Changing your Medicaid plan in Ohio is a simple process that can be done online or over the phone. You can compare plans and choose the one that best meets your needs. To make the change, you will need to provide your name, date of birth, Social Security number, and Medicaid ID number. You will also need to choose a new plan and a start date for your coverage. Once you have made your selection, you will need to submit your change request. You can do this online or by calling the Ohio Medicaid customer service line. Your new plan will start on the date you selected.
Who Is Eligible for Ohio Medicaid?
Ohio Medicaid is a health insurance program for low-income Ohioans. To be eligible, you must meet certain income and asset limits. Apply for Medicaid online or through your county’s Job and Family Services office.
Ohio Medicaid Managed Care Plans
If you are eligible for Ohio Medicaid, you can choose to enroll in a managed care plan. Managed care plans are private health insurance companies that contract with the state to provide Medicaid services. When you enroll in a managed care plan, you will choose a primary care provider (PCP) who will coordinate your care.
You may be able to change your Medicaid plan if:
- You move to a new county.
- Your current plan is no longer available in your area.
- You have a new health condition that your current plan does not cover.
- You are not satisfied with your current plan’s services.
How to Change Your Medicaid Plan in Ohio
- Contact your local Job and Family Services office. You can find the contact information for your local office online or by calling 1-800-324-8680.
- Submit a change of plan form. You can get a change of plan form from your local Job and Family Services office or online.
- Return the completed form to your local Job and Family Services office. You can mail the form or drop it off in person.
- Your change of plan will be processed within 30 days. You will receive a new Medicaid card in the mail.
Table of Ohio Medicaid Managed Care Plans
| Plan Name | Counties Served | Phone Number | Website |
|—|—|—|—|
| CareSource | 44 counties | 1-800-686-1516 | www.caresource.org |
| Buckeye Health Plan | 27 counties | 1-800-955-5250 | www.buckeyehealthplan.com |
| Molina Healthcare | 21 counties | 1-800-756-7359 | www.molinahealthcare.com |
| UnitedHealthcare Community Plan | 17 counties | 1-877-339-1058 | www.uhccp.com |
Important Information Before Changing Your Medicaid Plan in Ohio
Before you make any decisions about changing your Medicaid plan in Ohio, there are a few important things you need to keep in mind:
- You can only change your plan once per year. The annual open enrollment period runs from November 1st to January 31st. If you miss the open enrollment period, you will have to wait until the following year to change your plan.
- You must choose a plan that is in your service area. You can find a list of plans that are available in your area by visiting the Ohio Medicaid website.
- You need to compare plans before you make a decision. Consider the benefits, cost, and network of providers of each plan to see which one is the best fit for your needs.
- You can get help choosing a plan. If you need assistance, you can contact the Ohio Medicaid customer service line at 1-800-324-8680.
How to Change Your Medicaid Plan in Ohio
To change your Medicaid plan in Ohio, you can follow these steps:
- Visit the Ohio Medicaid website.
- Click on the “Plans & Providers” tab.
- Select “Change Your Plan.”
- Enter your Medicaid ID number and password.
- Select the plan that you want to change to.
- Review the plan benefits and costs.
- Click on the “Change Plan” button.
- Your plan change will be effective on the first day of the following month.
Table of Medicaid Plans in Ohio
The following table shows a comparison of the different Medicaid plans available in Ohio:
| Plan Name | Benefits | Costs | Network of Providers |
|---|---|---|---|
| Buckeye Health Plan | Medical, dental, vision, and hearing coverage | $0 monthly premium | Over 40,000 providers |
| CareSource | Medical, dental, vision, and hearing coverage | $0 monthly premium | Over 30,000 providers |
| Humana Medicaid | Medical, dental, vision, and hearing coverage | $0 monthly premium | Over 20,000 providers |
| OhioRISE | Medical, dental, vision, and hearing coverage | $0 monthly premium | Over 10,000 providers |
Types of Medicaid Plans in Ohio
Ohio offers three different Medicaid plans to choose from:
- Buckeye Health Plan:
- Offers a wide range of healthcare services, including medical, dental, vision, and mental health care.
- Requires a monthly premium, but the amount you pay will depend on your income and family size.
- OhioRISE:
- Provides comprehensive health coverage for people with developmental disabilities.
- Includes services like physical therapy, occupational therapy, speech therapy, and more.
- Managed Care Plans:
- Offer a variety of healthcare services, including medical, dental, vision, and mental health care.
- Have a network of providers that you can choose from.
- May require a referral from your primary care doctor to see a specialist.
Changing Your Medicaid Plan
If you’re already enrolled in a Medicaid plan and want to change to a different one, you can do so during the annual Open Enrollment Period. This period typically runs from November 1st to January 31st each year.
To change your Medicaid plan, you can:
- Call the Ohio Medicaid Helpline at 1-800-324-8680.
- Visit the Ohio Department of Medicaid website at www.medicaid.ohio.gov.
- Mail a completed Medicaid application form to your local county Department of Job and Family Services.
Helpful Information
Here are some things to keep in mind when changing your Medicaid plan:
- You can only change your plan once during the Open Enrollment Period.
- If you don’t change your plan during the Open Enrollment Period, you’ll have to wait until the next one to do so.
- You may have to change your doctor or other healthcare providers if you switch to a different plan.
- Your new plan may have different coverage and costs than your old plan.
| Plan | Eligibility | Services Covered | Monthly Premium | Provider Network |
|---|---|---|---|---|
| Buckeye Health Plan | Pregnant women, children, and adults with low incomes. | Medical, dental, vision, and mental health care. | $0 – $20 | Large network of providers. |
| OhioRISE | People with developmental disabilities. | Comprehensive health coverage, including physical therapy, occupational therapy, speech therapy, and more. | $0 | Network of providers that specialize in working with people with developmental disabilities. |
| Managed Care Plans | Pregnant women, children, and adults with low incomes. | Medical, dental, vision, and mental health care. | Varies by plan. | Network of providers that varies by plan. |
Change Your Medicaid Plan in Ohio
Ohio Medicaid encourages members to consider all plan options each year during the Open Enrollment Period (October 1, 2023 – March 31, 2024). You can request a change to your plan only once every 90 days, outside of Open Enrollment.
Eligibility
Confirm eligibility and coverage. Find out if you qualify for Medicaid and what services are covered.
Qualify
- Ohio residents
- U.S. citizens or qualified non-citizens
- Meet income and asset limits
Covered Services
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health services
- Substance use disorder treatment
Submit Online Application
If you are eligible and want to change your Medicaid plan, you can submit an online application. To submit an online application, you will need to:
- Go to the Ohio Medicaid website.
- Create an account or log in to your existing account.
- Select the “Change My Plan” option.
- Follow the instructions on the screen to complete the application.
What to Expect After You Submit Your Application
- After you submit your application, you will receive a confirmation email.
- If you are approved, you will receive a new Medicaid card in the mail.
- Your new Medicaid plan will go into effect on the first day of the next month.
Helpful Resources
| Resource | Link |
|---|---|
| Ohio Medicaid website | https://medicaid.ohio.gov/ |
| Ohio Medicaid customer service | 1-800-324-8680 |
Hey there, guys! That’s all I’ve got for you on how to change your Medicaid plan in Ohio. I hope this article has been helpful, and I appreciate you taking the time to read it. If you’ve got any more questions or need more info, don’t be shy— just drop me a comment below, and I’ll do my best to help. Thanks again for reading, and I hope to see you back here soon with more of your Medicaid questions!