Ohio residents shop for ACA health coverage through HealthCare.gov, the federal marketplace, since the state has not built its own exchange.
Ohio expanded Medicaid under the ACA, so adults earning up to 138% of the federal poverty level generally qualify for coverage through the state's Medicaid program rather than needing a subsidized marketplace plan.
Ohio's individual market includes a good number of competing insurers in most counties, particularly around larger metro areas like Columbus, Cleveland, and Cincinnati, which tends to keep plan choices broader than in some neighboring states. Shoppers in more rural parts of the state should still confirm network coverage before enrolling, since options can thin out away from major cities.