You have reached your limit of free articles this month.

Enjoy unlimited access to

Starting at just 99¢ for 8 weeks.


  • ePAPER

You have read of premium articles.

Get unlimited access to all of our breaking news, in-depth coverage and interactive features. Starting at just 99c for 8 weeks.


Welcome to

Your source for Clark and Champaign counties’ hometown news. All readers have free access to a limited number of stories every month.

If you are a News-Sun subscriber, please take a moment to login for unlimited access.

Health marketplace enrollment hits expectations, CareSource says.

Dayton-based CareSource said enrollment in its new Affordable Care Act health plans has met or exceeded expectations in terms of the age and demographics of the more than 12,000 customers who have selected its Just4Me brand health insurance.

CareSource, the largest Medicaid managed care provider in Ohio with more than 1 million customers, began selling private insurance through the ACA’s health care marketplace for the first time this year.

Most Just4Me enrollees are new customers who were previously uninsured, according to Steve Ringel, CareSource’s recently named Ohio president. And based on their age, insurance plan selection and income levels, the first wave of Just4Me enrollees are showing positive signs for the rest of the year, he said.

“We’re hitting our target population exactly how we wanted,” he said. “We wanted to serve the folks who were being subsidized and who were representative of the folks who needed help.”

Most plans sold in the marketplace, excluding catastrophic plans, are eligible for tax subsidies to help offset premiums costs, depending on income. The plans are separated into four metal tiers: bronze, silver, gold and platinum.

But only the silver plans offer subsidies on premiums and deductibles for individuals earning from about $11,000 to $29,000 a year, and families of four with incomes between $23,000 and $95,000 a year, based on last year’s poverty level.

“That’s our sweet spot,” Ringel said before marketplace enrollment began last October.

So far, 85 percent of Just4Me enrollees have picked silver plans, which is in line with federal projections, Ringel said. But surprisingly, the average family size has been higher than expected, he added.

“We thought their would be a lot more singles signing up, but we’re seeing an average of about two people” per household, Ringel said. “We think that’s good news, because the demographics show that the people who really need this care are families.”

CareSource, which hopes to enroll as many as 150,000 Just4Me customers over the next two years, is one of a dozen companies in Ohio selling qualified health plans that meet ACA requirements to individuals and families in the health care marketplace.

Government figures show total marketplace enrollment in Ohio was 39,955 through Dec. 28, giving CareSource control, roughly, of between 25 and 30 percent of the market.

But Ringle said CareSource’s market share is closer to 40 percent in many areas of the state, although he warned that it’s probably too early to read too much into the initial enrollment data.

The U.S. Department of Health and Human Services has yet to report enrollment data for January, and no one can be sure how enrollment will finish by this year’s final deadline, March 31.

“We won’t truly know how the enrollment period went until April or even May,” Ringle said. But “we are so pleased with our mix.”

That mix includes more young people between the ages of 18 and 34 than had originally been projected, Ringle said, alleviating fears that too many enrollees would be older people who can be more expensive to insure because they often have more health problems than young people.

Reader Comments ...

Next Up in News

Longer days leading to greater sunburn threat
Longer days leading to greater sunburn threat

You have likely noticed that days are getting longer as we head toward the summer solstice on June 21st. The sunset time across the Miami Valley this week is now at around 8:30 p.m. However, the sun sets earlier the farther east you go. This is thanks to our location in the eastern Time Zone. In Bangor, Maine, the sun sets nearly an hour earlier than...
Fearless cat stands ground against giant rattler within striking distance 
Fearless cat stands ground against giant rattler within striking distance 

  It’s the beginning of snake season in Texas and authorities are warning people to watch out for the reptiles as they emerge from hibernation. The Laguna Vista Police Department posted the warning on its Facebook page after a close call between a giant rattler and a group of hikers on a local trail.  Police posted photos of the massive...
These 10 big US retailers might not exist in 2018
These 10 big US retailers might not exist in 2018

Just four months into 2017, 10 U.S. retailers have filed for bankruptcy. Last year, the total number of American retailers that declared bankruptcy was 18. And, according to new insights from S&P Global Market Intelligence that were released last week, there are more to come. “The convenience of online shopping, and the downward pressure...
Dennis Kucinich in Dayton region tonight as governor run rumors grow
Dennis Kucinich in Dayton region tonight as governor run rumors grow

Dennis Kucinich, a potential candidate for governor and former Ohio congressman, will speak tonight in Washington Township, where he is expected to criticize charter schools as a drain on public funding and public schools. Kucinich, a Cleveland Democrat, spoke earlier today in Columbus, where he told the Columbus Dispatch, that he would not &ldquo...
Elton John cancels shows following release from hospital due to infection
Elton John cancels shows following release from hospital due to infection

Singer Elton John has cancelled all of his Las Vegas shows at The Colosseum at Caesars Palace through May after he was sent to the Intensive Care Unit following a rare infection, according to Rolling Stone. The Colosseum at Caesars Palace issued the following statement on its Facebook page Monday: Variety reported that fans who purchased tickets...
More Stories