2025 Open Enrollment for ACA-Eligible Employees
If you are eligible for Ohio State medical coverage under the Affordable Care Act (ACA), you can participate in Open Enrollment for 2025 medical coverage. This is your opportunity to review your benefit options and elect or change coverage. Letters to eligible individuals will be mailed in November.
The ACA Open Enrollment period for 2025 benefits is November 27 – December 6, 2024. Coverage will be effective January 1, 2025.
Enrollment in an Ohio State medical plan includes medical, pharmacy, and wellness benefits.
2025 ACA Rates
| Prime Care Advantage Prime Care Connect Out-of-Area |
Prime Care Choice | |||
|---|---|---|---|---|
| Coverage | 2024 rate | new 2025 rate | 2024 rate | new 2025 rate |
| Employee Only | $736.46 | $777.01 | $714.26 | $755.38 |
| Employee + Spouse | $1,546.58 | $1,631.74 | $1,499.96 | $1,586.32 |
| Employee + Child(ren) | $1,362.46 | $1,437.48 | $1,321.40 | $1,397.48 |
| Family | $2,301.44 | $2,428.17 | $2,232.08 | $2,360.58 |
| Prime Care Advantage Out-of-Area |
Prime Care Choice | |||
|---|---|---|---|---|
| Coverage | 2024 rate | new 2025 rate | 2024 rate | new 2025 rate |
| Employee Only | $368.23 | $388.51 | $357.13 | $377.69 |
| Employee + Spouse | $773.29 | $815.87 | $749.98 | $793.16 |
| Employee + Child(ren) | $681.23 | $718.74 | $660.70 | $698.74 |
| Family | $1,150.72 | $1,214.09 | $1,116.04 | $1,180.29 |
Enrollment Steps
If you wish to enroll in Ohio State medical coverage for 2025, you must complete a Health Election Medical Form, and return it to HR Connection by December 6, 2024.
Complete a Personal Health and Well-Being Assessment (PHA) to earn a premium credit and access to a Health Reimbursement Account (HRA). Learn more about YP4H.
An HRA is an employer-funded account from which you can be reimbursed for eligible heath care expenses. Participants earn credits to their personal HRA as part of the YP4H Incentive Program. An HRA can be used for copayments, coinsurance and deductibles. Learn more about Ohio State’s HRA.