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ACA Health Insurance Coverage Options in Ohio
Ohio uses the federal HealthCare.gov Marketplace for ACA health insurance. Review coverage options and enrollment information for Ohio residents.
The new 2027 plans become available November 1, 2026. Call 855-367-1095 now to get a sneak peek at the new plans before then, and we will have your options ready the day they open.
Medicaid is a government program that gives free or low-cost health coverage to people with limited income, such as some adults, children, pregnant women, seniors and people with disabilities. Each state runs its own Medicaid program and decides who qualifies. We are an independent insurance agency, and we cannot enroll you in Medicaid or check your Medicaid.
Ohio Medicaid: Ohio Department of Medicaid · 1-800-324-8680 (Ohio Medicaid Consumer Hotline) · medicaid.ohio.gov
If your income is too high for Medicaid, or you want to compare health plans, call us. We can help with that.
Eligibility considerations
- No coverage available through an employer, Medicare, or Medicaid
- Interest in comparing Ohio Marketplace plans by metal tier
- Uncertainty about premium tax credit eligibility based on household income
Plan tiers
Lower monthly premium; higher cost-sharing when care is used.
The benchmark tier for subsidy calculations; the only tier eligible for additional cost-sharing reductions.
Higher monthly premium; lower cost-sharing at the point of care.
Ohio Medicaid and Marketplace information
- Medicaid expansion status
- Expanded (January 2014)
- Ohio Medicaid agency
- Ohio Department of Medicaid
- ACA Marketplace
- HealthCare.gov (federal Marketplace)
Ohio counties: ACA open enrollment
Choose your county for the dates, Medicaid status and how to get help.
- Franklin County
- Cuyahoga County
- Hamilton County
- Summit County
- Montgomery County
- Lucas County
- Butler County
- Stark County
- Lorain County
- Warren County
- Lake County
- Delaware County
- Mahoning County
- Clermont County
- Trumbull County
- Medina County
- Licking County
- Greene County
- Fairfield County
- Portage County
- Clark County
- Wood County
- Richland County
- Wayne County
- Miami County
- Allen County
- Columbiana County
- Ashtabula County
- Geauga County
- Tuscarawas County
- Muskingum County
- Ross County
- Hancock County
- Erie County
- Scioto County
- Union County
- Belmont County
- Marion County
- Jefferson County
- Knox County
- Athens County
- Pickaway County
- Sandusky County
- Washington County
- Huron County
- Lawrence County
- Seneca County
- Ashland County
- Darke County
- Shelby County
- Logan County
- Auglaize County
- Madison County
- Holmes County
- Brown County
- Highland County
- Mercer County
- Fulton County
- Clinton County
- Crawford County
- Preble County
- Ottawa County
- Champaign County
- Defiance County
- Guernsey County
- Coshocton County
- Williams County
- Morrow County
- Perry County
- Putnam County
- Jackson County
- Hardin County
- Gallia County
- Fayette County
- Van Wert County
- Hocking County
- Adams County
- Henry County
- Pike County
- Carroll County
- Meigs County
- Wyandot County
- Paulding County
Common questions
How is ACA Marketplace coverage administered in Ohio?
Ohio uses HealthCare.gov (federal Marketplace) rather than a state-run exchange. Enrollment, plan comparison, and subsidy determinations run through the federal system.
Has Ohio expanded Medicaid under the ACA?
Yes. Ohio adopted Medicaid expansion, effective January 2014, extending eligibility to more low-income adults than the traditional Medicaid program covered.
Is there a cost to speak with a licensed agent?
No. Reviewing ACA Marketplace options by phone with a licensed agent has no cost. Any plan ultimately selected carries its own separate premium, determined by the plan and carrier, not by GetFastRates.com.
Questions are easier by phone.
Call 855-367-1095 to talk through your situation with licensed insurance help.
- Licensed insurance help
- No guaranteed eligibility, pricing, or availability
- Educational starting point
Information on this site is educational and does not guarantee eligibility, enrollment, pricing, or availability. It is not a recommendation to buy any specific plan or policy.