About Broker Resources Provider Resources 330-363-6360 Contact Us Account Login Find a Plan Home Find a Plan Individuals & Families Affordable, Quality Health Plans for Individuals & Families Find Out My Premium Cost We take your healthcare personally. Because you matter, we believe you deserve access to the best in healthcare with AultCare health insurance plans. AultCare offers health plans for young adults, students, self-employed individuals, early retirees, individuals, and families. Annual Open Enrollment is November 1 — January 15. We have health plans for employers, individuals and their families, and those who are Medicare eligible. AultCare’s attention to our members, and our service focus to you, separates us from other insurance companies. That's one of many reasons why more than 95% of AultCare clients renew with AultCare year after year. AultCare has always been committed to accuracy and improving processes. That is why we are collaborating with CAQH® on an innovative solution, COB SmartTM, which will streamline the coordination of benefits (COB) processes for our members. You can find AultCare plans that cover essential health benefits of the Affordable Care Act (ACA) on the Marketplace or directly from AultCare. The Marketplace is a service operated by the federal government for those searching for an individual plan. Subsidies may be available through the Marketplace for those who qualify. The Premier Select Network is a small, cost-effective AultCare network available with access to quality care at local hospitals for individuals and families. Learn more Annual Open Enrollment is November 1 - January 15. If you are searching for health insurance for yourself or your family, you can easily shop for an AultCare insurance plan on or off the Marketplace. At AultCare, you matter. AultCare offers accessible, personalized customer service to our community because we know how important it is for our community to have access to affordable healthcare. Enroll Now What Types of Health Plans Does AultCare Offer? Premier Select Network vs. Select PPO Network vs. Traditional PPO Network: As you compare different AultCare individual health plans, you may find some plans are denoted as Premier Select Network and Select & Traditional PPO Networks. The Premier Select Network and Select & Traditional PPO Networks have lower monthly premiums with access to local providers. Be sure to check the network directory to verify if your provider is part of the network. Premier Select Network: The Premier Select Network Access to 4 area hospitals in Stark, Summit, and Wayne counties and physicians associated with these facilities Hospitals include Aultman Hospital, Aultman Alliance Community Hospital, Akron Children’s Hospital, and Aultman Orrville Hospital. Narrow market High-quality care at a lower price Less expensive than the Select Network and Traditional PPO Network PPO Networks: Select PPO Network Access to 7 area hospitals within Stark, Summit, Tuscarawas, Carroll and Wayne counties and physicians associated with these facilities. —Hospitals included: Aultman Hospital, Aultman Alliance Community Hospital, Cleveland Clinic Union Hospital, Akron Children’s Hospital, Wooster Community Hospital, Trinity Hospital Twin City, and Aultman Orrville Hospital High-quality care at a lower price Less expensive than the Traditional PPO Network Traditional PPO Network A broad network of 40 hospitals and 16,000 providers - The 7 hospitals in the Select PPO Network are included, along with other area hospitals such as Cleveland Clinic Akron General Medical Center, Summa Health System, & Mercy Medical Center More expensive than the Select PPO Network What are the details of each AultCare plan? PPO Catastrophic Plan With Pediatric Dental Coverage (PDF) PPO Individual Plan With Pediatric Dental Coverage (PDF) PPO Small Group Plan With Pediatric Dental Coverage (PDF) PPO Catastrophic Plan Without Pediatric Dental Coverage (PDF) PPO Individual Plan Without Pediatric Dental Coverage (PDF) PPO Small Group Plan Without Pediatric Dental Coverage (PDF) Where Can I Purchase Individual Health Plans? There are differences to purchasing your AultCare health insurance on or off the Marketplace... On the Marketplace: Available in Stark, Carroll, Tuscarawas, and Wayne counties Eligible for a tax credit* and cost-share reduction** plans Receive a 1095-A form from the government during tax time Off the Marketplace: Broader area offered Not eligible for tax credit* or cost-share reduction** Receive a 1095-A form from AultCare during tax time Lower-cost plan options may be available *Advanced Premium Tax Credit (APTC)- A tax credit based on income estimates and household size. It can be used to help lower your monthly premium payments. The credit can be applied to any plan on the Marketplace. ** Cost-Share Reduction (CSR) - A discount often referred to as “extra savings” that lowers your deductible, copayments and coinsurance. These discounts are can only be applied to Silver plan designs on the Marketplace. Metal-Level Plans Offered: AultCare offers several plan options to meet your needs. All plans cover essential health benefits, including both Medical and Pharmacy benefits. Gold Plan Have higher premiums Lower out-of-pocket costs Co-payments Silver Plan Lower premiums than Gold Higher out-of-pocket costs than Gold Co-payments Cost-share reduction savings available for Silver Plans on the Marketplace Bronze Plan Lowest premium offered Highest out-of-pocket costs No co-payments, all costs are subject to deductible and coinsurance HSA-eligible plan designs Enroll Now What Other Information Impacts the Selection of a Health Plan? When Can I Purchase Health Insurance? Individual Health Insurance can be purchased during the Annual Open Enrollment period (November 1 to January 15). If you have a qualifying life event, you are eligible for a special enrollment period outside of the Annual Open Enrollment. You must sign up within 60 days of the qualifying life event. Qualifying life events are changes in your situation – such as getting married, having a baby, or losing group health coverage (healthcare.gov). Download the Healthcare.gov checklist. Qualifying life events include: Changes in household (marriage, divorce, new child, death) Changes in residence Loss of group health insurance (losing existing coverage or losing eligibility) Other qualifying events (becoming a U.S. citizen, leaving incarceration, etc.) Please note, this is a small list of qualifying life event examples. Certain circumstances do not apply. You can learn more or view a full list of qualifying life events here. What is a 1095-A Form? A 1095-A form includes information about a Marketplace plan you had in the past year. You may be eligible for a tax credit to help offset the costs of health coverage for those who qualify. A 1095-A form will provide information needed to claim the tax credit. You can learn more about the 1095-A form here. If your household income is greater than 138 percent of the federal poverty level (FPL) you may be eligible for the Advanced Premium Tax Credit (APTC) to help pay for health insurance through the Marketplace. If your income is between 138 and 250 percent of the FPL, you may also be eligible for additional cost-sharing reductions to help lower your out-of-pocket expenses. Household incomes below 138 percent of the FPL may be eligible for Medicaid or other types of coverage. Download a Glossary of Medical Terms AultCare Phone: 800-344-8858 330-363-6360 TTY: 711 24-Hour Nurse Line: 866-422-9603 330-363-7620 Customer Service Hours: Monday - Friday 7:30 am - 5:00 pm EST Mailing Address: 2600 Sixth St S.W. Canton, OH 44710 IRS Notice 2020-76 AultCare Insurance Company will not be automatically mailing 2020 Form 1095-Bs to members. However, upon request, any applicable members can have their 2020 Form 1095-B. To receive your 2020 IRS Form 1095-B, submit the request via our CONTACT US on our website or send the request to: AultCare Insurance Company 2600 Sixth ST SW Canton, OH 44710 You can also call us at 330-363-6360 or 800-344-8858 with any questions. Your request will be furnished within 30 days of receipt. Additional Resources HIPAA Privacy Policy Terms & Conditions Language Access Quality Careers COVID-19 Information Social Non-discrimination Notice AultCare/Aultra complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sexual orientation, gender identity, or sex. AultCare/Aultra does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. AultCare/Aultra provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats). AultCare/Aultra provides free language services to people whose primary language is not English, such as: Qualified interpreters and information written in other languages.If you need these services, or if you believe that AultCare/Aultra has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can contact or file a grievance with the: AultCare/Aultra Civil Rights Coordinator, 2600 6th St. S.W. Canton, OH 44710, 330-363-7456, CivilRightsCoordinator@aultcare.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Civil Rights staff is available to help you.You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html © 2021 AultCare. All rights reserved.