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Noble Health Insurance

Facts and Figures

  • Insurance
    Carriers
    15
  • Number of
    General Doctors
    55
  • Number of
    Hospitals
    0

State Government Insurance Programs Offered

Medicaid jfs.ohio.gov (Search: Medicaid)


Covers Ambulatory Surgery Centers, Nursing, Family planning, Healthcheck (EPSDT) program services, Home health services, Inpatient hospital, Lab & X-ray, Dental & vision, Medicare Premium Assistance, Non-Emergency transportation, Outpatient services, and Physician services Eligibility Medicaid: Must be an Ohio resident and a U.S. citizen or qualified alien. Income limits: Children ages 0-18: 150% FPL Aged, blind, and disabled: 64% FPL with asset limit of $1,500 for singles; 83% FPL with asset limit of $2,250 for couples. Workers with disabilities: 250% FPL, with asset limit of $10,580. Must be 16–64 years old, disabled (as determined by the Social Security Administration, Medicaid or eligible under the Medicaid Buy-In for Workers with Disability medically improved category), and employed (part-time or full-time).

Healthy Start


jfs.ohio.gov (Search: Healthy Start) Healthy Start: Comprehensive care including but not limited to Doctor visits, Prescriptions, Hospital care, Immunizations, Vision and dental care, Substance abuse, Mental health services and more. Healthy Start: Must be an Ohio resident and a U.S. citizen, qualified alien or lawful permanent resident. Must be one of the following: A) Pregnant women living up to 200% FPL. Babies born to mothers enrolled in Healthy Start become eligible for free health coverage for one full year from the date of birth. B) Children under 19 with family income below 200% FPL. Children with family income between 150% and 200% FPL must be without insurance to become eligible for Healthy Start. C) Certain children 21 years old and younger aging out of the foster care system.

Ohio Medicare


Medicare offers Part A, inpatient care in hospitals and rehabilitative centers; Part B, doctor and some preventive services and outpatient care; Part C allows Medicare benefits through private insurance (Medicare Advantage); Part C includes Parts A, B, and C not covered by Medicare. Part D covers prescription drugs Eligibility: Must be U.S. citizen or permanent U.S. resident, and: 1) If 65 years or older, you or your spouse worked for at least 10 years in Medicare-covered employment, or 2) You have a disability or end-stage renal disease (permanent kidney failure requiring dialysis or transplant) at any age.

Breast and Cervical Cancer Prevention Project


Services include mammograms, Pap tests, office visits, clinical breast exams, colposcopies, breast ultrasounds, biopsies and other diagnostic procedures. If screened and diagnosed for breast or cervical cancer, patient may be eligible for complete health coverage through Medicaid. Eligibility: Must be an Ohio resident. Must be uninsured with income limit of 200% FPL. For mammograms, must be 50–64 years old. For pelvic and Pap test must be 40–64 years old. Women ages 40–49 can also receive mammograms if indicated by a clinical breast exam, family history or other factors.

Healthy Families jfs.ohio.gov (Search: Healthy Families)


Healthy Families: Families with children ages 0–18: 90% FPL. Pregnant Women: 200% FPL

Heath Care Reform

Small business tax credits. 147,000 small businesses in Ohio could be helped by a new small business tax credit that makes it easier for businesses to provide coverage to their workers and makes premiums more affordable.1 Small businesses pay, on average, 18 percent more than large businesses for the same coverage, and health insurance premiums have gone up three times faster than wages in the past 10 years. This tax credit is just the first step towards bringing those costs down and making coverage affordable for small businesses.
Closing the Medicare Part D donut hole. Last year, roughly 156,000 Medicare beneficiaries in Ohio hit the donut hole, or gap in Medicare Part D drug coverage, and received no extra help to defray the cost of their prescription drugs.2 Medicare beneficiaries in Ohio who hit the gap this year will automatically be mailed a one-time $250 rebate check. These checks will begin to be mailed to beneficiaries in mid-June and will be mailed monthly throughout the year as new beneficiaries hit the donut hole. The new law continues to provide additional discounts for seniors on Medicare in the years ahead and completely closes the donut hole by 2020.
Support for health coverage for early retirees. An estimated 176,000 people from Ohio retired before they were eligible for Medicare and have health coverage through their former employers. Unfortunately, the number of firms that provide health coverage to their retirees has decreased over time.3 Beginning June 1, 2010, a $5 billion temporary early retiree reinsurance program will help stabilize early retiree coverage and help ensure that firms continue to provide health coverage to their early retirees. Companies, unions, and state and local governments are eligible for these benefits.
New consumer protections in the insurance market beginning on or after September 23, 2010.
Insurance companies will no longer be able to place lifetime limits on the coverage they provide, ensuring that the 6.7 million Ohio residents with private insurance coverage never have to worry about their coverage running out and facing catastrophic out-of-pocket costs.
Insurance companies will be banned from dropping people from coverage when they get sick, protecting the 533,000 individuals who purchase insurance in the individual market from dishonest insurance practices.
Insurance companies will not be able to exclude children from coverage because of a pre-existing condition, giving parents across Ohio peace of mind.
Insurance plans’ use of annual limits will be tightly regulated to ensure access to needed care. This will protect the 6.1 million residents of Ohio with health insurance from their employer, along with anyone who signs up with a new insurance plan in Ohio.
Health insurers offering new plans will have to develop an appeals process to make it easy for enrollees to dispute the denial of a medical claim.
Patients’ choice of doctors will be protected by allowing plan members in new plans to pick any participating primary care provider, prohibiting insurers from requiring prior authorization before a woman sees an ob-gyn, and ensuring access to emergency care.
Extending coverage to young adults. Beginning on or after September 23, 2010, plans and issuers that offer coverage to children on their parents’ policy must allow children to remain on their parents’ policy until they turn 26, unless the adult child has another offer of job-based coverage in some cases. This provision will bring relief to roughly 35,500 individuals in Ohio who could now have quality affordable coverage through their parents.4 Some employers and the vast majority of insurers have agreed to cover adult children immediately.
Affordable insurance for uninsured with pre-existing conditions. $152 million federal dollars are available to Ohio starting July 1 to provide coverage for uninsured residents with pre-existing medical conditions through a new transitional high-risk pool program, funded entirely by the Federal government. The program is a bridge to 2014 when Americans will have access to affordable coverage options in the new health insurance exchanges and insurance companies will be prohibited from denying coverage to Americans with pre-existing conditions. If states choose not to run the program, the Federal government will administer the program for those residents.
Strengthening community health centers. Beginning October 1, 2010, increased funding for Community Health Centers will help nearly double the number of patients seen by the centers over the next five years. The funding could not only help the 149 Community Health Centers in Ohio but also support the construction of new centers.
More doctors where people need them. Beginning October 1, 2010, the Act will provide funding for the National Health Service Corps ($1.5 billion over five years) for scholarships and loan repayments for doctors, nurses and other health care providers who work in areas with a shortage of health professionals. This will help the 7% of Ohio’s population who live in an underserved area.
New Medicaid options for states. For the first time, Ohio has the option of Federal Medicaid funding for coverage for all low-income populations, irrespective of age, disability, or family status.

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