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Aetna Open Enrollment Plans in Your Area

 

Here are Aetna's Open Enrollment plans for individuals
in your state

For Federally Eligible Individuals (FEI)
If we have not yet met our open enrollment quota, we will offer you the Ohio Basic and Standard insurance plan for purchase. You may need to submit proof of previous creditable coverage.

For non-Federally Eligible Individuals (non-FEI)
If we have not yet met our enrollment quota we will offer you the Ohio Basic and Standard insurance plan for purchase. We are not required to accept applicants who at the time of enrollment are confined to a health care facility due to a chronic illness or permanent injury. As a non-Federally Eligible individual, coverage may be limited for preexisting conditions for the first 12 months. However, we will credit time you were covered under a recent previous health plan.

Open Enrollment Individual Indemnity Health Insurance Plans

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If you qualify as a Federally Eligible Individual (FEI), your coverage will be effective immediately without any pre-existing condition exclusion period. If you do not qualify as a FEI, you may apply for non-FEI open enrollment coverage.
 

Ohio law requires insurers to accept a certain number of individuals for open enrollment coverage without regard to health status. Open enrollment begins on January first of every year and remains open until the insurer has certified that it has reached its enrollment limit. When Aetna has met its enrollment limit, we as an insurer are not required to accept any additional Federally Eligible Individuals (FEI) or non-Federally Eligible Individuals (non-FEI) applications. Aetna will establish a waiting list for prospective applicants in the event our open enrollment limit is reached. In the event an open enrollment enrollee terminates coverage, that open enrollment spot will be made available to prospective applicants.

You are a Federally Eligible Individual if you meet all of the following conditions:

  1. You had health coverage for at least 18 months without a break in coverage greater than 63 days.
  2. Your most recent health coverage was under a group health plan, government plan, or church plan.
  3. You are not eligible for coverage under any of the following plans:
    • A group health plan
    • Medicare
    • Medicaid
  4. You do not have any other health coverage.
  5. Your most recent health coverage was not terminated because of nonpayment of premiums or fraud.
  6. If you had been offered the option to continue coverage under COBRA, or a state continuation plan, you both elected and exhausted the health coverage.

You are a Non-Federally Eligible individual if you meet the following conditions:

  1. You are not applying for coverage as an employee of an employer, member of an association, or member of any other group.
  2. You do not have any other health coverage and are not eligible  to be covered under any private or public health benefit plans including the following:
    • Medicare or Medicare Supplement Policy
    • Medicaid
    • Any COBRA or state continuation plan
    • Other health benefits arrangements

If you qualify as a FEI, coverage will be effective immediately without any pre-existing condition exclusion period. If you do not qualify as a FEI you may apply for non-FEI open enrollment coverage. For more information, please contact Customer Service toll free at 888-438-8581 between 8:00 a.m. and 5:00 pm EST.

Questions? Please send us an email at OHIOOpenEnrollment@Aetna.com. We're here to help.