Ohio Senior Health Insurance Information Program (OSHIIP)
The department's Ohio Senior Health Insurance Information Program (OSHIIP) provides Medicare beneficiaries with free, objective health insurance information, one-on-one counseling, and educates consumers about Medicare, Medicare prescription drug coverage (Part D), Medicare Advantage options, Medicare supplement insurance.
Actived: 1 days ago
Ohio Senior Health Insurance Information Program (OSHIIP)
(4 days ago) The Ohio Department of Insurance provides Medicare beneficiaries with free, objective health insurance information and one-on-one counseling through a program called the Ohio Senior Health Insurance Information Program (OSHIIP).OSHIIP's hotline experts, speaker's bureau, and trained volunteers educate consumers about Medicare, Medicare prescription drug coverage (Part D), …
(9 days ago) The most common health care fraud scheme involves a medical provider billing an insurance carrier for a service they never provided to a patient. Upcoding This healthcare fraud scheme involves a medical provider billing an insurance company for a higher level of service than what they actually provided.
2021 Federal Exchange Plans
(Just Now) Ohio’s Health Insurance Market 2021. For 2020, the department approved 10 companies to sell on the exchange. Based on the plan information the department approved, most counties had at least three insurers. 29 counties had two insurers, and just one county had only one insurer. For 2021, the department approved those same 10 companies to sell
(2 days ago) Life, Accident & Health, Variable Products, Property, Casualty, and Personal Lines. Agents & Agencies odx-share-caps Resident Agent An individual or an organization registered or authorized to do business in Ohio. Agents & Agencies odx-share-caps. Title Insurance Resident Individual
Ohio Health Insurance Market
(1 days ago) Most health insurance is Ohio is not regulated by the Ohio Department of Insurance. As you look at the chart, the plans in yellow are Medicaid plans and are overseen by the Ohio Department of Medicaid. The orange section represents Medicare plans and those are overseen by the Centers for Medicaid and Medicare Services (CMS). Self-insured plans
(Just Now) The law generally covers health plans maintained by private-sector employers with 20 or more employees, employee organizations, or state or local governments. Many states have "mini-COBRA" laws that apply to the employees of employers with less than 20 employees. The system is designed to prevent employees who are between jobs from experiencing
Continuing Education Requirements
(7 days ago) Requirements for Agents Who Hold a Property, Casualty, Personal Lines, Accident & Health, Life or Variable Products License. Persons holding one or more of the above lines of authority are required to complete 24 hours of approved continuing education, 3 of which must be approved as ethics specific, prior to renewing their license.
Health External Review
(Just Now) Health Plan Issuer Contact Information Form. TPA (Third Party Administrator) Contact Information Form. IRO Contact Information Form. For technical assistance or questions, contact the External Review program administrator at [email protected]gov or 614-644-0188.
(Just Now) The Ohio Department of Insurance has created this on-line toolkit to help consumers and medical providers understand the process by which they can appeal a health coverage claim denial made by their insurer after the appeals process with the insurer has been exhausted. The toolkit contains a helpful brochure, articles, and answers to frequently asked questions.
Association Health Plan FAQs
(1 days ago) In general, an AHP is a health plan sponsored by an association for their members and their employees. Typically, these types of plans are run by an industry or professional association that small businesses can join and that can provide health insurance to their employees.
Employer-Provided Health Insurance Open Enrollment
(5 days ago) The health section includes basic information about each type of program. Plan materials will detail which medical providers (physicians, hospitals, labs, pharmacies, etc.) are considered in-network and out-of-network. They will also detail how much the …
(5 days ago) Surety Bail Bond. Ohio resident applicants must complete pre-licensing education from an approved pre-license provider for each of the above-mentioned lines of authority. The educational requirements may be met by either completing a 20-hour classroom course or successfully completing an approved self-study course.
Federal Health Reform FAQs
(9 days ago) Please send appropriate questions to [email protected]gov . While the Ohio Department of Insurance (ODI) is the state agency that regulates insurance in the state, the department is not administering the Affordable Care Act mandated exchange. The U.S. Department of Health and Human Services (HHS) will be operating the
Ohio Essential Health Benefit Resource Document
(6 days ago) All medically necessary Basic Health Care services must be covered by an HMO plan. Complications from a non-covered procedure that require the need for any medically necessary Basic Health Care Service must be covered same as any other services. 20 Skilled Nursing Facility . Yes Covered Yes 90 Day(s) per Benefit Period
Premium Assistance for COBRA Benefits Notice 2021-31
(1 days ago) 4 Eligibility for coverage under any other group health plan does not terminate eligibility for COBRA premium assistance if the other group health plan provides only excepted benefits (as defined in § 9832(c) of the Code, § 733(c) of ERISA, and § 2971(c) of the PHS Act), is a health flexible spending
Major Lines Resident Individual
(4 days ago) Ohio's 6 Major Lines of Authority. Accident & Health: Insurance coverage for sickness, bodily injury, or accidental death, and may include benefits for disability income. Casualty: Insurance coverage against legal liability, including coverage for death, injury, or disability or damage to real or personal property.
Mental Health and Substance Use Disorder Benefits Toolkit
(8 days ago) Understanding health insurance coverage for mental health and substance use disorder benefits can be complicated or difficult to navigate. This online toolkit was created to help consumers, providers, and advocates understand benefits and coverage for mental health and substance use disorders.
State Continuation Coverage (Mini-COBRA) Subsidies
(1 days ago) COBRA generally permits former employees and their qualified dependents to continue receiving coverage under an employer’s group health plan for a specified length of time (18-36 months) following a qualifying event that results in a loss of coverage. COBRA is a federal law that generally applies to employers with 20 or more employees.
Ohio’s Partnership for LONG-TERM CARE INSURANCE
(7 days ago) type of health care you want in the future. How does a qualified partnerhsip policy with with Ohio Medicaid? Here’s an example: If you have a partnership policy which as paid $100,000 for yur long-term care needs, you could potentiall qualify for Medicaid coverage and still keep up to $102,000 of your
OHIO DEPARTMENT OF INSURANCE
(1 days ago) Ohio Health Reinsurance Program Data ***SUSPENDED THROUGH 1/1/2022*** HEALTH INSURANCE ANNUAL REPORT DATA WILL BE USED TO DETERMINE THE ASSESSMENTS FOR ALL REINSURANCE POOLS. • Ohio offers the reinsurance mechanisms described below: - Open Enrollment pursuant to Ohio Revised Code Section 3923.58, mandating participation of
The Ohio Life & Health Insurance Guaranty Association
(8 days ago) The Ohio Life & Health Insurance Guaranty Association 1840 Mackenzie Drive, Suite 100 Columbus, Ohio 43220 (614) 442-6601, www.olhiga.org Note: Guaranty Association legal requirements can be found in Chapter 3956 of the Ohio Revised Code. There is a similar, separate guaranty association for auto, homeowners and other kinds of
Medicare Predatory Sales Practices
(9 days ago) Medicare is a federally funded health insurance program for people 65 and older or people of any age with certain disabilities. People enroll in Medicare through the Social Security Administration. Most people then choose private plans to supplement what Medicare does not cover. Others choose a type of private plan called Medicare Advantage.
Annual Filing Requirements
(8 days ago) Annual filing requirements for Approved Surplus Lines, Fraternal Societies, Health Insuring Corporations, Life, Accident and Health Companies, Multiple Employer Welfare Arrangements (MEWAs), Mutual Protective Associations, Property & Casualty Companies, and Title Companies.
Get Extra Help With Medicare Part D
(8 days ago) The Ohio Senior Health Insurance Information Program (OSHIIP) is a division of the Ohio Department of Insurance that provides free information and education to people covered by Medicare and their caregivers. Important Dates: October Announcement of Part C and Part D plans for the upcoming year. Visit www.medicare.gov to compare plans
APPLY FOR YOUR INITIAL INSURANCE LICENSE
(3 days ago) Website Maintenance. Questions. 50 W Town Street Suite 300, Columbus Ohio 43215 | 614-644-2658 | Consumers 800-686-1526 | Medicare & OSHIIP 800-686-1578 | Fraud & Enforcement 800-686-1527. The Ohio Department of Insurance is an Equal Opportunity Employer. Start of Agency specific primary footer.
How to File an Insurance Complaint
(7 days ago) Your health card if a health claim is involved. Detail regarding the solution you are seeking (e.g., pay a claim, issue a refund, etc.). *Do not send originals. Do not send us your medical bill, unless there is a specific problem with the bill itself. Next Steps
Prompt Pay Data Call
(1 days ago) Prompt Pay Data Call. The Ohio Department of Insurance is committed to assuring the prompt processing and payment of healthcare claims. Ohio's Prompt Pay law establishes strict time frames for the processing and payment of claims. The purpose of the semi-annual Prompt Pay Data Call is to measure companies' compliance with Ohio's Prompt Payment Law.
Life and Annuity
(2 days ago) Life insurance provides benefits to your family after you pass away. An annuity helps you accumulate money for future income needs, most often used to help pay for expenses during retirement. Ohio law requires agents and companies to assure that annuities sold to Ohioans are suitable for the policyholder, based on their age, income and other needs.
How To File An Insurance Complaint With The State Of Ohio
(7 days ago) health maintenance organizations (HMOs), insurance agents and adjusters. The Ohio Department of Insurance, one of the largest consumer protection agencies in the state, regulates automobile, homeowner’s, renter’s, certain health, life, annuities, nursing home, …
Health Coverage Internal and External Review FAQs
(8 days ago) The health plan issuer agrees to waive the exhaustion requirement. You did not receive written confirmation of the health plan issuer’s internal appeal decision within the required time frame. The health plan issuer fails to meet all requirements of …
Guide to Long-Term Care
(2 days ago) home health care, respite care, hospice care, adult day care, nursing home care and assisted living facility care. LTC is different from traditional medical care. It helps one live as he or she is now and may not help to improve or correct medical problems. The way …
Ohio Mental Health Parity Report 2021
(9 days ago) MHPAEA, often referred to as “mental health parity”, generally requires that mental health conditions and substance use disorders be treated by a health plan in the same or similar manner as the plan treats benefits or medical and surgical conditions and disorders. Financial …