Medicare AEP: Oct 15 – Dec 7, 2026
Mon–Fri 9–5 (419) 277-8097
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Toledo, OH

Medicare & Health Insurance Help for Toledo Residents

If you live in Toledo, Kryder Cares is about a 15-minute drive away in Perrysburg. Kris Kryder, a licensed independent agent, helps you compare Medicare, Marketplace health, life and employee benefits plans, and checks whether your ProMedica, Mercy Health or UTMC doctors are in network. Meet in person, by phone or by video.

County
Lucas County (Toledo is the county seat)
Office
842 W South Boundary St, Perrysburg
Drive from Toledo
About 15 minutes
Medicare help line
1-800-MEDICARE

2027 Medicare data · Lucas County

Medicare Advantage in Toledo (Lucas County) for 2027

Medicare Advantage plans are approved county by county, so Toledo residents see the Lucas County plan list. From the CMS Contract Year 2027 files, refreshed October 8, 2026:

58Medicare Advantage plans
45with a $0 Part C premium
$6,241average out-of-pocket max
69%from 4★+ contracts (2026)
292026 plans not returning
29Special Needs Plans
Leaving Lucas County for 2027: MediGold, Paramount Elite Medicare Plans, UnitedHealthcare Community Plan

If you’re in one of their plans, you should have a non-renewal letter and a Special Enrollment Period through the end of February. Kris can help you pick a replacement before coverage lapses.

Lucas County plans with drug coverage and the lowest out-of-pocket maximum

PlanTypePart C + D premiumMOOPPart D deductibleCMS rating*
MedMutual Advantage Premium (PPO)Medical Mutual of OhioPPO$168.00$3,600$554.5★
SummaCare Medicare Sapphire (HMO-POS)SummaCare Medicare Advantage PlansHMO-POS$85.00$3,800$1004.5★
MedMutual Advantage Elite Enhanced (HMO-POS)Medical Mutual of OhioHMO-POS$75.00$4,000$554.0★
SummaCare Medicare Ruby (HMO)SummaCare Medicare Advantage PlansHMO$55.00$4,200$2004.5★
AARP Medicare Advantage from UHC OH-0001 (HMO-POS)UnitedHealthcareHMO-POS$85.00$4,200$5054.0★
MedMutual Advantage Elite Prime (HMO-POS)Medical Mutual of OhioHMO-POS$35.00$4,450$2504.0★
AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)UnitedHealthcareHMO-POS$42.00$4,450$6854.0★
HumanaChoice H5525-030 (PPO)HumanaPPO$86.00$4,450$4503.5★

*2026 CMS overall rating of the plan’s contract (2027 ratings arrive in October). Sorted by MOOP; this is not a recommendation. Source: CMS Landscape CY2027.

See all 58 Lucas County plans, star ratings & 2027 changes

Why your doctors’ health system matters in Toledo

Toledo is home to several large hospitals from different health systems. ProMedica Toledo Hospital, Mercy Health – St. Vincent Medical Center, Mercy Health – St. Anne Hospital and The University of Toledo Medical Center all serve the city. Many families see a primary care doctor in one system and a specialist in another.

That split is exactly where plan choice gets tricky. A Medicare Advantage HMO usually expects you to use its network, while a PPO may cover out-of-network care at a higher cost. Before you enroll, check whether your doctors are in network for the specific plan. Kris can look up each provider with you, one by one.

Common Toledo coverage questions
If this sounds like youThings to compare
Your doctors are all in one health systemHMO and PPO networks, copays, drug coverage
Your doctors are split between systemsPPO out-of-network rules, or Original Medicare with a Medigap plan
You travel or spend winters awayMedigap flexibility versus a local Medicare Advantage network

Medicare choices for Toledo seniors

Toledo residents can choose between Original Medicare, often paired with a Medicare Supplement and a Part D drug plan, or an all-in-one Medicare Advantage plan. Each path has trade-offs in monthly premiums, out-of-pocket costs and provider choice. Kris lays them out side by side so you can see what each might mean for you.

The Annual Enrollment Period for 2027 coverage is October 15 to December 7, 2026. For 2027, the Part D out-of-pocket cap rises to $2,400. Plans can change their formularies each year, so it is wise to recheck your prescriptions. One Kryder Cares client was glad Kris noticed that a drug plan was going to stop covering a medication before the new year began.

Marketplace health insurance in Toledo

Ohio uses HealthCare.gov. Open Enrollment for 2027 runs November 1, 2026 through January 15, 2027. Sign up by December 15 for coverage starting January 1; enrollments from December 16 through January 15 start February 1. If you are losing job-based coverage or moving, you may qualify for a Special Enrollment Period outside these dates. Kris can check your options and help you avoid a gap in coverage.

Since the enhanced premium tax credits expired after 2025, some Toledo households may see higher net costs in 2027. Credits are generally available for incomes between about 100% and 400% of the federal poverty level. Kris can review your 2027 renewal, compare Marketplace plans, and help you avoid surprises. She is not a tax adviser, so check with a tax professional about your situation.

Life insurance for Toledo families

Whether you are protecting a young family in West Toledo or making plans for your spouse in retirement, life insurance can fill the gap. Term life offers level premiums for 10, 20 or 30 years. Whole life covers you for life and builds guaranteed cash value. Universal life offers more flexible premiums. Kris can help you estimate how much coverage your family may need.

If your main goal is covering a funeral and final bills, a small final expense policy may be enough. Kris also discusses long-term care options, since Medicare does not pay for long-term custodial care. She can explain how each choice works without pushing you toward one. Planning early can also give you more choices.

Employee benefits for Toledo employers

Toledo has a long history in manufacturing, health care and logistics, along with many small family-owned shops and offices. Kris helps small and mid-sized employers set up and review group health, dental, vision, life and disability benefits that fit a realistic budget. Even very small businesses may be able to offer some coverage, and she can show you the trade-offs.

She can also meet with employees who are nearing 65 to explain how your group plan and Medicare work together. That conversation can help an employee avoid a late enrollment penalty when they eventually retire. Visit the employee benefits page to see what is available. It also helps your team feel supported as they plan for retirement.

How Kris works with clients in Toledo

From most of Toledo, the Perrysburg office is about a 15-minute drive for an in-person meeting. If you prefer to stay home, phone and video appointments work well, and you can ask about a home visit. Bring your Medicare card, a list of your medications and the names of your doctors. Kris will take the time to answer every question.

After you enroll, Kris remains your contact for questions, billing issues and next year’s review. Clients often describe her as kind and knowledgeable, and as someone who explains Medicare in a way that finally makes sense. To get started, request a quote or call (419) 277-8097. There is no charge for the meeting.

Hospitals and health systems near Toledo

Before choosing a plan, Kris checks that the hospitals and doctors you use are in network. Hospitals residents commonly use include:

  • ProMedica Toledo Hospital
  • Mercy Health – St. Vincent Medical Center
  • The University of Toledo Medical Center
  • Mercy Health – St. Anne Hospital
  • ProMedica Bay Park Hospital (Oregon)

Network participation differs by plan and changes yearly — always confirm before you enroll.

Helpful resources for Toledo residents

Also serving communities near Toledo

  • Oregon
  • Ottawa Hills
  • Northwood
  • Rossford
  • Holland
  • Sylvania Township
  • Point Place

Visit the Perrysburg office

842 W South Boundary St, Perrysburg, OH 43551 · Monday–Friday, 9:00 AM – 5:00 PM. Call (419) 277-8097 to set a time.

We do not offer every plan available in your area. Currently, we represent 14 organizations which offer 119 products in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. This is a proprietary website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at www.medicare.gov.

FAQ

Insurance questions from Toledo, OH

Can I meet with a Medicare agent in person near Toledo?

Yes. Kris Kryder meets clients in person at her office at 842 W South Boundary St in Perrysburg, which is about a 15-minute drive from most of Toledo. You can also meet by phone or video, and you can ask about a home visit. Consultations are no-cost and come with no obligation to enroll.

Should I choose an HMO or a PPO if my doctors are at ProMedica and Mercy Health?

It depends on the specific plans and their networks. If your doctors work in different health systems, a PPO may give more flexibility, and Original Medicare with a Medigap plan lets you see any provider that accepts Medicare. Always check whether your doctors are in network before you enroll. Kris can look each one up with you.

Is The University of Toledo Medical Center covered by Medicare plans?

Original Medicare covers care at hospitals that accept Medicare. For Medicare Advantage, coverage depends on each plan’s network, which can change from year to year. Kris can check whether The University of Toledo Medical Center and your UTMC doctors are in network for each plan you are comparing before you make a decision.

When is Medicare open enrollment for Toledo residents in 2026?

The Medicare Annual Enrollment Period runs October 15 to December 7, 2026, and changes take effect January 1, 2027. These dates are the same nationwide. If you are already in Medicare Advantage, you can also switch plans once, or go back to Original Medicare, from January 1 through March 31, 2027.

What are the 2027 ACA open enrollment dates in Ohio?

Ohio uses HealthCare.gov. Open Enrollment runs November 1, 2026 through January 15, 2027. If you enroll by December 15, coverage starts January 1. If you enroll between December 16 and January 15, coverage starts February 1. Kris can help you compare plans and review your renewal before the deadlines.

Will my Marketplace premium go up in 2027?

It may. The enhanced premium tax credits expired at the end of 2025, and insurers proposed higher premiums for 2027. Your net cost depends on your plan, income and household. Rather than auto-renewing, have your 2027 renewal reviewed. Kris can compare options, though she is not a tax adviser, so check tax questions with a professional.

Does Kris help Toledo seniors with Medicaid and Medicare together?

Kris can explain Dual Eligible Special Needs Plans, or D-SNPs, which are designed for people who have both Medicare and Medicaid. She can check whether a D-SNP is available where you live and whether your doctors are in its network. Learn more on the special needs plans page.

Can Toledo seniors get help paying Medicare costs?

Possibly. If your income and resources are limited, a Medicare Savings Program may help pay your Part B premium and, in some cases, other Medicare costs. These programs run through Medicaid, so you apply with the Ohio Department of Medicaid or Lucas County Job and Family Services. Extra Help with drug costs is handled by Social Security at 1-800-772-1213. Kris can then show you how each program fits with your plan choices.

Call Kris