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Buckeye Community Health Plan – MyCare Ohio

The Medicare-Medicaid (MMAI) Plan is a joint effort between the Ohio Department of Medicaid (ODM) and the Centers for Medicare and Medicaid Services (CMS).  This plan provides benefits to enrollees of both programs.  Buckeye Community Health Plan is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees –you must enroll in both programs through Buckeye if you want all of your Medicaid and Medicare services covered by Buckeye!  The goal of this program is to improve the experience in accessing quality, coordinated care.

 What is MyCare Ohio?

MyCare Ohio is new managed care program that will coordinate physical, behavioral, and long-term care services for individuals age 18 and older, who are eligible for both Medicaid and Medicare.  This includes people with disabilities, older adults, and individuals who receive behavioral health services.

As a member of Buckeye Community Health Plan – MyCare Ohio, you will still be able to get all medically-necessary Medicaid and Medicare-covered services including Healthcheck (EPSDT) services.  Here are some of the benefits you will receive at no additional cost by enrolling with a MyCare Ohio plan for your Medicare and Medicaid services:

  • A MyCare Ohio health plan to serve as your single point of contact for all of your Medicare and Medicaid services.
  • You will carry a single ID card for all of your Medicare and Medicaid Services
  • You will have access to a Nurse Advice line available 24 hours a day, 7 days a week, that will offer immediate assistance with your questions and concerns.
  • You will have a care team, which will include you, your family, your doctor(s), your MyCare Ohio health plan and anyone else you choose to help you make decisions about your health care.

Does everyone who has both Medicaid and Medicare have to enroll in a MyCare Ohio plan?

No. You do not have to enroll in a plan if you:

  • Do not have full Medicaid benefits and Medicare Parts A and B;
  • Are younger than age 18;
  • Receive PACE;
  • Have a spenddown;
  • Have any private medical insurance, including retiree benefits, other than a Medicare Advantage plan; or
  • Do not live in one of the these counties: Butler, Clark, Clermont, Clinton, Columbiana, Cuyahoga, Delaware, Franklin, Fulton, Geauga, Greene, Hamilton, Lake, Lorain, Lucas, Madison, Mahoning, Medina, Montgomery, Ottawa, Pickaway, Portage, Stark, Summit, Trumbull, Union, Warren, Wayne, or Wood

If you meet one of the exclusions above, call the Medicaid Consumer Hotline at 1-800-324-8680 or visit www.ohiomh.com. Otherwise, you must choose a plan.

What counties is Buckeye in?

Buckeyes’ service area includes the following counties in Ohio: includes Clark, Cuyahoga, Fulton, Geauga, Greene, Lake, Lorain, Lucas, Medina, Montgomery, Ottawa, and Wood.

This information is available for free in other languages and formats (e.g., large print, Braille, audio CD). Please call our Member Service number at 1-866-549-8289 (TTY 1-800-750-0750). Hours are Monday through Sunday 8:00 AM to 8:00 PM.

Esta información está disponible gratis en otros idiomas. Por favor llame a nuestro número de Servicios para el Cliente al 1-866-549-8289 o para los usuarios de TTY/TDD al 1-800-750-0750. Nuestras horas de oficina son de lunes a domingo, de 8:00 AM a 8:00 PM

 

H0022_MMP14_008 CMS Approved 5/19/2014