Learn More About MyCare Ohio Plans
MyCare Ohio program
MyCare Ohio is a managed care program designed for Ohioans who receive BOTH Medicaid and Medicare benefits.
This program has a team approach to coordinating your care based on your needs – a team with you at the center.
The MyCare Ohio plan that you choose provides all of the same benefits that Medicare and
Medicaid offer, including long-term care services and behavioral health. Plus, your MyCare
Ohio plan may include additional services for you.
The resources linked below will help you learn more about the MyCare Ohio program and identify the MyCare Ohio plan that best meets your healthcare needs:
- MyCare Ohio frequently asked questions shares frequently asked questions about the program and options available to you.
- MyCare Ohio program one-pager provides information you may need to know about the program.
- MyCare Ohio waiver one-pager provides all information you may need to know about the waiver services available.
- MyCare Ohio 2024 Value Added Benefits provides an overview of the value-added services each plan offers.
MyCare Ohio enrollment and eligibility
The MyCare Ohio program is currently only available in 29 counties. Not all plans are available in each of the 29 counties. The plans available to you depend on the county in which you reside. The plans available are
Aetna Better Health of Ohio,
Buckeye Health Plan,
CareSource,
Molina HealthCare, and
United Healthcare Community Plan.
In the counties where MyCare Ohio is available, you have two choices for receiving your MyCare Ohio benefits:
- Dual benefits: A MyCare Ohio plan provides both the Medicare and Medicaid benefits for you. You are eligible to receive added benefits of the plan, such as $0 copayments for prescription drugs covered by Medicare, additional transportation services, and more.
- Medicaid-Only Benefits: A MyCare Ohio plan only provides Medicaid-covered services. You will continue to receive prescription drugs through your Medicare Part D plans and any associated co-payments. Your Medicare benefits will be provided through traditional Medicare or through a private insurance company, commonly referred to as a Medicare Advantage plan.
If you meet the following criteria, your Medicaid benefits must be provided by a MyCare Ohio plan:
- Are 18 or older; and
- Live in one of the 29 counties; and
- Currently have full Medicaid and Medicare parts A, B, and D.
You cannot enroll in a MyCare Ohio plan if you:
- Are under 18.
- Do not live in one of the 29 counties.
- Have creditable third-party insurance (i.e. covers both inpatient hospital stays and doctor visits), other than Medicare or Medicare Advantage plans.
- Are enrolled in a Department of Developmental Disabilities (DODD) waiver or live in an intermediate care facility for individuals with intellectual disabilities (ICF-IID).
- Do not have full Medicaid benefits and do not have Medicare parts A, B, and D.
- Are enrolled in the Program of All-Inclusive Care for the Elderly (PACE).
For questions or to enroll in a MyCare Ohio plan, contact the Ohio Medicaid Consumer Hotline at 800-324-8680. Representatives are available Monday through Friday 7 a.m. - 8 p.m. and Saturdays 8 a.m. - 5 p.m. Eastern Time.