Montgomery County Care

Montgomery County Care is a pilot health care services program that provides a cost-effective primary care medical home for eligible adults who live in Montgomery County, Ohio. The program was developed out of recommendations from the Montgomery County Health Care Safety Net Task Force and is funded through an award from the Montgomery County Human Services Levy.

Features of the program:

  • Physician office visits at Community Health Centers of Greater Dayton (CHCGD), Five Rivers Health Centers (FRHC) and other designated providers
  • Specialty care office visits with a referral from a primary care provider
  • Basic outpatient lab services through CompuNet
  • 24-hour nurse advice line
  • Disease management for chronic conditions like diabetes and asthma
  • Generic prescription drugs based on a limited formulary, plus certain insulin and diabetic supplies and selected asthma medications
  • Case management including assistance for members with accessing services not provided through the Montgomery County Care Program

To learn more about the program, please see the Montgomery County Care brochure.

Who is eligible?

Eligibility is limited to:

  • Montgomery County residents who are uninsured, at least 19 but not yet 65, who are U.S. citizens
  • Individuals with household income below 200 percent of the Federal Poverty Level (FPL)
  • Individuals not eligible for Ohio Medicaid or SCHIP, or any other type of public assistance

Once an individual is enrolled in Montgomery County Care, health care benefits will be administered by CareSource through Community Health Centers of Greater Dayton, Fiver Rivers Health Centers and a network of specialty providers in Montgomery County.

Income Eligibility Guidelines
Gross Monthly Income Family Size

 

1

2

3

4

200% FPL

$1,862

$2,522

$3,182

$3,842

What costs are involved?

There are no annual premiums for individuals enrolled in the Montgomery County Care program. However, there are minimal co-pays for some services and prescription drugs. The program has a total individual benefit limit of $30,000 per calendar year that includes a $2,000 pharmacy benefit limit.

Montgomery County Care Co-Pay Amounts
Office Visit $5
Specialty Care $10
X-ray $5
Prescription Drugs $5
($2,000 annual pharmacy benefit limit)

Service area

CareSource administers the Montgomery County Care program in Montgomery County, Ohio.

If you have questions about the Montgomery County Care program, Contact Us.