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.

If you are eligible for Ohio State medical coverage under the Affordable Care Act (ACA), you can participate in Open Enrollment for 2019 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 2018 benefits is December 3-10, 2018. Coverage will be effective January 1, 2019.

See more information about Open Enrollment for ACA-Eligible Employees.

Prime Care Advantage
Out-of-Area Plan*
Prime Care Choice
Employee Only
Payroll Deduction $549.66 $523.56
Less PHA Credit -$20.00 -$20.00
You Pay $529.66 $503.56
Employee + Children
Payroll Deduction $1,016.88 $968.60
Less PHA Credit -$20.00 -$20.00
You Pay $996.88 $948.60
Employee + Spouse
Payroll Deduction $1,154.30 $1,099.48
Less PHA Credit -$20.00 -$20.00
You Pay $1,134.30 $1,079.48
Family
Payroll Deduction $1,717.70 $1,636.14
Less PHA Credit -$20.00 -$20.00
You Pay $1,697.70 $1,616.14
*Must meet additional eligibility criteria for Out-of-Area Plan.
Prime Care Advantage
Out-of-Area Plan*
Prime Care Choice
Employee Only
Payroll Deduction $274.83 $261.78
Less PHA Credit -$10.00 -$10.00
You Pay $264.83 $251.78
Employee + Children
Payroll Deduction $508.44 $484.30
Less PHA Credit -$10.00 -$10.00
You Pay $498.44 $474.30
Employee + Spouse
Payroll Deduction $577.15 $549.74
Less PHA Credit -$10.00 -$10.00
You Pay $567.15 $439.74
Family
Payroll Deduction $858.85 $818.07
Less PHA Credit -$10.00 -$10.00
You Pay $848.85 $808.07
*Must meet additional eligibility criteria for Out-of-Area Plan.