As reported earlier this year, in partnership with New York City-based Oscar Health, Cleveland Clinic announced it is making its first entrance into the health insurance market with a product bearing its name. The co-branded health insurance plan will be available in Cuyahoga, Summit, Lorain, Medina and Lake with coverage beginning Jan. 1, 2018.
The Clinic also will not be participating in Medical Mutual of Ohio's (MMO) -- a large insurer of northeast Ohioans and headquartered in Cleveland -- individual ACA products in 2018, as Crain's Cleveland Business first reported. MMO switched to a Health Maintenance Organization (HMO) from a Point of Service (POS) network for its 2018 offering, and the Clinic opted not to participate.
Medical Mutual has added University Hospitals and Summa as part of their new HMO network to make up for the Clinic's departure.
Also important to note for snowbirds: the First Health network predominant through the southeastern part of the U.S. and 'in network' for MMO is no longer available on exchange plans as of 2018. Thus many snowbirds need to explore new options to ensure they have in-network coverage in both Ohio and Florida.
The government has dramatically reduced the open enrollment period this year; in most states it starts November 1 and ends December 15. This is very important because you cannot enroll outside of open enrollment unless you have a “qualifying event,” such as:
- Becoming a U.S. citizen,
- Birth or adoption,
- Involuntary loss of other health coverage
- Permanent move to an area where new health plans are available. This only applies in most cases if you already had coverage prior to your move.
We'd recommend a competent local agent that specializes in individual policies for those under age 65 or a specialist for Medicare if over 65. If you need a referral, just let me know.