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More than 2,330,000 Ohioans, approximately 20% of the state population are enrolled in some form of a Medicare plan. With so many residents receiving Medicare benefits, you may be curious about Medicare eligibility in Ohio. HealthMarkets has answers to help you understand.

Medicare Eligibility: Ohio Requirements

Medicare coverage in Ohio is usually available to those who are age 65 or older, disabled individuals under 65, and people who have chronic illnesses, such as End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS or Lou Gehrig’s disease). If you’re eligible for or already receive benefits from Social Security or the Railroad Retirement Board, you qualify to enroll.

Medicare Eligibility in Ohio Explained

There are four parts to Medicare:

  1. Medicare Part A, which is hospitalization insurance
  2. Medicare Part B, which is medical insurance. Together, Parts A and B are known as Original Medicare.
  3. Medicare Part C, which is also called Medicare Advantage, is provided through private insurance companies. This is an alternative to Original Medicare because plans bundle Parts A and B together. Most plans include prescription drug coverage, and many offer other benefits, including dental, vision, and hearing.
  4. Medicare Part D, which is prescription drug coverage, is also sold through private insurance companies. You can enroll in a separate Part D drug plan if you have Original Medicare Part A and/or Part B. You may qualify for assistance with your prescription drug costs based on your Medicare eligibility in Ohio. 

Another Medicare option for Ohio residents is a Medicare Supplement plan, which is also called Medigap. Plans assist with filling the gaps in Original Medicare by helping to cover out-of-pocket costs, such as your Part A and Part B deductible, copayments, and coinsurance. Medicare Supplement plans in Ohio are available in 10 standardized options through private insurance companies.

Get Help With Medicare Coverage in Ohio

HealthMarkets can help you determine your Medicare eligibility in Ohio. Are you one of the more than 396,000 Ohioans who qualified for a Low-Income Subsidy (LIS) in 2018? Use HealthMarkets FitScore™ to help you find the best plan for your individual needs.

HMIA008130 4-2020

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