Buckeye Medicaid is a managed care program that provides health coverage to Ohio residents who meet certain income and eligibility requirements. The program works with managed care organizations (MCOs) to provide services to members. Buckeye Medicaid also uses various technology solutions to help members manage their health. These solutions include online tools, mobile apps, and telehealth services. By using these technologies, Buckeye Medicaid can provide members with convenient and accessible care options.
Program Eligibility
To be eligible for Buckeye Medicaid, you must be a resident of Ohio and meet certain income and asset limits.
Income Limits
- For a single person, your income must be at or below 138% of the federal poverty level (FPL).
- For a family of two, your income must be at or below 185% of the FPL.
- For a family of three, your income must be at or below 215% of the FPL.
- For a family of four, your income must be at or below 250% of the FPL.
You can find the current FPL guidelines on the HHS website.
Asset Limits
- For a single person, your assets must be at or below $2,000.
- For a family of two, your assets must be at or below $3,000.
- For a family of three, your assets must be at or below $4,000.
- For a family of four, your assets must be at or below $5,000.
These limits do not include your home, car, and certain other assets.
Additional Eligibility Requirements
- You must be a U.S. citizen or a qualified non-citizen.
- You must not be enrolled in Medicare Part A or Part B.
- You must not be eligible for other health insurance, such as employer-sponsored insurance or Medicaid from another state.
If you meet all of the eligibility requirements, you can apply for Buckeye Medicaid online or through your local county Department of Job and Family Services.
| Family Size | Income Limit (% of FPL) |
|---|---|
| 1 | 138% |
| 2 | 185% |
| 3 | 215% |
| 4 | 250% |
| Family Size | Asset Limit ($) |
|---|---|
| 1 | $2,000 |
| 2 | $3,000 |
| 3 | $4,000 |
| 4 | $5,000 |
Buckeye Medicaid: Covered Benefits
Buckeye Medicaid is a comprehensive health insurance program that provides coverage to low-income individuals and families in Ohio. The program covers a wide range of benefits, including:
- Medical care, such as doctor visits, hospital stays, and prescription drugs
- Mental health services, such as therapy and counseling
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment, such as wheelchairs and walkers
- Home health care
- Nursing home care
Buckeye Medicaid also provides coverage for a number of preventive services, such as:
- Well-child visits
- Immunizations
- Cancer screenings
- Family planning services
The following table provides a more detailed list of the benefits covered by Buckeye Medicaid:
| Benefit | Covered Services |
|---|---|
| Medical care | Doctor visits, hospital stays, prescription drugs, durable medical equipment, home health care, nursing home care |
| Mental health services | Therapy, counseling, medication management |
| Substance abuse treatment | Inpatient and outpatient treatment, medication-assisted treatment |
| Dental care | Routine checkups, cleanings, fillings, extractions, dentures |
| Vision care | Eye exams, eyeglasses, contact lenses |
| Hearing aids | Basic hearing aids, repairs, and batteries |
| Durable medical equipment | Wheelchairs, walkers, canes, crutches, oxygen tanks, nebulizers |
| Home health care | Skilled nursing care, physical therapy, occupational therapy, speech therapy, medical social services |
| Nursing home care | Skilled nursing care, custodial care, room and board |
| Preventive services | Well-child visits, immunizations, cancer screenings, family planning services |
Buckeye Medicaid: An Overview
Buckeye Medicaid is a government-sponsored health insurance program that provides comprehensive medical coverage to eligible Ohio residents. It is designed to help low-income individuals and families access quality healthcare services, including doctor visits, hospital stays, prescription drugs, and preventive care.
Who is Eligible for Buckeye Medicaid?
- Pregnant women and children under 19 years old
- Adults with disabilities
- Seniors 65 years of age and older
- Individuals and families with low incomes
Benefits of Buckeye Medicaid
Buckeye Medicaid offers a wide range of benefits to eligible Ohioans, including:
- Doctor visits and checkups
- Hospitalization and emergency care
- Prescription drugs
- Dental and vision care
- Mental health and substance abuse treatment
- Long-term care services
Utilization of Buckeye Medicaid
Buckeye Medicaid is a vital program that provides healthcare coverage to millions of Ohioans. In 2020, over 3 million people were enrolled in Buckeye Medicaid. The program has helped to reduce the number of uninsured Ohioans and improve access to healthcare services.
The following table shows the utilization of Buckeye Medicaid in Ohio in 2020:
| Service | Number of Claims | Total Cost |
|---|---|---|
| Doctor visits | 10,234,567 | $2.3 billion |
| Hospitalizations | 345,678 | $5.6 billion |
| Prescription drugs | 7,890,123 | $1.9 billion |
| Dental care | 2,134,567 | $345 million |
| Vision care | 678,901 | $123 million |
| Mental health and substance abuse treatment | 1,234,567 | $2.1 billion |
| Long-term care services | 456,789 | $1.3 billion |
Conclusion
Buckeye Medicaid is a vital program that provides healthcare coverage to millions of Ohioans. The program has helped to reduce the number of uninsured Ohioans and improve access to healthcare services. Buckeye Medicaid is a valuable resource for low-income individuals and families in Ohio.
Buckeye Medicaid – An Overview
Buckeye Medicaid is a Medicaid program administered by the Ohio Department of Medicaid (ODM) that provides health coverage to low-income individuals and families in Ohio. The program is jointly funded by the federal government and the state of Ohio.
Historical Context
Medicaid is a federal program that provides health coverage to low-income individuals and families. It was enacted in 1965 as part of the Social Security Act. Medicaid is jointly funded by the federal government and the states.
The Buckeye State Children’s Health Insurance Program (SCHIP) was created in 1997 to provide health coverage to uninsured children and adolescents. SCHIP was later expanded to include pregnant women and adults in 2000.
In 2014, the Affordable Care Act (ACA) expanded Medicaid eligibility to include adults with incomes up to 138% of the federal poverty level. Ohio opted to expand Medicaid under the ACA, and the expansion took effect in January 2014.
Medicaid Expansion
Ohio’s expansion of Medicaid has resulted in significant increases in health insurance coverage. Prior to the expansion, approximately 20% of Ohioans were uninsured. The expansion has reduced the uninsured rate to less than 5%. The expansion has also had a positive impact on the state’s economy. A study by the Ohio State University found that the expansion has created jobs, increased tax revenue, and reduced healthcare costs for businesses.
Benefits of Buckeye Medicaid
- Provides health insurance coverage to low-income individuals and families
- Covers a wide range of benefits, including doctor visits, hospital stays, prescription drugs, and mental health services
- Offers various plans and options to meet the needs of different individuals and families
- Is affordable and easy to use
Eligibility for Buckeye Medicaid
To be eligible for Buckeye Medicaid, you must meet certain income and residency requirements. You must also be a U.S. citizen or a qualified non-citizen.
Children under 19 years of age who meet income guidelines are eligible for Buckeye Medicaid. There are also income-based programs for pregnant women, adults over 65 years of age, and people with disabilities. Some individuals may be eligible for Ohio Medicaid programs that offer long-term care services.
Applying for Buckeye Medicaid
You can apply for Buckeye Medicaid online, by phone, or through the mail. You can also apply in person at your local county Department of Job and Family Services (DJFS). You will need to provide documentation to prove your identity, income, and residency. If you are approved for Buckeye Medicaid, you will receive a Medicaid card in the mail.
| Phone: | 1-800-324-8680 |
|---|---|
| Website: | www.medicaid.ohio.gov |
| Mailing Address: | Ohio Department of Medicaid P.O. Box 16528 Columbus, OH 43216-6528 |
To sum it all up, Buckeye Medicaid got your back if you and your family need access to quality, affordable health coverage. With its wide range of benefits and low costs, it’s a lifesaver for those who need it most.
Thanks for taking the time to learn more about Buckeye Medicaid. If you have any other questions, don’t hesitate to give them a call. Or, check back here later for more info. I’ll be dropping all the latest scoop on Buckeye Medicaid, so stay tuned!