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MyCare Ohio

MyCare Ohio is a new managed care program for Ohioans who receive both Medicare and Medicaid benefits. The program is administered by the Ohio Department of Medicaid (ODM), but because new programs can be confusing, we have an ombudsman dedicated to answering your questions and helping you navigate this new program.

Please contact our ombudsman LeVon at 513-458-5536 about MyCare Ohio.

In the meantime, perhaps this brochure or the following description of MyCare Ohio from the Ohio Department of Medicaid will help:

How will MyCare Ohio Work?

• Approved MyCare Ohio Plans will provide integrated benefits to Medicare and Medicaid enrollees in seven regions in Ohio.

• Plans include all standard benefits available through traditional Medicare and Medicaid programs, including: (1) Doctor and hospital visit, (2) Mental health services, and (3) Long-term care services provided in nursing, assisted living facilities or in the home (via services such as home-delivered meals, medical transportation, and help with personal care).

• Single identification card issued by selected plan to access services.

Eligible Populations

• Age 18 and older at the time of enrollment; and

• Eligible for full Medicare Parts A, B, and D and full Medicaid; and

• Reside in a MyCare Ohio Demonstration County in Southwest Ohio: Butler, Clermont, Clinton, Hamilton, Warren

Excluded Populations

• Individuals under the age of 18

• Individuals with a delayed Medicaid spend-down

• Individuals who have other third party creditable health care coverage

• Certain individuals with Intellectual Disabilities and other Developmental Disabilities

• Individuals enrolled in Ohio’s two PACE locations

MyCare Ohio Health Plans

In Southwest Ohio (Butler, Clermont, Clinton, Hamilton and Warren Counties), you have two MyCare Ohio Health plans to choose from:

• Aetna Better Health of Ohio.
http://aetnabetterhealth.com/ohio/

• Molina Healthcare http://www.molinahealthcare.com/members/oh/en­US/hp/mycare/Pages/mycare.aspx

These health plans have contracts with the Ohio Department of Medicaid to operate in a five county region as part of the new MyCare Ohio system.

Enrollment and Disenrollment

• Participation in MyCare Ohio is voluntary for Medicare portion.

• Individuals can opt-out of the Medicare portion at any time.

• Individuals can also transfer between MyCare Ohio Plans if they opt-in to Medicare on a month-to-month basis.

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