Ohio Medicare Part D plans are the prescription drug plans that individuals can get with their Medicare. In Ohio, 1,829,131 people are enrolled in Medicare part D. In addition, 1,042,257 Ohio residents are enrolled in a separate drug plan, while 812,226 individuals have a Medicare Advantage Prescription Drug Plan (MAPD).
Ohio Part D plans for 2024
A Part D plan is an insurance plan that only gives you coverage for your prescriptions and can come from different private companies such as Aetna or Humana.
Since Part D plans come from private organizations, the monthly premium will vary depending on which company provides the plan. Additionally, each program will offer different levels of coverage and benefits.
Part D plans with the lowest premium in ohio
The Aetna Part D plan has the lowest monthly premium at $7.10 per month; however, it has a deductible of $480.
On the other hand, Humana has the same deductible of $480 but has a higher monthly premium of $22.70 per month. However, it’s crucial to note that the Humana plan has a higher star rating, indicating a greater effectiveness rating.
The second-lowest premium on the list of Ohio Medicare Part D plans is Wellcare, which has a low monthly premium of $12.90 and a $480 deductible.
PLAN | PREMIUM | DEDUCTIBLE | STAR RATING | CAP COVERAGE |
Aetna | $7.10 | $480 | 3 | No |
Wellcare | $12.90 | $480 | 3 | No |
Clear Spring Health | $17.00 | $480 | 2 | No |
Elixir | $20.30 | $480 | 3 | No |
Humana | $22.70 | $480 | 4 | No |
Part D plans with a zero-dollar deductible
Wellcare offers a zero-dollar deductible plan for a monthly premium of $68.90.
Anthem BCBS has a higher monthly premium of $80.40; however, its star rating is four out of five.
Another excellent plan is Aetna, which has a monthly premium of $75.20, gap coverage, and no deductible.
PLAN | PREMIUM | DEDUCTIBLE | STAR RATING | GAP COVERAGE |
Wellcare | $68.90 | $0 | 3 | No |
Aetna | $75.20 | $0 | 3 | Yes |
Anthem BCBS | $80.40 | $0 | 4 | Yes |
$99.00 | $0 | 3 | Yes |
Part D plans with gap coverage
The coverage gap, or “donut hole,” refers to the Medicare phase where a beneficiary is responsible for paying a part or percentage of their prescriptions. Plans that offer gap coverage can help by covering the cost of drugs in a specific tier.
In Ohio, the Part D plan offers gap coverage, a four-star rating, a deductible of $310, and a low monthly premium of $27.90. Anthem BCBS has a zero-dollar deductible plan with gap coverage and a respectable four-star rating.
Cigna is another reputable company that offers Ohio beneficiaries a Part D plan with a $53 monthly premium and a $100 deductible.
PLAN | PREMIUM | DEDUCTIBLE | STAR RATING | GAP COVERAGE |
$27.90 | $310.00 | 4 | Yes | |
Cigna | $53.00 | $100.00 | 3 | Yes |
Aetna | $75.20 | $0 | 3 | Yes |
Anthem BCBS | $80.40 | $0 | 4 | Yes |
$99.00 | $0 | 3 | Yes |
Part D plans with a Low-Income Subsidy
In Ohio, 397,724 beneficiaries are deemed eligible for the low-income subsidy. The low-income subsidy (LIS) helps eligible beneficiaries cover the cost of their prescription medications.
Wellcare has the lowest monthly premium for a plan with LIS at $28.80 and a deductible of $480.
Cigna also has a $480 deductible and a three-star rating with a slightly higher monthly premium of $32.50. Elixir offers a similar LIS plan with the same deductible and a monthly premium of $32.80.
PLAN | PREMIUM | DEDUCTIBLE | STAR RATING | GAP COVERAGE |
Wellcare | $28.80 | $480.00 | 3 | No |
Aetna | $30.30 | $480.00 | 3 | No |
Cigna | $32.50 | $480.00 | 3 | No |
Elixir | $32.80 | $480.00 | 3 | No |
Amount of beneficiaries that fall into each Part D coverage phase in Ohio
Part D of Medicare has four phases: deductible, initial coverage, coverage gap or “donut hole,” and catastrophic. Each phase offers a different level of drug coverage. The chart below shows how many Ohio beneficiaries fall into each phase of Medicare.
Deductible Phase | Initial Coverage Phase | Coverage Gap Phase | Catastrophic Phase |
428,544 | 744,573 | 202,831 | 153,940 |
Ohio cities with estimated premiums for Medigap coverage
We’ve completed charts for a visual aid so you can see estimated Medigap premiums for the following cities:
FAQs
Can you buy Medicare Part D by itself in Ohio?
Yes, you can buy a stand-alone Medicare Part D plan. However, you must have Original Medicare (Parts A and B) to qualify for a Part D plan.
How often are you evaluated for Medicare Part D extra help in Ohio?
Ohio residents automatically qualify for Extra Help if they enroll in Medicaid, a Medicare Savings Program, or Supplemental Security Income. Otherwise, you may be eligible for Extra Help if your monthly income is equal to or less than $1,719 if you’re single and $2,309 for couples.
What is the most popular Medicare Part D plan in Ohio?
is Ohio’s most popular Part D plan. plan is the most popular based on its high star rating (3.9 out of five) and overall coverage.
What is the average cost of a Medicare Part D plan in Ohio?
The cost of Medicare Part D plans varies based on the company, area, and plan coverage. In Ohio, Part D plan monthly premiums range from $7.10 to $99.
Do I need Medicare Part D if I don’t take any drugs in Ohio?
Ohio beneficiaries must enroll in Medicare Part D to avoid the late enrollment penalty. Even if you don’t take any prescription drugs, you could face a penalty for not enrolling when you first become eligible.
How to get help signing up for a Medicare Part D plan in Ohio
Instead of spending hours looking through hundreds of Ohio Medicare Part D plans, let us help. We work with the top carriers and can help you find the right prescription drug plan. Give us a call or fill out the online form to get rates now.