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Information for Ohio

Health Insurance Plans in Ohio

Whether you use your health insurance plan a lot or just for check-ups, Anthem has options for you. You’ll find special programs, great doctors, and plans so you can get healthy and stay healthy. And this year we’re back and with a new network in select areas of Ohio. Shop plans and explore coverage options available near you.
 
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Which health insurance plan is right for you?

Anthem understands everyone’s budgets and health care needs are different. That’s why we designed our plans in Ohio to come in different price levels. Whether you’re a family of five with lots of doctor’s appointments or someone who just wants to be covered for emergencies, we may have a plan to help match your needs and fit your wallet. Let’s check out all your health plan options so you can find what may work for you or your family.
 
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What is the Affordable Care Act?

 
The Affordable Care Act, or ACA, is a law designed to help ensure that all Americans have access to affordable health insurance. ACA plans can be sold on or off the health insurance exchange, so buying a policy in the individual market is now a realistic option for a lot more people.

How Expenses are Covered

Health insurance deductibles & copays

When you have health insurance, we’re here to help with medical costs. As soon as you start the monthly payments on your Ohio health plan, you’ll be covered for check-ups and preventive care. Most preventive care is free or costs a fee called a copay.

For other care, you might be asked to pay for your care up to a certain amount. That’s reaching your deductible. Once you reach it, we’ll start paying for a percentage of your costs. You just pay the rest. That’s called your coinsurance. Finally, every plan has an out-of-pocket limit that you can reach if you spend a lot in one year.

Medical expenses over the year

 
 
Deductible
The set amount you pay out-of-pocket each year before your plan starts paying for covered services, except for in-network preventive services. In-network preventive services are covered before the deductible is met.
Copays & coinsurance
A copay is a fixed fee that you pay out-of-pocket for each visit to an in-network health care provider. Coinsurance is the amount you pay for covered health care services. It’s a percentage of the cost of services after the deductible has been paid.
Out-of-pocket limit
Once you have met your out-of-pocket limit, your plan pays 100% of the maximum allowed amount for covered services for the rest of that calendar year.

Benefits of becoming an Anthem member

When you choose an individual or family insurance plan in Ohio with Anthem, you'll have access to leading doctors and hospitals. It’s important to us that you see the doctor you want and get the care you need.
It’s all about great doctors
 
You’ll see the difference with Anthem. You can select great doctors, care centers, and hospitals from our network of providers. You can also have a private video visit with a doctor or therapist on your smartphone, tablet or computer. It’s one of the best ways for us to help support your health and the health of your family.
 
 
Access to preventive care
 
At Anthem, we believe that prevention is the best medicine. Preventive care is offered for as low as $0 with no copay and no deductible to meet when received from in-network providers.
 
 
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Other Coverage Programs

Catastrophic Coverage Plans
 

Catastrophic coverage plans help save money on health insurance for people with certain qualifications. If you’re under 30 or qualify for one of 14 hardship exemptions you may be eligible for this plan.

See if you qualify for a catastrophic coverage plan

Medicaid Eligibility
 

If you’re disabled, managing a chronic condition, or need income assistance, you may qualify for Medicaid coverage.

See if you qualify for Medicaid