Medical/Rx Benefits

Ohio Medical/Rx Benefits Benchmarks

Real plan data from verified employers in your state

Verified Data
1,618Employers
4,080Plans
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Source-verified plan dataReal plans, not surveysRefreshed monthly
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Employee Benefits in Ohio

Medical plan benchmarks from verified employer data

Verified Data

Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.

Our database includes 1,618 employers in Ohio offering 4,080 verified benefit plans. HDHP plans are the most common (47% of employers), followed by PPO (44%). Funding approaches are mixed, with fully-insured (51%) and self-insured (42%) both common. Most employers offer two plan options to employees (39%).

Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.

1,618 employers4,080 verified plansUpdated October 2026
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Ohio plan design & cost benchmarks

In-Network Cost Sharing — sample layout
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$712
$2,119
$2,856
$2,11952Bal
Family Deductible
$1,056
$3,362
$5,240
$3,36252Bal
Individual OOP Max
$3,051
$4,947
$6,763
$4,94752Bal
Family OOP Max
$6,973
$9,357
$12,490
$9,35752Bal
Coinsurance
12%
19%
26%
19%52Bal
Primary Care
$26
$38
$50
$3852Bal
Specialist
$36
$54
$72
$5452Bal
Emergency Room
$208
$285
$467
$28552Bal
Urgent Care
$59
$79
$95
$7952Bal

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Real plan-design and cost benchmarks for ohio, with percentile rankings and exportable data.

What's inside the full report
In-Network Cost Sharing

Deductibles, copays, coinsurance & out-of-pocket maximums

Employee Contributions

Monthly employee premium contributions by tier

Gross Premium Rates

Total monthly premium costs by coverage tier

Prescription Drug Coverage

Rx copays, deductibles & mail-order options

Percentile rankings (25th / 50th / 75th)
Live, real-time data (this preview refreshes monthly)
Exportable to PDF & CSV

Plan Type Mix

% of employers offering each

VERIFIED
HDHP47%
PPO44%
HMO3%
EPO3%

Plan Funding

% of employers by funding

VERIFIED
Fully-Insured51%
Self-Insured42%
Level-Funded8%

Plans Offered

% of employers by plan count

VERIFIED
Two Plans39%
Three or More Plans39%
One Plan21%
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See What You'll Discover

Our reports reveal exactly where your plan stands, and why. Preview using sample Ohio data.

72
Balanced
Sample Report
Sample PPO Gold 1500
Blue Cross Blue Shield · PPO

This plan aligns well with common market practices. Benefits and costs are competitive, providing reliable value that meets typical employer offerings in your segment.

Based on 847 comparable plans
Core Scoring Drivers
In-Network Cost Sharing78Robust

Deductibles and copays rank above market median, offering strong value to employees.

Employee Contributions65Balanced

Contribution levels are competitive with peer employers in your industry.

Premium Rates71Balanced

Gross premiums align with market expectations for comparable coverage.

Plan Types
PPO
42%
HDHP
31%
HMO
18%
POS
9%

% of employers

Plans Offered
2 Plans
38%
3 Plans
29%
1 Plan
22%
4+ Plans
11%

% of employers

Funding Types
Fully Insured: 58%
Self-Funded: 34%
Level-Funded: 8%
Top Performers

Features in top 25% of peers

Individual Deductible82Robust
In-Network Cost Sharing
Primary Care Copay79Robust
In-Network Cost Sharing
Generic Rx Copay77Robust
Prescription Drugs
Individual OOP Max76Robust
In-Network Cost Sharing
Under Performers

Features in bottom 25% of peers

Family Premium18Low
Gross Premium Rates
EE+Spouse Contribution21Low
Employee Contributions
Specialist Copay24Low
In-Network Cost Sharing
Actionable Insight

Family Premium ranks in the 18th percentile. Adjusting employer contribution strategy could improve retention without significant cost increases.

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Ohio Benefits Landscape

Regional trends and benchmarking considerations

Ohio employers benefit from moderate healthcare costs and a stable regulatory environment. Our benchmarking data shows Ohio as a bellwether market with benefits patterns often close to national averages. The state's diverse economy spans manufacturing, healthcare, financial services, and retail.

Key Highlights

National Average Proxy

Ohio benchmarks in our database often closely track national averages, making it useful for understanding typical market positioning.

Industry Diversity

Benefits patterns vary by sector—manufacturing, healthcare, and financial services each show distinct characteristics.

Benchmarking Considerations

Ohio's diverse economy means benefits vary significantly by industry. Filter by your specific sector for the most meaningful comparisons.

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Frequently Asked Questions

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Detailed benchmarks, industry breakdowns, and exportable data

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