Private Exchange

Learn more about this full-service solution for individuals to purchase health coverage through an online marketplace.

Ohio Health Insurance Exchange

Ohio has defaulted to the Federal Exchange, although the state will maintain regulatory control over its insurance industry and also Medicaid eligibility determinations. The decision was made on November 16, 2012 by Governor John Kasich.

Essential Health Benefits

Ohio has defaulted to Community Insurance Company (Anthem Blue Cross Blue Shield)- Blue Access PPO as the state’s benchmark Essential Health Benefits (EHB) plan. The default occurred because there was no Ohio recommendation. Under the Affordable Care Act, if a state does not choose one of ten state benchmark plans, then they must default to the state’s largest small-group plan.

Ohio Health Insurance Exchange Stats:

  • Total Residents: 11,326,800
  • Total Health Expenditures (in millions): $81,598
  • Exchange Decision: Default to Federal Exchange
  • Total Health Insurance Exchange Grant: $1,000,000
  • EHB Benchmark Plan Status: Default


Although Ohio maintains regulatory control over its insurance industry and Medicaid eligibility, the state has defaulted to a federally-run exchange. It also defaulted to the Community Insurance Company (Anthem Blue Cross Blue Shield)- Blue Access PPO as the state’s essential health benefits benchmark.

For more information about setting up a private exchange solution in Ohio, contact a representative at GoHealth today.