HealthCare.gov
HealthCare.gov is designed to help individuals and families obtain affordable health insurance. Your household may be eligible for financial assistance depending on household size and income.
In order to qualify, an individual must sign up during the Open Enrollment period; however, you could still be eligible in the event of a qualifying life event such as changing jobs, getting married or divorced, or moving. Our Certified Application Counselor can help determine if you are eligible and find the best plan.
How can I apply?
- Online at www.healthcare.gov
- Call the Health Insurance Marketplace at (800) 318-2596
- Print off a paper application, complete, and mail it to the Health Insurance Marketplace
- Call OHHC for in-person assistance from a Certified Application Counselor (CAC) — Denise McBurney at (740) 239-6447, ext. 1035
Medicaid
Ohio’s Medicaid was expanded to include individuals between the ages of 19–64 whose income is up to 138% of the Federal Poverty Level. Open enrollment for Medicaid lasts all year long.
Medicaid Income Guidelines for 2025 — 138% of the Federal Poverty Level
| Household Size | Annual Income | Monthly Income |
|---|---|---|
| 1 | $21,597 | $1,800 |
| 2 | $29,187 | $2,432 |
| 3 | $36,777 | $3,065 |
| 4 | $44,367 | $3,697 |
| 5 | $51,957 | $4,330 |
| 6 | $59,547 | $4,962 |
| 7 | $67,137 | $5,495 |
| 8 | $74,727 | $6,227 |
| Each Additional Person Add | $7,590 | $633 |
How can I apply for Medicaid?
- Online at benefits.ohio.gov
- Call the Ohio Medicaid Consumer Hotline at (800) 324-8680
- Contact your local Job and Family Service office to receive an application
- Call OHHC at (740) 239-6447, ext. 1035 for assistance from a CAC
Medicare
Individuals can start the Medicare enrollment process as early as 3 months before their 65th birthday. The initial enrollment period ends 3 months after the 65th birthday (7 months total).
Consumers who postpone enrolling in Medicare Part A and/or Part B will have a general election period from January 1 – March 31, but coverage will not begin until July 1 and they may have to pay higher premium rates due to late enrollment.
Medicare Coverage Options
- Part A (Hospitalization coverage) – applies to most individuals
- Part B (Medical coverage) – applies to most individuals
- Part D (Prescription Drug coverage) – supplemental plan to cover gaps in coverage
- Medicare recipients can also opt for a Medicare Advantage Plan
Medicare annual open enrollment runs October 15 – December 7, with changes taking effect January 1 of the following year. You may also be eligible outside of open enrollment if you qualify for a Special Enrollment Period.
OHHC Certified Application Counselors are also Ohio Senior Health Insurance Information Program (OSHIIP) volunteers and can assist you. Call Denise McBurney at (740) 239-6447, ext. 1035.
How can I apply for Medicare?
- Online at medicare.gov
- Call the OSHIIP Hotline at (800) 686-1578
- Call the Medicare Hotline at (800) 633-4227
- Call the Social Security Hotline at (800) 772-1213
You will need the following to complete an application:
- Identification
- Social Security Number
- Current and mailing address
- Phone number
- Household income information
- Employer information