Is Ohio State in network with Humana Medicare Advantage?
Not for individual Medicare Advantage plans. Humana says an agreement reached by September 4, 2026 keeps Ohio State in network for Humana Medicaid and Group Medicare, and that Ohio State facilities are out of network for individual Medicare Advantage members since October 1, 2026.
| Humana plan type | Ohio State, The James and affiliated physicians |
|---|---|
| Individual Medicare Advantage (Ohio State names 15 plans, such as Humana Gold Plus, HumanaChoice and Humana Value Plus) | Out of network since October 1, 2026 |
| Group Medicare, such as Humana Medicare Employer plans | In network in 2026 and 2027 |
| Humana Healthy Horizons (Medicaid) | In network in 2026 and 2027 |
- September 4, 2026Humana announces an agreement that keeps Ohio State in network for Humana Medicaid and Group Medicare in 2026 and 2027.
- October 1, 2026Ohio State is out of network for Humana individual Medicare Advantage plans.
- October 15 to December 7, 2026Medicare annual enrollment. A plan you pick by December 7 starts January 1, 2027.
- January 1, 2027Ohio State's 2027 Medicare Advantage and marketplace lists take effect.
- January 1 to March 31, 2027If you are in a Medicare Advantage plan on January 1, you can make one change.
Source: Humana statement (updated September 4, 2026) and Ohio State Wexner Medical Center insurance page
Humana says its individual Medicare members are getting continuity of care support, including personal help moving to in network providers, and that members with certain medical conditions may qualify to keep seeing their provider at the in network level for a set period. Humana also says emergency care is covered at the in network level at the closest hospital.
Humana's customer service number is on the back of your member card. Ask it whether your plan is individual or group, because the answer decides which row above applies to you.
Which Medicare Advantage plans does Ohio State list for 2027?
Ohio State lists the Medicare Advantage plans that cover care at Ohio State Wexner Medical Center effective January 1, 2027. A company missing from the list is not listed, so ask before you enroll.
| Plan company | Ohio State's list |
|---|---|
| Aetna Medicare | Listed. Aetna Medicare Dual Care (HMO D-SNP) is shown as no longer offered |
| Medical Mutual of Ohio (MedMutual Advantage) | Listed |
| Mount Carmel MediGold | Listed |
| The Health Plan | Listed |
| Perennial Advantage | Listed |
| Wellcare Buckeye Health | Listed for its dual eligible plans |
| Molina | Listed for Molina Complete Care for MyCare Ohio (HMO D-SNP) only |
| Humana individual Medicare Advantage | Out of network since October 1, 2026 |
| Humana Medicare Employer (group plans) | Listed |
| Anthem, UnitedHealthcare and Devoted Health Medicare Advantage | Not on the list |
Ohio State also says it accepts all traditional Medicare plans and Medicare plans with Medigap coverage, which means Original Medicare with a Medigap policy is a route that does not depend on a plan network.
Which marketplace insurers does Ohio State list for 2027?
Ohio State's marketplace list for January 1, 2027 names two plans, Antidote and Buckeye Ambetter. Its separate commercial list names other insurers, so ask whether an individual plan from those companies is included.
| Marketplace insurer | Ohio State's marketplace list |
|---|---|
| Buckeye Community Health Plan (Ambetter) | Listed as Buckeye Ambetter |
| Antidote Health Plan of Ohio | Listed |
| Anthem Blue Cross and Blue Shield | Not on its marketplace list. Anthem is on its commercial list |
| Medical Mutual of Ohio | Not on its marketplace list. Medical Mutual is on its commercial list |
| UnitedHealthcare of Ohio | Not on its marketplace list. UnitedHealthcare is on its commercial list |
| Oscar | Not on the list |
| AmeriHealth Caritas (new for 2027) | Not on its marketplace list. It is on Ohio State's Medicaid list |
Ohio State says CareSource marketplace plans will be out of network as of January 1, 2027 because the plan is no longer offered in Ohio, and it shows Molina marketplace as no longer offered. Healthinsurance.org reports that Molina will have no on exchange plans in 2027 and that CareSource is leaving Ohio's individual market. If you have either plan, you must pick a new one during open enrollment.
Open enrollment runs from November 1, 2026 to January 15, 2027. Pick a plan by December 15, 2026 for coverage that starts January 1.
How many people in Franklin County use the marketplace?
| Measure | Franklin County | Ohio |
|---|---|---|
| People who picked a plan | 69,951 | 469,616 |
| Received a premium tax credit | 85.1% | 82.6% |
| Average monthly premium before credits | $607 | $665 |
| Average monthly premium after credits | $189 | $233 |
| Paid $10 a month or less after credits | 27.0% | 16.9% |
| Picked a bronze plan | 64.5% | 60.1% |
| Picked a gold plan | 2.6% | 4.1% |
Franklin County's average premium after credits was lower than the state's, and more of its enrollees paid $10 a month or less. These are 2026 numbers, and your 2027 price depends on your income, your household and the plans sold where you live.
Census estimates put Columbus at 938,396 residents, with 11.3% age 65 or older and 19.1% of residents age 5 and older speaking a language other than English at home. Among people under 65, 11.4% in Columbus and 10.1% in Franklin County have no health insurance.
What can I do if my plan leaves Ohio State out?
Compare plans during Medicare's annual enrollment period, October 15 to December 7, 2026. A change you make by December 7 starts January 1.
- Look up Ohio State doctors and The James in the 2027 directory of the exact plan, not only the company.
- Ask your doctor's office which plans it accepts for 2027.
- If you are in a Medicare Advantage plan on January 1, you can make one change from January 1 to March 31, 2027.
- OSHIIP (Ohio Senior Health Insurance Information Program), Ohio's free Medicare counseling program, can compare your choices with you.
If you now have a Humana individual plan and see Ohio State doctors, ask Humana about continuity of care, and ask Ohio State which plans it lists for 2027. Do not assume a hospital leaving a network gives you a new enrollment period. Ask Medicare or an agent whether any special enrollment period applies to you.
How can a Columbus agent help with hospital network questions?
An agent can look up Ohio State, The James and your doctors in each 2027 plan you are considering, and point out the plan type that makes the difference. Have your insurance card, your doctors' names and your prescriptions ready.
Health Insurance Solutions agents are licensed in 22 states and help by phone and online. Marketplace plans cost the same with or without an agent, so the comparison does not add to your premium.
Insurers and hospitals mentioned
Explore the organizations or brands discussed in this article. A mention does not mean every plan or location is covered.
- Insurer · OhioAmbetter from Buckeye Health Plan
- Insurer · OhioAnthem Blue Cross and Blue Shield
- Insurer · OhioMedMutual
- Insurer · OhioUnitedHealthcare
- Medicare Advantage · OhioAetna Medicare
- Medicare Advantage · OhioAnthem Blue Cross and Blue Shield
- Medicare Advantage · OhioDevoted Health
- Medicare Advantage · OhioHumana
- Medicare Advantage · OhioMedical Mutual of Ohio
- Medicare Advantage · OhioMediGold
- Medicare Advantage · OhioPerennial Advantage
- Medicare Advantage · OhioThe Health Plan
- Medicare Advantage · OhioUnitedHealthcare
- Medicare Advantage · OhioWellcare
- Small-group insurer · OhioMedical Mutual of Ohio
- Small-group insurer · OhioUnitedHealthcare Ins Co of River Valley
- Small-group insurer · OhioUnitedHealthcare Insurance Company
- Small-group insurer · OhioUnitedHealthcare of Ohio, Inc.
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