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More than 2,371,223 Ohioans,1 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 can help.

Who Qualifies for Medicare in Ohio?

You may qualify for Medicare in Ohio if you’re a U.S. citizen or a permanent legal resident who has lived in the U.S. for more than five years and one or more of the following applies to you:3

  • You are 65 or older.
  • You have been on Social Security Disability Insurance (SSDI) for two years.
  • You have end-stage renal disease (ESRD) or Lou Gehrig’s disease.

Medicare 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 and is administered by the government.3
  3. Medicare Part C, which is also called Medicare Advantage, is provided by private insurance companies. This is an alternative to Original Medicare, because Medicare Advantage plans bundle Parts A and B together. Most plans include prescription drug coverage, and many offer additional benefits, such as dental, vision, and hearing coverage.4
  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.5

Did you know that almost 49% of Medicare-eligible Ohioans who applied for a Low-Income Subsidy (LIS) in 2020 were approved for the Extra Help program, which assists with paying for drug coverage costs?6Use the Extra Help calculator to see if you may qualify. 

Medicare-eligible Ohio residents also have the option of purchasing a Medicare Supplement plan, which is also called Medigap. These plans assist with expenses not covered by Original Medicare, such as your Part A deductible, copayments, and coinsurance. There are 10 standardized Medicare Supplement plans to choose from, which are sold by private insurance companies.  

HealthMarkets Can Help With Medicare Coverage in Ohio

HealthMarkets can help you find a Medicare plan in Ohio that fits your needs.

After you answer a few questions, we can provide a personalized FitScore® that ranks plans from multiple insurance companies based on how well they match your needs and preferences. Then, we can continuously compare plans for you year after year, just in case a better fit comes along. Get your free HealthMarkets FitScore today!


1.Total Number of Medicare Beneficiaries, KFF. 2020. Retrieved from | 2. QuickFacts Ohio, U.S. Census Bureau. 2019. Retrieved from | 3. Original Medicare (Part A and B) Eligibility and Enrollment, CMS. 2020. Retrieved from | 4. Understanding Medicare Advantage Plans, Medicare. 2020. Retrieved from | 5. What Medicare Part D drug plans cover, Medicare. 2020. Retrieved from | 6. Extra Help with Medicare Prescription Drug Plan Costs. SSA. 2020. Retrieved from 

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