Deal lets CareSource ACA plans be used at Kettering Health

Published: Wednesday, December 06, 2017 @ 5:50 PM

CareSource, pictured at its Dayton headquarters, has a contract deal with Kettering Health Network. FILE
CareSource, pictured at its Dayton headquarters, has a contract deal with Kettering Health Network. FILE

CareSource insurance plans sold on the Affordable Care Act marketplace can continue to be used at Kettering Health Network next year after contract deal was struck Wednesday.

CareSource, a Dayton-based insurer, sells individual plans on the ACA marketplace in 60 Ohio counties and the contract means Kettering Health’s hospitals, emergency departments and doctors offices will remain in-network through 2018 for patients with those policies.

LOCAL: Dayton’s CareSource expanding amid uncertain times for Obamacare

“We were negotiating with CareSource, and we’re happy to say those negotiations have come to a fruitful resolution, and we want to assure people who have CareSource marketplace that there will be no interruption of service,” said Elizabeth Long, spokeswoman for Kettering Health Network.

Open enrollment for buying insurance on the Affordable Care Act marketplace ends Dec. 15.

During last year’s open enrollment, about 10,500 people in Montgomery County bought Affordable Care Act plans.

County enrollment 
Number of ACA enrollees by county during last year's open enrollment. 
CountyTotal enrollees
Butler County7,806
Champaign County587
Clark County2,074
Darke County1,005
Greene County3,015
Montgomery County10,486
Miami County2,162
Preble County764
Warren County5,359
Source: Centers for Medicare and Medicaid Services

People in Montgomery County can buy ACA plans for next year through CareSource, Buckeye or Molina.

Premier Health, the other large network of doctors and hospitals in the Dayton region, stated that does not accept the individual CareSource plans that are sold on the Affordable Care Act marketplace.

A spokesman said the health network is not in negotiations with CareSource for its marketplace insurance plans, though it does have a contract for Medicaid plans through CareSource.

CareSource is the only Affordable Care Act insurance available in Miami County where the only hospital is Upper Valley Medical Center, which is Premier Health affiliated and out of network with CareSource’s marketplace insurance.

Local resident Kathy Dye said when she was signing up for CareSource’s marketplace insurance, it was stressful trying to find a doctor before the contract was finalized when she didn’t know if both Miami Valley Hospital and Kettering Medical Center would end up being both out of network.

“I think the next step is probably I’ll stick with CareSource. I still haven’t totally decided on that, but at this point I think that’s the way I’m going to go,” she said, adding that she plans to look for a doctor at Kettering Health.

RELATED: New Medicaid report care gives CareSource 12 out of 15 stars

CareSource said in a statement that its important to shop around for the right plan, even if you already bought a plan last year, because the providers that insurance plans cover may have changed from year to year. CareSource said it has added new provider groups since last year.

It’s been a chaotic year for the ACA marketplaces, facing repeal and replacement efforts and with consumers looking at sharp increases in the sticker prices of plans sold in Ohio.

Affordable Care Act individual insurance plans premiums are 34 percent more on average in Ohio next year. That means in 2018 the average individual premium price will be up to $5,798.

However, while sticker prices are up, the actual cost of premiums might be down for some plans because tax credits can make the final price of health insurance cheaper than the listed price.

CareSource said many consumers will qualify for tax credits that subsidize the cost of premiums and can reduce the rates.

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Crews respond to report of partial structure collapse in Dayton

Published: Wednesday, June 20, 2018 @ 5:54 PM
Updated: Wednesday, June 20, 2018 @ 6:10 PM

Woman falls through porch in Dayton

UPDATE @ 6:10 p.m.

A 40-year-old woman fell through a concrete porch this evening and was taken to Miami Valley Hospital.

The woman was a visitor to the duplex in the 1400 block of Hochwalt Avenue.

The woman’s injuries are considered not life-threatening, and a building inspector has been called, Dayton fire officials said.

Yellow caution tape has been placed on the porch.

FIRST REPORT

Crews were called this evening to a report of a partial structure collapse.

The incident was reported around 5:40 p.m. in the 1400 block of Hochwalt Avenue in Dayton.

According to initial reports, a woman fell through a porch when it caved in. 

We have a crew on the way and will update this report.

Got a tip? Call our monitored 24-hour line, 937-259-2237, or send it to newsdesk@cmgohio.com

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1 injured when Jeep rams into house on South Bird Road in Clark County

Published: Wednesday, June 20, 2018 @ 1:23 PM
Updated: Wednesday, June 20, 2018 @ 1:36 PM

1 injured when Jeep rams into Clark County house

UPDATE @ 1:27 p.m.: One person has been taken to a hospital after a Jeep rammed into a house on South Bird Road, the Ohio State Highway Patrol said. 

According to the preliminary investigation, a female was driving north when she apparently lost control of the vehicle and rammed the front of the house, where the resident was asleep. 

OTHER LOCAL NEWS: New details in fatal wrong-way crash

That resident has been taken to Springfield Regional Medical Center, suffering from minor injuries. The driver was not injured, according to troopers. 

South Bird Road will be shut down at Laybourne Road in both directions until further notice.

INITIAL REPORT

Police, sheriff’s deputies, OSP and the gas company are on the scene of a car into a house in the 200 block of South Bird and Laybourne roads in Springfield Twp.

The incident occurred moments ago. Unknown on injuries.

We will update this developing report as we get information.

Got a tip? Call our monitored 24-hour line, 937-259-2237, or send it to newsdesk@cmgohio.com

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Teenager on bicycle struck by vehicle in Dayton, taken to hospital

Published: Wednesday, June 20, 2018 @ 5:04 PM
Updated: Wednesday, June 20, 2018 @ 5:21 PM

Child on bicycle struck by vehicle

UPDATE @ 5:16 p.m.: The child struck is a teenager and police are indicating that he may have been at fault. 

The investigation is continuing, police said. 

The driver was not injured, but there was damage to the front end of the car.

INITIAL REPORT

A child who was on a bicycle has been taken to children's hospital after the child was struck by a vehicle on Otterbein Avenue at Ruskin Road. 

The incident was reported just after 4:30 p.m. 

OTHER LOCAL NEWS: Jeep rams into house; 1 hurt

We're hearing the child's injuries are non-life threatening. 

Police are investigating. 

We will update this developing report as information becomes available. 

Got a tip? Call our monitored 24-hour line, 937-259-2237, or send it to newsdesk@cmgohio.com

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How to save on your teen’s auto insurance rate

Published: Wednesday, June 20, 2018 @ 4:28 PM

Students sit in an area driver's education class.
Students sit in an area driver's education class.

The cost to add a teen driver to an auto insurance plan in Ohio is more than the national average, but there are ways to save.

Many parents don't realize how pricey it will be, according to Bellbrook mom Tacy Keller. 

Her premium jumped after her son got a ticket, and she will be adding her daughter, Olivia, to her plan this year. 

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"I don't think most of them take into consideration how much they'll be spending. It's more the convenience. 'I'm not going to be running them to practices and running them to work," Keller said. 

Premiums jump 86 percent when a teen driver is added in Ohio, that's higher than the national average of 82 percent, according to a study by Insurance Quotes. 

"The reason for that is your first year of driving, your probability of having a crash is very high," but there are ways parents can save on their teens portion of the premium, said Sharon Fife, president of D&D Driving School in Kettering. 

"I would definitely not buy them a new car. I would also definitely not buy them a car in their name because many insurance companies now rate per your credit score and a new driver isn't going to have the credit rating that an experienced parent would have," said Fife. 

Other costs cutters include B average or above grades, electronic driving monitors and avoiding tickets and accidents. 

WHIO Traffic Center: Crash on I-75 N in Montgomery County closes 2 lanes

Insurance expenses are a concern for driving student Helen Souder of Oakwood. 

"I'm thinking about costs all the time and how much money I'll spend for driving," Souder said. 

For parents of boys, the sticker shock is much higher. 

Adding a male driver is about 20 percent more expensive than adding a female driver, according to the study.

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