FAQs

Joining Ë¿¹Ï¶ÌÊÓƵ

  • What is MyCare Ohio?

    • MyCare Ohio is a program jointly run by the Ohio Department of Medicaid and the federal government (Centers for Medicare Services) to provide better health care for people who have both Medicare and Medicaid. To make getting care easier for individuals who receive both Medicare and Medicaid, MyCare Ohio brings the programs together under a managed care plan to be your single point of contact.  Ë¿¹Ï¶ÌÊÓƵ MyCare Ohio will coordinate both your Medicare and Medicaid benefits for you so that you get the most out of your health plan.
  • Who is Ë¿¹Ï¶ÌÊÓƵ?

    • Ë¿¹Ï¶ÌÊÓƵ is a leading not-for-profit health plan that was established in 1989. One of the largest Medicaid providers in the nation, Ë¿¹Ï¶ÌÊÓƵ serves diverse populations with nearly 2 million members. In addition to Medicaid, Ë¿¹Ï¶ÌÊÓƵ focuses on Dual Special Needs plans and the Health Insurance Marketplace in a multi-state area.
  • How can I become a member of Ë¿¹Ï¶ÌÊÓƵ?

    • Visit and select “I Would Like To Change My Plan”Follow the prompts to check your eligibility. You will answer a few questions about your household size and monthly income. This will help figure out if you may qualify.
    • If you may qualify, follow the prompts to apply for benefits. You will complete an online application and submit through the Ohio Department of Medicaid portal. 
    • You can also contact the Ohio Medicaid Consumer Hotline at 1-800-324-8680 (TTY: 1-800-292-3572) and tell them you want Ë¿¹Ï¶ÌÊÓƵ.
  • What are the advantages of being a member of Ë¿¹Ï¶ÌÊÓƵ?

    • Ë¿¹Ï¶ÌÊÓƵ MyCare Ohio helps members that qualify for both Medicare and Medicaid get better health care. . Through person-centered care, you can focus on your life. We can coordinate both your Medicare and Medicaid health care services to help you get the support your need. You can focus on your life while we coordinate Medicare and Medicaid health care services for you. You will receive all the same services as regular Medicaid and Medicare, including prescription drugs. And Ë¿¹Ï¶ÌÊÓƵ offers more. These are just a few of our additional services.

      1. Transportation We offer free rides to doctor visits and more.
      2. Behavioral Health Unlimited medically necessary counseling and addiction.
      3. Ë¿¹Ï¶ÌÊÓƵ24® This is our free, 24-hour Nurse Advice Line.
      4. Care and Disease Management We can help you coordinate care and manage special conditions such as hypertension, asthma and diabetes.
      5. MyHealth with personalized health tools to create a wellness plan and track your progress!
      6. myStrength A secure online tool for behavioral health.
      7. Silver&Fit® Exercise & Healthy Aging program

      For some services you must have Ë¿¹Ï¶ÌÊÓƵ for both Medicare and Medicaid.

Covered Services

  • What is a prior authorization? What services need prior authorization?

    • Some services require prior authorization from Ë¿¹Ï¶ÌÊÓƵ MyCare Ohio before you can get them. This means your doctor or health practitioner must get approval from Ë¿¹Ï¶ÌÊÓƵ MyCare Ohio before you can get the service. View the NavigatePrior Authorization List for a list of services needing an okay from us. If you have questions about the prior authorization process or status, please call 1-855-475-3163 (TTY: 1-800-750-0750 or 711).

Renew Your Benefits

  • Do I need to renew my Ë¿¹Ï¶ÌÊÓƵ benefits each year?

    • You must renew your Medicaid benefits once every 12 months.  Both Ë¿¹Ï¶ÌÊÓƵ and the State will send you a reminder notice each year.  You must reapply if you receive a termination notice.
  • What if I miss my deadline to renew my benefits?

    • You have 90 days to complete your renewal from the end date of your Medicaid.  If you miss this deadline your health care benefits will end.  You will receive a letter of termination.
  • Where can I get help with the “redetermination” or renewal process?

    • You can visit your local Job and Family Services (JFS) office or call the Ohio Medicaid Consumer Hotline at 1-800-324-8680. Hours for the Medicaid Consumer Hotline are 7:00 a.m. – 8:00 p.m., Monday – Friday and Saturday 8:00 a.m. – 5:00 p.m.

Get a Ë¿¹Ï¶ÌÊÓƵ member ID Card, Plan Documents or Change Your Doctor

  • How do I get a new Ë¿¹Ï¶ÌÊÓƵ member ID card?

    • You can get a new member ID card by logging in to your  account and clicking “Request ID Card.” You can also download our mobile app and view your ID card on the go. Or call Member Services for a new member ID card.
  • How do I get a new Ë¿¹Ï¶ÌÊÓƵ member handbook or provider directory?

    • All new members receive a welcome letter and postage-paid request cards for both a member handbook and a provider directory.  If you want either of these all you have to do is drop the card in the mail to us!  We’ll mail you what you requested.  You can also view copies online or call Member Services. 
  • How do I select or change my primary care provider (PCP)?

      • You are not required to see the PCP listed on your card. If you are not happy with your PCP, you can log in to your  account to choose a new doctor. You can change your PCP to another provider who participates with Ë¿¹Ï¶ÌÊÓƵ. You can change up to once a month, if needed.

      For the names of the PCPs that serve Ë¿¹Ï¶ÌÊÓƵ members, please use the  tool.

Contact Us

  • How can I get help in another language or format?

    • Call Member Services. We can get someone who can sign or speak your language to help you talk with us or your doctor. And it is free.

      We can also give you some printed materials in some other languages, including alternate formats like audio, large print or braille. Let us know. We can help.

Member Services: 1-855-475-3163 (TTY: 1-800-750-0750 or 711), 8 a.m. to 8 p.m., Monday – Friday.