It Just Adds Up
Navigating complicated health care needs in two separate health care systems is difficult. Our combined plan simplifies managing your care. With Ë¿¹Ï¶ÌÊÓƵ MyCare Ohio you can streamline your health care day-to-day planning. Picture only having one point-of-contact and one plan, so you can cut down on paperwork and phone calls. Choose Ë¿¹Ï¶ÌÊÓƵ for both Medicare and Medicaid for ease-of-use, but also because of the benefits, like no copays or premiums, transportation services, a 24-hour medical advice line, a large network of providers and a team approach to managing your care that puts you at the center.
Service Area
Ë¿¹Ï¶ÌÊÓƵ MyCare Ohio is serving people in these Ohio counties:
Columbiana, Cuyahoga, Geauga, Lake, Lorain, Medina, Mahoning, Trumbull, Portage, Stark, Summit, Wayne
![MyCare Ohio Logo](/wp-content/uploads/2018/08/CS-IMG_20180823_mycare440.jpg)
![MyCare Ohio Coverage](/wp-content/uploads/2018/08/CS-IMG_20180823-mycareOhio.jpg)
Eligibility
Those who are eligible for Medicare Parts A & B and Medicaid who live in our service area may join Ë¿¹Ï¶ÌÊÓƵ® MyCare Ohio. To enroll, call the Ohio Medicaid Consumer Hotline at 1-800-324-8680 (TTY: 1-800-292-3572), or visit and select MyCare Ohio.
Plan Benefits
You may choose Ë¿¹Ï¶ÌÊÓƵ MyCare Ohio:
- for BOTH Medicare and Medicaid. With this option, you enjoy the FULL benefit of coordinated care and all the extra benefits in the purple column below.
- for Medicaid only.
The following chart is a summary of what you get when you have:
MyCare Ohio (MEDICARE + MEDICAID) | MyCare Ohio (Medicaid Only) | |
---|---|---|
Combined Medicare and Medicaid plan with extra benefits and coordination for simplified planning. | Medicaid-only plan providing standard coverage with no copays and select services. | |
BENEFIT HIGHLIGHTS | BENEFIT HIGHLIGHTS | |
All standard Medicare and Medicaid benefits | All standard Medicaid benefits | |
No Copays for Medicaid-covered drugs | Waiver Medicaid Services (if eligible) | |
No Copays for Medicaid services | No Copays for Medicaid-covered drugs | |
No Copays for Medicare Part D drugs | Ë¿¹Ï¶ÌÊÓƵ24® Nurse Advice Line | |
Ë¿¹Ï¶ÌÊÓƵ24® Nurse Advice Line | Basic transportation | |
Enhanced transportation | Over-the-counter (OTC) benefits through the Medicaid covered product list | |
$100 Quarterly over-the-counter (OTC) allowance | ||
$500 Flex Allowance for Dental, Vision and Hearing Services & Accessories | ||
Telehealth services via Teladoc© | ||
Coordination of Medicare/Medicaid benefits through one point of contact | ||
Incentives and rewards for completing health and wellness activities | ||
Mom’s Meals Two meals per day for 14 days after inpatient hospital stay/observation (community well only) | ||
Annual Physical |
Plan Benefit Highlights
Enhanced Transportation
Up to 60 one way trips are provided at no cost to the member to plan-approved locations each year to help you get to provider appointments, pharmacy, redetermination appointments, gym and grocery.
A Team Approach to Care Coordination
Ë¿¹Ï¶ÌÊÓƵ and local community agencies team up to help you. Area agencies connect you to non-traditional providers, such as contractors that perform services, to help coordinate care and other needs to get you the care that you need to be your best possible self.
Person-Centered Care
Ë¿¹Ï¶ÌÊÓƵ MyCare Ohio encourages choice and self-help. It gives support so members can stay independent. The approach is person-centered care and coordination of health care with other needs.
* MyCare Medicare + Medicaid members only.
Do not risk losing your health coverage! Learn more here
There are changes coming from the Ohio Department of Medicaid and we do not want you to have a gap in your health coverage. There are easy steps you can take now to ensure you do not miss any news or changes to your benefits.
1. Keep your information current. Make sure your address and phone number are up-to-date with the Ohio Department of Medicaid. There are many ways to do this:
- Call 1-800-324-8680. You can call Monday through Friday, 7 a.m. to 8 p.m. or Saturday 8 a.m. to 5 p.m.
- Log in to the at benefits.ohio.gov.
- Contact a case worker with the
2. Check your mail. If you get a packet in the mail asking you to renew or asking for more information about your Medicaid coverage, respond right away. If you do not respond, you risk losing your coverage, even if you are eligible for Medicaid.
Learn more about these changes at
2024 Medicaid Managed Care Annual Open Enrollment
Ohio Medicaid managed care members will be able to select their plan by calling the Ohio Medicaid Consumer Hotline at 1-800-324-8680 or utilizing the . You do not have to do anything if you want to keep your current Medicaid Managed Care Plan.
Visit the for information.