What does ohio caresource cover

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You must also be one of the following:. To be eligible, you must have an annual household income before taxes that is below the following amounts:. Always check with the appropriate managing agency to ensure the most accurate guidelines.

For additional application information, visit the Get Coverage page. You may also find out if you qualify through the Marketplace application. To learn more about the program, please visit the Ohio Department of Medicaid home page. For more details, please visit the Basic Health Program page. Do you or any members of your family or household have any of the following conditions? Check all that apply. For additional information on this benefit or to contact the program, please see below.

Federal government websites always use a. Toggle navigation. Ohio Medicaid. Quick Info. Medicaid provides free or low-cost health coverage to eligible needy persons. Program Contact Additional Info Apply for Ohio Medicaid. Managing Agency U. Department of Health and Human Services. Check if you may be eligible for this benefit. Expand Quick Info Section. Healthcare and Medical Assistance. What is Ohio Medicaid? Who is eligible for Ohio Medicaid?

You must also be one of the following: Pregnant, or Be responsible for a child 18 years of age or younger, or Blind, or Have a disability or a family member in your household with a disability, or Be 65 years of age or older. Select Household Size 1 2 3 4 5 6 7 8. How do I apply for Ohio Medicaid? Apply for Ohio Medicaid. How can I contact someone? Receive an email when this benefit page is updated:. Other Benefits People Viewed. Ohio Healthy Start. Benjamin Franklin Summer Institutes.

Answer these questions to see if you may be eligible for this benefit. Year Select Year Citizen U. National Non-Citizen legally admitted to the U. S Other. State or Territory do you live?

Members will continue to receive prescription drugs through their Part D plans and any associated co-payments. MyCare Ohio is only available in 29 counties. Not all plans are available in each of the 29 counties. Choose your county to find out which plans are available in your area and your enrollment options. Please note that if your county is not in the list, it means that MyCare Ohio is not available in your county.

To compare plan benefits, please refer to this comparison chart. You do not have to receive your Medicare benefits from your MyCare Ohio plan. You may choose to continue to receive your Medicare benefits in the way you do today. However, your Medicaid benefits will only be available through a MyCare Ohio plan.

Why should I elect to receive dual-benefits from a MyCare Ohio plan? The current Medicare and Medicaid services are confusing and difficult to navigate and there is not a single entity which is accountable for the whole person.

MyCare Ohio dual benefits members also only have to carry one medical coverage card. MyCare Ohio offers members: one point of contact, person-centered care, seamless across services and settings, easy navigation for members and providers, and wellness, prevention, coordination and community-based services.

The MyCare Ohio plan benefit package includes all benefits available through the traditional Medicare and Medicaid programs, including long-term care services both in the community and in a nursing facility as well as behavioral health services. What about medical services I already have approved or scheduled? What if my doctor or hospital is not in the MyCare Ohio plan network? MyCare Ohio plans are required to provide transition of care benefits for non-contracted providers of many services, including physician and pharmacy.

After the transition period, members must utilize providers who are within the MyCare Ohio plans provider network. If you have full Medicaid eligibility and you are having difficulty in getting to a medically necessary service, then you may request transportation assistance. The type of assistance available may depend on whether you are a member of a Medicaid managed care or MyCare Ohio plan, in which county you live, and whether you are bringing along a non-folding wheelchair or power scooter that doesn't fit easily in a standard vehicle.

Medicaid managed care and MyCare Ohio plans can offer free transportation to their members as an additional benefit above and beyond what the state requires. This "value-added" benefit can be limited to a specific number of trips a year. Members may take these trips to get to healthcare appointments and other services as well, but no one is required to use them up or even to use them at all. If you are a member of a Medicaid managed care or MyCare Ohio plan, then contact your plan in any of the following circumstances: You use a non-folding wheelchair or power scooter that doesn't fit easily in a standard vehicle or you need to sit in your folding wheelchair during transport.

You must travel 30 miles or more one way because the medically necessary treatment covered under your plan is not available at a closer location. You have a value-added ride available that you want to use.

More information on Transportation Assistance.

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You may choose to continue to receive your Medicare benefits in the way you do today. However, your Medicaid benefits will only be available through a MyCare Ohio plan. Why should I elect to receive dual-benefits from a MyCare Ohio plan? The current Medicare and Medicaid services are confusing and difficult to navigate and there is not a single entity which is accountable for the whole person. MyCare Ohio dual benefits members also only have to carry one medical coverage card.

MyCare Ohio offers members: one point of contact, person-centered care, seamless across services and settings, easy navigation for members and providers, and wellness, prevention, coordination and community-based services. The MyCare Ohio plan benefit package includes all benefits available through the traditional Medicare and Medicaid programs, including long-term care services both in the community and in a nursing facility as well as behavioral health services.

What about medical services I already have approved or scheduled? What if my doctor or hospital is not in the MyCare Ohio plan network? MyCare Ohio plans are required to provide transition of care benefits for non-contracted providers of many services, including physician and pharmacy. After the transition period, members must utilize providers who are within the MyCare Ohio plans provider network. If you have full Medicaid eligibility and you are having difficulty in getting to a medically necessary service, then you may request transportation assistance.

The type of assistance available may depend on whether you are a member of a Medicaid managed care or MyCare Ohio plan, in which county you live, and whether you are bringing along a non-folding wheelchair or power scooter that doesn't fit easily in a standard vehicle. Medicaid managed care and MyCare Ohio plans can offer free transportation to their members as an additional benefit above and beyond what the state requires.

This "value-added" benefit can be limited to a specific number of trips a year. Members may take these trips to get to healthcare appointments and other services as well, but no one is required to use them up or even to use them at all.

If you are a member of a Medicaid managed care or MyCare Ohio plan, then contact your plan in any of the following circumstances: You use a non-folding wheelchair or power scooter that doesn't fit easily in a standard vehicle or you need to sit in your folding wheelchair during transport. You must travel 30 miles or more one way because the medically necessary treatment covered under your plan is not available at a closer location.

You have a value-added ride available that you want to use. More information on Transportation Assistance. What happens now? When you move to a county that does not have MyCare Ohio, enrollment in MyCare Ohio will end on the last day the month. What should I expect to receive from my MCP as a new member? Once you are enrolled in a MCP, you will get a welcome letter and your member identification ID card in the mail. Keep this card while you are on the plan.

The MCP will also send you information about your doctors, health services, and scope of coverage. As an MCP member, you can also request a member handbook.

The company's managed care business model was founded in and today CareSource is one of the nation's largest Medicaid managed care plans. Headquartered in Dayton, Ohio, the company has built a legacy of providing quality health care coverage for Medicaid consumers.

Medicaid health care coverage is available for eligible Ohioans with low income, pregnant women, infants and children, older adults and individuals with disabilities. CareSource Medicaid is available across the state of Ohio. When you apply for Ohio Medicaid, you can choose CareSource as your managed care plan.

In order to purchase our plans, you must live in one of the counties listed under each of these service areas below. The Ohio Department of Medicaid ODM provides health care coverage to more than 3 million Ohioans through a network of more than , providers. Ohio Medicaid delivers health care coverage to more than 3 million Ohio residents. If you get sick or hurt while traveling outside of our service area, you can get medically necessary covered services from a provider not in our network.

Prior to seeking urgent care, we encourage you to call your PCP for guidance, but this is not required. Our enrollees get dental, hearing, medical, and vision coverage, and prescription drug and behavioral health benefits.