Serving Butler, Clermont, Clinton, Hamilton & Warren Counties in Southwest Ohio
Get Help from the Long-Term Care Ombudsman
MyCare Ohio is a managed care program for Ohioans who receive both Medicare and Medicaid insurance benefits. The program is administered by the Ohio Department of Medicaid (ODM).
In southwest Ohio you can contact the Ombudsman Helpline at 513-458-5518 with questions or for help navigating this program.
If you live elsewhere in Ohio, you can click here to find MyCare Ohio information for your county.
Learn more about MyCare Ohio on the Ohio Department of Medicaid website.
How does MyCare Ohio work
Approved MyCare Ohio Plans provide integrated benefits to Medicare and Medicaid enrollees in 29 counties in Ohio.
If you opt to have your Medicare as part of a MyCare plan, these plans include all standard benefits available through traditional Medicare (Medicare parts A, B), plus coverage that would be provided by a Medicare Advantage (managed Medicare) plan, 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).
A single identification card is issued by your selected plan to access services.
Who is Eligible?
• Age 18 and older at the time of enrollment; and
• Eligible for full Medicare Parts A, B, and D and full Medicaid; and
• Live in a MyCare Ohio Region. This includes Southwest Ohio: Butler, Clermont, Clinton, Hamilton, Warren counties.
Who is Not Eligible?
• Individuals under the age of 18
• Individuals who have other third party creditable health care coverage
• Certain individuals with Intellectual Disabilities and other Developmental Disabilities
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
• Molina Healthcare of Ohio
These health plans have contracts with the Ohio Department of Medicaid to operate in a five county region as part of the MyCare Ohio system.
Click Here to find information on the MyCare Ohio plans for your county.
Enrollment and Disenrollment
• Participation in MyCare Ohio is voluntary for the Medicare portion of your insurance.
• Individuals can opt-out of the Medicare portion of MyCare Ohio at any time.
• Individuals can also transfer between MyCare Ohio Plans if they opt into Medicare MyCare Ohio, on a month-to-month basis.
Next Generation MyCare - In 2026
In 2026 My Care Ohio is expanding. The Next Generation MyCare procurement aims to improve MyCare member and provider experience with the program. To do this, Ohio Department of Medicaid is transitioning the current program and selecting Next Generation MyCare plans. Beginning in January 2026, the selected plans will cover the full Medicare and Medicaid benefit for those who qualify in the current 29 demonstration counties. Statewide expansion will follow as quickly as possible. Learn More.
