plan for 2019 during open enrollment, which begins November 1. 
 
When will I be impacted by these changes if I buy on the exchange?
 
January 1, 2019. Open enrollment begins on November 1, 2018 and runs through December 15, 2018.  You will need to choose a plan during this time if you want your coverage effective January 1, 2019. 
    
I need assistance to understand my situation and my options. Who should I contact?
 
During exchange open enrollment, the best first step is to contact an agent or broker.  Additionally, consumers looking to obtain coverage may contact the federal exchange in Ohio directly by visiting www.healthcare.gov or by calling 1-800-318-2596.  However, if consumers are having problems with their coverage, claims disputes, or other concerns with their policy they can contact the Ohio Department of Insurance at 1-800-686-1526.
 

 

 
 

 


The State of Ohio is an Equal Opportunity Employer

Ohio Department of Insurance
50 W. Town Street, Third Floor - Suite 300
Columbus, Ohio  43215
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John Kasich, Governor | Jillian Froment, Director
General Info: 614-644-2658 | Consumer Hotline: 800-686-1526
Fraud Hotline: 800-686-1527 | OSHIIP Hotline: 800-686-1578