Medicaid in Ohio offers comprehensive health coverage to eligible individuals and families with low income and limited resources. It covers a wide range of essential medical services, including doctor visits, hospital stays, prescription drugs, dental care, and vision care. The program also provides coverage for long-term care services, such as nursing home care and home health care. To qualify for Medicaid in Ohio, individuals must meet certain income and asset limits set by the state. Application for Medicaid can be made through the Ohio Department of Job and Family Services (ODJFS) or through a local county Job and Family Services office.
Eligibility Requirements for Ohio Medicaid
Medicaid is a government-sponsored health insurance program that provides medical coverage to low-income individuals and families. In Ohio, Medicaid is administered by the Ohio Department of Medicaid (ODM).
To be eligible for Ohio Medicaid, you must meet certain requirements. These requirements include:
- Income Guidelines:
- Individuals must have an income at or below 138% of the federal poverty level (FPL).
- Families must have an income at or below 138% of the FPL, plus an additional amount for each additional family member.
- Citizenship Status:
- You must be a U.S. citizen or a qualified non-citizen, such as a permanent resident or refugee.
- Residency:
- You must be a resident of Ohio.
- Age:
- You must be under 19 years old, 65 years old or older, or disabled.
In addition to these general eligibility requirements, there are also specific eligibility requirements for certain groups of people, such as pregnant women, children, and people with disabilities. If you are unsure whether you qualify for Ohio Medicaid, you can contact the ODM for more information.
Income Guidelines for Ohio Medicaid
The following table shows the income guidelines for Ohio Medicaid for individuals and families.
| Family Size | 138% of the Federal Poverty Level |
|---|---|
| 1 | $18,754 |
| 2 | $25,465 |
| 3 | $32,176 |
| 4 | $38,887 |
| 5 | $45,598 |
| 6 | $52,309 |
| 7 | $59,020 |
| 8 | $65,731 |
For each additional family member, add $6,711 to the income limit.
Please note that these income guidelines are subject to change. For the most up-to-date information, please visit the ODM website.
Covered Medical Services under Ohio Medicaid
Ohio Medicaid is a health insurance program that provides coverage to low-income individuals and families. The program covers a wide range of medical services, including:
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment
- Home health care
- Nursing home care
| Service | Covered | Not Covered |
|---|---|---|
| Doctor visits | Yes | No |
| Hospital care | Yes | No |
| Prescription drugs | Yes | No |
| Mental health services | Yes | No |
| Substance abuse treatment | Yes | No |
| Dental care | Yes | No |
| Vision care | Yes | No |
| Hearing aids | Yes | No |
| Durable medical equipment | Yes | No |
| Home health care | Yes | No |
| Nursing home care | Yes | No |
The specific services that are covered under Ohio Medicaid vary depending on the individual’s eligibility category. For example, children and pregnant women are eligible for a wider range of services than adults.
To learn more about the services that are covered under Ohio Medicaid, you can visit the Ohio Department of Medicaid website or call the Ohio Medicaid Customer Service Center at 1-800-324-8680.
What is Medicaid?
Medicaid is a government-funded program that provides financial assistance for medical care to people with low incomes and certain disabilities. Medicaid is administered by individual states, and each state has its own rules and eligibility requirements.
What Does Medicaid Cover in Ohio?
Medicaid in Ohio covers a wide range of medical services, including:
- Doctor’s visits
- Hospital care
- Prescription drugs
- Dental care
- Vision care
- Mental health services
- Substance abuse treatment
- Long-term care
- Hospice care
Medicaid also covers some non-medical services, such as:
- Transportation to medical appointments
- Personal care services
- Homemaker services
- Nutritional counseling
- Case management
Medicaid does not cover all medical expenses. Some services, such as cosmetic surgery and elective procedures, are not covered. Medicaid also does not cover the cost of private health insurance premiums.
Who is Eligible for Medicaid in Ohio?
To be eligible for Medicaid in Ohio, you must meet certain income and asset limits. The income limits are based on the federal poverty level (FPL). The asset limits vary depending on your age, disability status, and family size.
How to Apply for Medicaid in Ohio
To apply for Medicaid in Ohio, you can:
- Apply online at the Ohio Department of Medicaid website.
- Call the Ohio Medicaid customer service line at 1-800-324-8680.
- Visit your local county Department of Job and Family Services office.
When you apply for Medicaid, you will be asked to provide information about your income, assets, and household size. You will also be asked to provide proof of identity and citizenship.
Once you have applied for Medicaid, your application will be reviewed by the Ohio Department of Medicaid. If you are approved for Medicaid, you will receive a Medicaid card in the mail.
Medicaid Coverage Levels
There are different levels of Medicaid coverage in Ohio. The level of coverage you qualify for depends on your income and family size.
| Medicaid Coverage Level | Income Limit | Family Size |
|---|---|---|
| Medicaid for Families and Children | Up to 138% of the FPL | Families with children under 19 years old |
| Medicaid for Pregnant Women | Up to 185% of the FPL | Pregnant women |
| Medicaid for Adults | Up to 138% of the FPL | Adults over 19 years old who are not disabled or pregnant |
| Medicaid for People with Disabilities | No income limit | Adults over 19 years old who are disabled |
If you have questions about Medicaid coverage in Ohio, you can contact the Ohio Department of Medicaid at 1-800-324-8680.
Ohio Medicaid Coverage
Medicaid is a health insurance program jointly funded by the federal and state governments. Medicaid provides coverage for eligible low-income individuals, families, and pregnant women. The Ohio Medicaid program is called Medicaid Managed Care (MMC).
MMC Coverage
- Doctor visits
- Hospitalizations
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Medical supplies
- Transportation to medical appointments
- Home health care
- Nursing home care
MMC Eligibility
To be eligible for MMC, you must meet certain income and asset limits. You must also be a resident of the state of Ohio. For more information on eligibility, visit the Ohio Department of Medicaid website.
How to Apply for MMC
You can apply for MMC online, by mail, or in person. The application process is the same for all three methods. You will need to provide proof of your citizenship or legal residency, your income, and your assets. You may also need to provide proof of your pregnancy or disability.
MMC Benefits
MMC provides a wide range of benefits to eligible individuals. These benefits include access to comprehensive medical care, prescription drug coverage, and mental health and substance abuse treatment. MMC also provides coverage for dental, vision, and hearing care.
MMC benefits are provided through a network of managed care plans. These plans offer a variety of services, including primary care, specialty care, and hospital care. MMC members can choose the plan that best meets their needs.
Resources for Ohio Medicaid Beneficiaries
- Ohio Department of Medicaid website: https://medicaid.ohio.gov/
- Ohio Medicaid Helpline: 1-800-324-8680
- Ohio Medicaid Managed Care Plan Directory: https://medicaid.ohio.gov/consumers/find-a-health-plan
| Category | Services |
|---|---|
| Medical Care | Doctor visits, hospitalizations, prescription drugs, mental health services, substance abuse treatment |
| Dental Care | Routine checkups, cleanings, fillings, extractions |
| Vision Care | Eye exams, glasses, contact lenses |
| Hearing Care | Hearing exams, hearing aids |
| Medical Supplies | Prosthetics, orthotics, wheelchairs, oxygen |
| Transportation | Transportation to medical appointments |
| Home Health Care | Skilled nursing care, physical therapy, occupational therapy, speech therapy |
| Nursing Home Care | Skilled nursing care, custodial care |
Well, now you know what Medicaid can do for you as a resident of Ohio! I appreciate you taking the time to explore this topic with me. I hope it’s helped shed some light on what Medicaid covers. Do you have any lingering questions? Reach out if you do, and I’d be happy to help. In the meantime, make sure to check back later for more updates on what Medicaid offers in Ohio—until then, take care!