Eligibility Requirements

Are you able to be a MyCare Ohio member?

You may be able to sign up for a MyCare Ohio plan if you:

  • Are a U.S. Citizen and
  • Are lawfully present in the U.S. and
  • Live in our service area; and
  • Have Medicare Parts A, B and D; and
  • Have full Ohio Medicaid coverage; and
  • Are 18 years of age or older at time of enrollment.

You cannot sign up for a MyCare Ohio plan if you:

  • Have other third party health care coverage except for Medicare.
  • Have intellectual or other developmental disabilities and receive services through a waiver or Intermediate Care Facility for Individuals with Intellectual Disabilities (ICFIID).
  • Are enrolled in PACE (Program for All-Inclusive Care for the Elderly).

You may choose not to be a member of a MyCare Ohio plan if you:

  • Are a member of a federally recognized Indian tribe;
  • Have been determined by the County Board of Developmental Disabilities to qualify for their services; or
  • Are 18 years of age and receiving foster care/adoption assistance under Title IV-E, in foster care or an out-of-home placement, or receiving services through the Ohio Department of Health’s Bureau for Children with Medical Handicaps (BCMH).

If you think you meet any of the above rules and should not a member, please call Member Services for help.

Buckeye is available only to people who live in our service area. Our service area includes Clark, Cuyahoga, Fulton, Geauga, Greene, Lake, Lorain, Lucas, Medina, Montgomery, Ottawa, and Wood.

If you move to an area outside of our service area, you cannot stay in this plan. If you move, please report the move to your County Department of Job and Family Services office, Social Security office, and to Buckeye.

Call the Ohio Medicaid Consumer Hotline at 1-800-324-8680 (TTY: 711) from 7 a.m. to 8 p.m., Monday through Friday, and 8 a.m. to 5 p.m. on Saturdays for assistance.

Last Updated: 09/30/2017
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