"Ohio is an attractive and competitive insurance state with a historically high number of Medicare Advantage plans, especially in Northeast Ohio," Ohio Insurance Department spokesperson Robert Denhard told Becker's via email.
Mr. Denhard said Ohio has the sixth-largest Medicare beneficiary population, which is "very concentrated in the Cleveland area," which is located in Northeast Ohio.
The six counties offering the most Medicare Advantage plans in the U.S. were all located in Northeast Ohio. All six of those counties offered at least 75 Medicare Advantage plan offerings. The national average is 39.
"In addition, the state has established hospital systems and care networks," Mr. Denhard said.
Five other Northeast Ohio counties were among the top 25, according to the Kaiser Family Foundation's data. Each offered at least 69 Medicare Advantage plan options.
Overall, the counties with the 25 most plan offerings came from only a handful of states. After Ohio, Pennsylvania had the second most states on the list with seven. California had two. Texas and Michigan had one each.