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Ohio Group Health Insurance



In many states, including Ohio, group health insurance is becoming more difficult to get. Employers are finding that it is becoming too expensive to offer good group health insurance in Ohio. This article will set out some options for OH group health insurance.

 

Ohio Group Health
Insurance Trends

 

Ohio small group health insurance is available for groups of between two and 50 people (large group health insurance is for companies with more than 50 employees). This is welcome news for small business owners who want to offer benefits to their employees. The cost of the health insurance premiums can be carried solely by the employer or split between the employer and employees. Here are some options for OH group health insurance:

 

The "Cafeteria" Approach To
Ohio Group Health Insurance

 

This type of group health insurance is one that gives employers and employees some flexibility in the plan. Instead of being offered one package of benefits, employees choose the type of coverage that they would like to have from a list (or a menu) of offerings. The plan is financed with pre-tax dollars from employee earnings, which has the benefit of saving them money. Employers like the idea of offering cafeteria-style benefit options because this form lowers payroll taxes.

 

Ohio Group Health Insurance:
Managed Care Options

 

This type of OH group health insurance is the most traditional option. Since companies offering managed care health insurance can negotiate rates from a network of healthcare providers, they can keep premium rates down for subscribers. Most managed care group health insurance is offered under the following plans:

 

  1. PPO Plan: This type of group health insurance plan offers a lot of flexibility to its members, who can seek medical treatment from providers who are in the network or outside of it. Out-of-pocket expenses are limited, and if a person wants to seek care outside of the network, then co-payments are kept low.

    One disadvantage to having a PPO Plan is that some of them do have high deductibles that must be paid before coverage begins. Any time that an insurance plan has a high deductible, premiums are generally kept lower. If you are looking for group health insurance in Ohio, be sure to ask whether the plan you are considering will "waive the deductible" for physical exams, laboratory tests, and other preventive healthcare items.

  2. HMO Plan: With this type of group health insurance, an insurer assembles a group of healthcare providers, including doctors and hospitals. Rates are negotiated with the providers. In return for volume business, the providers agree to provide services at a reduced rate. An employee who is signed up for an employer HMO Plan will need to choose one doctor who will act at that individual's primary care physician. The role of the primary care physician is to act as the central person for the employee's healthcare needs. Visits to specialists, if necessary, will be scheduled by the primary care physician's office.

    Since many HMO Plans don't have a deductible, employees don't need to worry about paying anything out of pocket for their healthcare needs. Plan administrators usually have large networks of healthcare providers, which makes it easy for Plan members to find a primary care doctor in the network. Administrators keep an eye on healthcare costs by pre-approving services for members.

 

Ohio Group Health Insurance:
Health Savings Accounts (HSA’s)

 

A Health Savings Account (HSA) gives employees the ability to put aside money from their salary to pay for future medical expenses. In order to qualify for an HSA, employees must be enrolled in a high-deductible ($1,050 or more) health plan. Employers have the option of making contributions to the HSA on behalf of their employees.

 

Since the HSA only works with a high-deductible OH health insurance plan, monthly premiums for employees are kept low. An advantage for employers who offer an HSA Savings Account to their employees is that if you include it in the menu of a cafeteria-style plan, employee contributions are made on pre-tax earnings. This means employers pay less for payroll taxes.

 

Get Ohio Group Health
Insurance Quotes Today!

 

Would you like to see what options are available for Ohio group health insurance and Ohio individual health insurance? The handy tool at the top of this page lets you compare plans and rates from top companies right away. Get started comparing Ohio health insurance options now!