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Ohio Dept of Insurance - Ohio Shopper's Guide to Health Insurance
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Shopper's Guide to Health Insurance
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Click below to view individual chapters of this shopper's guide.
Shopper's Guide Table
of Contents
Introduction
Medical Savings Accounts (MSAs)
Individual or Group?
Leaving an Employer Group
Minimum Coverage Requirements
Family Coverage
Self-Insured Employer Plans
Small Group Alliances
Underwriting: Are You Insurable?
Open Enrollment
Exclusions & Limitations
Medical Necessity
Pre-Certification
Coordination of Benefits
Renewal & Cancellation
Collecting Claims
Rate Regulation
Picking a Company
Company List: Who Covers What?
Appeals: When You Disagree
Consumer Complaints
Health Insurance Words
Questions to Ask
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Ohio Dept of Insurance - The Ohio Senior Health Insurance Information Program
(OSHIIP)
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The
Ohio Senior Health Insurance Information Program (OSHIIP)
Free Health Insurance Information and Services for
People with Medicare
What is OSHIIP?
The Ohio Senior Health Insurance Information Program
is called OSHIIP for short.
OSHIIP provides free information and other health insurance services
to people in Ohio covered by Medicare.
People on Medicare can get this help through:
A nationwide toll-free phone number
Volunteers and information sites near you
A speakers bureau
Objective easy-to-read literature
FREE SERVICES
If you are on Medicare
OSHIIP exists specifically for you. We will answer your questions
about any of the matters listed below.
Medicare health coverage for seniors and for people under age
65 with disabilities
Medicare+Choice HMO plans
Medicare+Choice private fee-for-service plans
Medicare supplemental insurance
Medicaid
Long-term care insurance
Home health care coverage
Retiree health plan coverage
If you know someone on Medicare
You probably know someone who is covered by Medicare. Many people
call OSHIIP to get information for their parents, grandparents,
or other family members and friends who are covered by Medicare.
If someone close to you is on Medicare, one way you can help is
by taking the time to understand Medicare yourself.
HOW CAN I GET OSHIIP SERVICES?
Toll-free phone
Call the Medicare experts at OSHIIP. We answer between 600-800 calls
every week, providing objective, accurate information and assistance.
Call us toll-free at 1-800-686-1578, Monday through Friday, 7:30
AM to 5 PM.
Free publications
Ohio and the U.S. government have produced many consumer-friendly
booklets and flyers.
Ohio Shopper's Guides
Medicare Supplements and HMOs
Long-Term Care insurance
Auto, Home, and Life insurance
Annuity contracts
Brochures
Ohio Medicare Partners
Medicare Savings Programs
Home health care
Choosing a nursing home
Hospice
You can also find these publications on the
Internet.
Several are available in Spanish.
Click here to order our
publications online.
Local volunteer counselors
OSHIIP is involved in your neighborhood.
OSHIIP has trained and certified more than 1,400 volunteers
across the state
Our volunteer counselors are experts on Medicare and related
health insurance information
A local volunteer can meet with you in person or speak with
you over the telephone
OSHIIP speakers bureau
You can schedule a speaker for your group
Our speakers can discuss Medicare & issues related to health
insurance for people covered by Medicare
HISTORY
OSHIIP is funded by a federal grant and the state of Ohio. The
Department of
Insurance in Columbus administers the program.
Since its start in 1992, OSHIIP has:
Counseled more than 160,000 people
Saved Ohio consumers $2,509,000
Helped more than 340,000 callers
Trained and certified more than 1,400 community-based volunteers
Established more than 250 information sites
WANT TO VOLUNTEER?
Without volunteers, OSHIIP could not fulfill its mission. Dedicated
people are needed to be volunteers in all parts of Ohio.
View volunteer job descriptions .
If you're interested in becoming a volunteer and helping people
in you community who are covered by Medicare, please email
OSHIIP or call 1-800-686-1578.
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Help With Medicare Expenses
Some Very Important Things To Know When Applying
You are NOT required to have an in person interview
A case worker at your County Department of Job and Family Services can help you if you are having problems getting the needed information. It is important that you inform the caseworker if you need help.
Make sure that you fill in the amount of your monthly income and list your assets on your application. You will need to include some type of proof of your assets (this includes recent bank statements, insurance policies, and titles. Do not send original documents in the mail - Send copies!
You should mail your completed application and documents to the County Department of Job and Family Services in the county where you live. Click here to get addresses of County Departments of Job and Family Services. You can also call the Ohio Consumer Hotline at 1-800-324-8680 to find out where you should mail your application.
These four forms are part of the application process:
Adobe Acrobat Reader 4.0 or higher is required to view PDF files on this site. The software is free and may be downloaded from the Adobe website . If you are using Adobe Acrobat Reader 3.0, some PDF files may display incorrectly.
The Application Information Letter - identifies and explains all programs you may be able to apply for on the "Application for Help With Medicare Expenses."
Explanation of Benefits - This form gives detailed information as to who is eligible, income guidelines, and the benefits you can receive.
"Application for Help With Medicare Expenses" - This application is a four page form and it must be completely filled out, signed, dated and mailed to your local County Department of Job and Family Services. Please don't forget to send a copy of your documentation. The application is easy to fill out. Simply fill in the information by typing using your PC keyboard.
"Your Rights and Responsibilities as a Consumer of Medicaid Health Coverage" - This form must also be signed and dated and returned with your "Help With Medicare Expenses"application. Please read this form carefully and make sure that you understand all of the information. You should print, sign, and keep a second copy for your records.
Some Things That You Must Send In As Proof Include:
Proof of age: Examples of this type of proof include: A birth certificate, baptismal record, hospital birth verification, notarized statements. You will need to provide a copy of proof for each member of you family for whom you are applying for Assistance
Proof of your Income: Pay stubs for the previous month, or most recent four week period; Sources of income also include: Social Security, SSI, VA benefits, alimony.
Proof of resources or assets: List any resources or assets that you or your spouse may own. This includes: Savings accounts, checking accounts, stocks/bonds, automobiles, life insurance, trust funds.
Social Security numbers: You will need to provide copies of social security cards, or proof that you have applied for a Social Security number for everyone for whom you are applying for assistance.
Other Health Insurance: If you or your children have medical coverage through any other health insurance plan, you will need to send in a copy of your card or other proof of coverage.
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