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Ohio Medicare and Other Senior Health Plans (OH)

Residents of Ohio should join the bandwagon and enroll in a Medical Advantage plan to make up for those coverage "gaps" in Medicare, but they must be circumspect. Medicare beneficiaries (including the optional Medicare Plan B – medical insurance) who are currently covered under employer or union policies could be giving up their benefits if they enroll in an Medicare Advantage plan. This means that previously existing deductibles, co-payments and other cost-sharing mechanisms under their policies would be superseded by their Medicare Advantage plan. Before enrolling in an Medicare Advantage plan, it is advisable to coordinate with the present union leader or employer to clarify these issues.

This is another reason that the Centers of Medicare and Medicaid Services (CMS) under federal law has regulated marketing practices of Medicare Advantage plan providers; it is easy to be railroaded into a policy that will not provide the right benefits if the salesperson is aggressive enough. Senior citizens qualify for Medicare within the six months around the age of 65, and the fear of rising medical costs and the specter of ill-health make this population particularly susceptible to high-pressure selling tactics.

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Medicare Advantage Plans Available In Ohio

There are at least 69 Medicare Advantage plans available in the Ohio state area, including:

  • Aetna Golden Medicare Value Plan [H3623 - 001]
  • SecureHorizons MedicareDirect Rx Plan 55 [H5435 - 024]
  • WellCare PPO [H0967 - 001]

Which are Medicare Advantage plans with prescription drug coverage* – quite important at this stage of life - and require no monthly premiums. Stand-alone Medicare prescription drug plans are also available, but Medicare Advantage prescription drug plans often cost lower in the long run.

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Providers for Medicare plans available in Ohio1

Advantage Plans
Blue Cross
Buckeye Community Health Plan
DaVita VillageHealth
Gateway Health Plan
The Health Plan
Paramount Elite
PrimeTime Health Plan
Sterling Options
Team Care Advantage
HealthMarkets Care Assured
Today’s Options
Unison Advantage
UPMC Health Plan

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* You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call:

1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week;

The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call, 1-800-325-0778; or Your State Medicaid Office

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