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Thinking about enrolling?

Sign Me Up!

Thinking about enrolling?

Bad things happen. Good thing there's Paramount.

Bad things happen. Good thing there's Paramount.

The Marketplace for individuals and families.

Is Paramount right for you?

You know you're required to have coverage, so let's figure out which Paramount Health Insurance Marketplace plan works best for you.

First, let's talk eligibility.

To be eligible for health coverage through the Health Insurance Marketplace, you:

  • Must live in the U.S.
  • Must be a U.S. citizen or national (or be lawfully present)
  • Must not currently be incarcerated
  • Dependents must be 26 or under (28 or under in the state of Ohio)

Next, let's see if you live where we live.

We need to make sure you live in our service area. We currently serve these Ohio counties:

Ashland
Crawford
Defiance
Erie
Fulton
Hancock
Henry
Huron
Lucas
Marion
Marrow
Ottawa
Putnam
Richland
Sandusky
Seneca
Williams
Wood
Wyandot

We also cover parts of Allen, Delaware, Hardin, Knox, Lorain, and Paulding counties. To see if your ZIP code is covered, check out our enrollment tool. (You don’t need to complete enrollment to determine if you are in our coverage area.)

Find a physician.

To ensure coverage under your plan, you must use our network providers for covered services. A full list of our participating physicians and facilities can be found here. Be sure to pick “Individual Marketplace” for the product type.

To find pediatric vision hardware providers, please look here.

Sign Me Up!

Plan Summary

Premium

Out-of-Pocket Expenses

Good plan if you expect to use a lot of healthcare services.

View SBC*

Preventive services are covered in full.

Many services are not subject to deductible.

Embedded deductible.

Drug formulary

Premium

Out-of-Pocket Expenses

Good option for saving on premiums while keeping out-of-pocket costs low.

View SBC*

Preventive services are covered in full.

Subsidies available, if you qualify. Check here

Many services are not subject to deductible.

Embedded deductible.

Drug formulary

Premium

Out-of-Pocket Expenses

Good to help balance monthly premiums with out-of-pocket costs for care.

View SBC*

Preventive services are covered in full.

Aggregate deductible.

Drug formulary

Premium

Out-of-Pocket Expenses

Good choice if you don’t expect to need a lot of healthcare services.

View SBC*

Only available to individuals who are under 30, or qualify for a hardship exemption.

Preventive services are covered in full.

The first three PCP visits are NOT subject to deductible.

Embedded deductible.

Enroll at HealthCare.gov

Drug formulary

Penalty Timeline

2014

Individual

Greater of $95 or 1% of taxable income.

Family

Greater of $95 per adult and $47.50 per child under 18 (up to $285) or 1% of taxable family income.

2015

Individual

Greater of $325 or 2% of taxable income.

Family

Greater of $325 per adult and $162.50 per child under 18 (up to $975) or 2% of taxable family income.

2016

Individual

Greater of $695 or 2.5% of taxable income.

Family

Greater of $695 per adult and $347.50 per child under 18 (up to $2,085) or 2.5% of taxable family income.

2017

Individual

Annual adjustments 2017 and beyond.

Family

Annual adjustments 2017 and beyond.

*SBC is available free of charge, in paper form, upon request.

If you have any problems in reading or understanding this information, please contact Paramount Member Services at 419-887-2525, or toll-free at 1-800-462-3589. TTY users can call 419-887-2526, or toll-free at 1-888-740-5670 for help at no cost to you. We can help to explain the information or provide the information orally in your primary language. Paramount Insurance Company is a Qualified Health Plan issuer in the Health Insurance Marketplace.

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