Every medical plan on Ohio's marketplace is an HMO, but that doesn't rule out a nationwide PPO. I can help investors and property managers compare coverage based on rental earnings and planned property sales.
Hi, I'm Sam Jaber. I'm licensed to broker insurance in 36 states. I help Ohio property owners, flippers and managers arrange health coverage by phone.
Maybe you've got duplexes in Columbus, single-family rentals in Akron and a vacation property along Lake Erie. Your earnings come from tenants, periodic sales and expenses you can deduct. Ohio adds another factor to the insurance decision: its marketplace offers HMOs exclusively. But because Ohio expanded Medicaid, even a year showing very little taxable income can leave you with a coverage route.
HealthCare.gov for Ohio offers 189 individual medical plans this year, and every one is an HMO. That leaves Ohio residents without any PPO option to purchase through the marketplace.
A nationwide PPO is still an option for Ohio residents. I can arrange one outside the marketplace, with medical underwriting determining your premium. Its national network can serve you while visiting out-of-state properties or traveling for extended periods. It's particularly worth comparing if you're healthy.
Your estimated household earnings for the insurance year determine your marketplace credit. HealthCare.gov includes net rent and most withdrawals from IRAs and 401(k) accounts. Rental earnings and expenses normally appear on Schedule E, where management, repairs, depreciation and interest reduce the amount. If a property sells, its gain counts in the year of closing.
Ohio has three income situations to consider. Medicaid applies through 138% of the federal poverty level, premium credits apply above that within their eligibility range, and higher incomes pay full price. Medicaid eligibility generally prevents receiving the credit. Also, after 2025, there's no repayment ceiling for credits you received but weren't entitled to.
Sell a property at a substantial gain, and your household could lose credit eligibility. You're then comparing full-price marketplace HMOs with private nationwide PPO coverage.
After reviewing your health information, the carrier may accept you, deny the application or accept it while excluding a named condition. Healthy people frequently qualify for premiums below unsubsidized marketplace rates. Since benefits aren't identical, I'll compare the details with you. Contact me for pricing before signing a listing agreement.
Next step: Before your property closes, give me a call. I'll price a nationwide PPO alongside the Ohio marketplace HMOs available in your county for that year.
When you aren't selling, your earnings may qualify you for marketplace credits, making an HMO the better value. Make sure your physicians participate in its network. If you list and sell during the year, report that change promptly. Keeping planned listings and approximate closing dates handy makes updating your income easier.
Next step: Tell me what you expect to collect in rent and which properties might sell. We'll choose an HMO that includes your doctors and suits your income.
Major renovation expenses can bring your reported taxable income close to nothing. Ohio's Medicaid expansion helps here: qualifying adults can receive coverage through 138% of the poverty level. Your preparer determines the proper tax figures, and I can explain how those figures affect your health insurance choices.
Next step: When your tax preparer has estimated your income, call me. We'll compare marketplace eligibility with Medicaid for your situation.
Ohio gives property investors a tradeoff. Marketplace coverage is limited to HMOs, which can be inconvenient when you travel between properties or have relatives elsewhere. On the other hand, expanded Medicaid provides a possible solution during years when reported income is extremely low. Work with your tax preparer to project earnings and any property sales, update changes promptly, then compare an Ohio HMO with a nationwide PPO based on your health.
Straight answers, no sales pitch.
Yes. Net rent, profits from property sales and most retirement withdrawals are included by HealthCare.gov when calculating household income.
No. Ohio's 189 marketplace individual medical plans are all HMOs. But I can arrange a private nationwide PPO for healthy property investors.
Possibly. Ohio's Medicaid expansion covers qualifying adults through 138% of the poverty level. Talk with me before signing up.
Your tax preparer should determine that. Business profit drives the self-employed deduction, while rent normally gets recorded on Schedule E.
Tell me your county, who needs insurance, what your Schedule E showed last year and whether you expect to sell. I'll compare the costs and help you choose based on this year's income.
The guide for every state, and other work I help with