MyCare Ohio eligibility and enrollment

What is MyCare Ohio?

 

MyCare Ohio is a managed care program designed for Ohioans who receive both Medicaid and Medicare benefits. This program has an integrated approach to coordinating your care with you as the center of focus.

 

Anthem Blue Cross and Blue Shield MyCare is a health plan that serves Ohio MyCare members. We help coordinate and manage your healthcare needs.

Who is eligible to enroll in a MyCare Ohio plan?

 

You are eligible for membership in our MyCare Ohio managed care plan as long as you:

 

  • Have Medicare Parts A, B, and D; and
  • Have full Medicaid coverage; and
  • Are 21 years old at the time of enrollment

 

You are not eligible to enroll in a MyCare Ohio managed care plan if you:

 

  • Do not have full Medicaid benefits as well as Medicare parts A, B, and D
  • Are younger than age 21
  • Have any private creditable medical insurance, including retiree benefits, other than a Medicare Advantage plan
  • Have intellectual or other developmental disabilities and receive services through a waiver or Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID)
  • Are enrolled in a Program for All-Inclusive Care for the Elderly (PACE)
  • Are an individual who receives home and community-based waiver services through the Ohio Department of Developmental Disabilities

 

Additionally, you have the option not to be a member of a MyCare Ohio managed care plan if you are a member of a federally recognized Indian tribe, regardless of your age.

 

The Ohio Department of Medicaid (ODM) has a hotline to help dual-eligible individuals choose the MyCare Ohio plan that best meets their needs. You can reach the Ohio Medicaid Consumer Hotline at 800-324-8680 Monday through Friday 7 a.m. to 8a.m. and Saturdays 8 a.m. to 5p.m. Eastern time, or by visiting ohiomh.com.

 

Member Services staff are also available at 833-727-2169 (TTY 711), 8 a.m. to 8 p.m. local time, seven days a week (except Thanksgiving and Christmas) from October 1 through March 31, and Monday to Friday (except holidays) from April 1 through September 30.