ACA Plan Choices and Rates - Human Resources at Ohio State

ACA Plan Choices and Rates

Under the Patient Protection and Affordable Care Act (ACA), university employees who work an average of 30 or more hours per week during a defined “measurement period” are offered medical coverage. Those who are eligible are notified by mail. Available medical plans include Prime Care Advantage, Prime Care Choice or Out-of-Area Plan (based on geographic eligibility). ACA-eligible staff could also earn a premium credit for completing a Personal Health and Well-Being Assessment (PHA) with biometrics. Learn more at yp4h.osu.edu.

ACA Rates

2022 Employee Medical and Prescription Rates
Coverage Cost Breakdown Prime Care Advantage
Out-of-Area*
Prime Care Choice
Employee Only Payroll Deduction $585.76 $566.95
Less PHA Credit (-$25.00) (-$25.00)
You Pay $560.76 $541.95
Employee + Spouse Payroll Deduction $1,230.10 $1,190.59
Less PHA Credit (-$40.00) (-$40.00)
You Pay $1,190.10 $1,150.59
Employee + Children Payroll Deduction $1,083.65 $1,048.86
Less PHA Credit (-$25.00) (-$25.00)
You Pay $1,058.65 $1,023.86
Family Payroll Deduction $1,830.49 $1,771.72
Less PHA Credit (-$40.00) (-$40.00)
You Pay $1,790.49 $1,731.72
*Must meet additional eligibility criteria for Out-of-Area.
2022 Employee Medical and Prescription Rates
Coverage Cost Breakdown Prime Care Advantage
Out-of-Area*
Prime Care Choice
Employee Only Payroll Deduction $292.88 $283.48
Less PHA Credit (-$12.50) (-$12.50)
You Pay $280.38 $270.98
Employee + Spouse Payroll Deduction $615.05 $595.30
Less PHA Credit (-$20.00) (-$20.00)
You Pay $595.05 $575.30
Employee + Children Payroll Deduction $541.83 $524.43
Less PHA Credit (-$12.50) (-$12.50)
You Pay $529.33 $511.93
Family Payroll Deduction $915.25 $885.86
Less PHA Credit (-$20.00) (-$20.00)
You Pay $895.25 $865.86
*Must meet additional eligibility criteria for Out-of-Area.