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OH

Ohio Medicare Coverage Guide

Find dental, vision, hearing aid, and nursing home Medicare benefits available to Ohio residents.

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Ohio Dental Coverage

Moderate

Ohio Medicaid covers dental for dual-eligible beneficiaries. Ohio State University College of Dentistry and Case Western dental school serve the population.

Available Programs

  • Ohio Medicaid Dental
  • Medicare Advantage dental plans
  • OSU College of Dentistry
  • Case Western Reserve School of Dental Medicine

Typical Out-of-Pocket Cost

$400โ€“$1,800/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Ohio Residents

  1. OSU and Case Western dental schools offer quality low-cost care
  2. Ohio OSHIIP (1-800-686-1578) for plan guidance
  3. Competitive MA markets in Columbus, Cleveland, and Cincinnati
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Ohio Vision Coverage

Moderate

Ohio Medicaid covers vision for dual-eligible members. Competitive MA market in Ohio's three major metros.

Available Programs

  • Ohio Medicaid vision
  • Medicare Advantage vision
  • Ohio Rehabilitation Services Commission

Typical Out-of-Pocket Cost

$150โ€“$350/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Ohio Residents

  1. RSC: 1-800-282-4536 for vision rehabilitation
  2. Diabetic eye exam covered by Part B
  3. Ohio OSHIIP: 1-800-686-1578
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Ohio Hearing Aids Coverage

Limited

Ohio MA plans offer hearing benefits. Ohio has good audiology resources in Columbus, Cleveland, and Cincinnati.

Available Programs

  • Medicare Advantage hearing plans
  • Ohio School for the Deaf
  • Ohio Assistive Technology Program

Typical Out-of-Pocket Cost

$1,000โ€“$6,500 per pair

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Ohio Residents

  1. OSD: 614-728-1481 for resources and referrals
  2. OTC hearing aids widely available in Ohio
  3. Ohio OSHIIP: 1-800-686-1578
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Ohio Nursing Home Coverage

Not Covered

Medicare Part A covers SNF. Ohio Medicaid covers long-term care. Ohio has many nursing facilities with varying quality.

Available Programs

  • Medicare Part A SNF
  • Ohio Medicaid LTC
  • PASSPORT waiver program
  • Ohio OSHIIP (1-800-686-1578)

Typical Out-of-Pocket Cost

$220โ€“$290/day semi-private

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Ohio Residents

  1. PASSPORT waiver supports home-based care alternatives
  2. Check OH nursing home ratings at Medicare Care Compare
  3. OSHIIP: 1-800-686-1578
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๐Ÿ“Š Live CMS Data Ohio Medicare Snapshot

Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 โ€” public data from data.cms.gov

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2,536,384
Total Medicare Beneficiaries (2024)
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1,414,094
Enrolled in Medicare Advantage (2024) 55.8% of total
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1,122,290
Original Medicare (Parts A & B) Only
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411,118
Dual Eligible (Medicare + Medicaid)
2025 Medicare Advantage Plans
162
Plans available in Ohio
Average Monthly Premium (2025)
$8.4
Weighted avg across all MA plans
Top Medicare Advantage Insurers
  1. UnitedHealth
  2. Medical Mutual
  3. Humana
Free SHIP Counseling
Ohio OSHIIP
1-800-686-1578
Free, unbiased Medicare help

Get Free Help in Ohio

SHIP Counseling

Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.

Find Ohio SHIP โ†’

1-800-MEDICARE

Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.

Medicare.gov โ†’

Medicare Plan Finder

Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in Ohio by ZIP code.

Compare Plans โ†’

Nursing Home Compare

Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across Ohio.

Care Compare โ†’