It Just Adds Up
Navigating complicated health care needs in two separate health care systems is difficult. Our combined plan simplifies managing your care. With CareSource MyCare Ohio (Medicare-Medicaid Plan) you can streamline your health care day-to-day planning. Picture only having one point-of-contact and one plan, so you can cut down on paperwork and phone calls. Choose CareSource for both Medicare and Medicaid for ease-of-use, but also because of the benefits, like no copays or premiums, transportation services, a 24-hour medical advice line, a large network of providers and a team approach to managing your care that puts you at the center.
CareSource MyCare Ohio is serving people in these Ohio counties:
Columbiana, Cuyahoga, Geauga, Lake, Lorain, Medina, Mahoning, Trumbull, Portage, Stark, Summit, Wayne
Those who are eligible for Medicare Parts A & B and Medicaid who live in our service area may join CareSource® MyCare Ohio. To enroll, call the Ohio Medicaid Consumer Hotline at 1-800-324-8680 (TTY: 1-800-292-3572), or visit www.ohiomh.com and select MyCare Ohio.
You may choose CareSource® MyCare Ohio (Medicare-Medicaid Plan):
- for BOTH Medicare and Medicaid. With this option, you enjoy the FULL benefit of coordinated care and all the extra benefits in the purple column below.
- for Medicaid only.
The following chart is a summary of what you get when you have:
(MEDICARE + MEDICAID)
|Combined Medicare and Medicaid plan with extra benefits and coordination for simplified planning.||Medicaid-only plan providing standard coverage with no copays and select services.|
|BENEFIT HIGHLIGHTS||BENEFIT HIGHLIGHTS|
|All standard Medicare and Medicaid benefits||All standard Medicaid benefits|
|Waiver Medicaid services (if eligible)||Waiver Medicaid services (if eligible)|
|No Copays for Medicaid-covered drugs||No Copays for Medicaid-covered drugs|
|CareSource24® Nurse Advice Line||CareSource24® Nurse Advice Line|
|Enhanced transportation||Basic transportation|
|No Copays for Medicare services||Over-the-counter (OTC) benefits through the Medicaid covered product list|
|No Copays for Medicaid services|
|No Copays for Medicare Part D drugs|
|$100 quarterly over-the-counter (OTC) drug allowance with FlexCard|
|$500 Flex Allowance for Dental, Vision and Hearing Services & Accessories*|
|PapaPals® Companion Services*|
|Brain Health & Memory Benefit through BrainHQ®|
|Telehealth services via Teladoc©|
|Silver&Fit® Exercise & Healthy Aging Fitness program|
|Coordination of Medicare/Medicaid benefits through one point of contact|
|Incentives and rewards for completing health and wellness activities|
|Mom’s Meals (Two meals per day for 25 days after an observation or acute inpatient hospitalization)|
*The benefits mentioned are a part of special supplemental program for the chronically ill (SSBCI). Not all members qualify. Refer to your Member Handbook for more information.
Plan Benefit Highlights
Over-the-Counter (OTC) Items*
CareSource MyCare Ohio includes a FlexCard with your $100 quarterly allowance for over-the-counter (OTC) items like first aid supplies, vitamins and much more!
Choose no-cost standard memberships at local participating fitness centers/YMCAs or home fitness kits and online classes.
Up to 60 one way trips are provided at no cost to the member to plan-approved locations each year to help you get to doctor appointments, pharmacy, medical tests and treatments, etc.
Brain Health & Memory Benefit through BrainHQ*
BrainHQ® provides the exercise your brain needs to be at its sharpest. Think of it as a personal gym where you exercise your memory, attention, brain speed, people skills, navigation, intelligence and more!
Flex Allowance* ‡
Get an extra $500 per year for Dental, Vision and Hearing services and accessories through your FlexCard benefit.
PapaPals Companionship and Daily Support* ‡
PapaPals® is a network of friendly helpers available both in-person and virtually via a phone call for member support. Service is provided for up to 60 hours per year.
A Care Manager is an advocate who works through the health care system to coordinate your needs. A Care Manager connects with you by phone or face-to-face and works with your providers, including mental health and community services.
A Team Approach to Care Coordination
CareSource and local community agencies team up to help you. Area agencies connect you to non-traditional providers, such as contractors that perform services, to help coordinate care and other needs.
CareSource MyCare Ohio encourages choice and self-help. It gives support so members can stay independent. The approach is person-centered care and coordination of health care with other needs.
* MyCare Medicare + Medicaid members only.
‡ The benefits mentioned are a part of special supplemental program for the chronically ill (SSBCI). Not all members qualify. Refer to your Member Handbook for more information.
Do not risk losing your health coverage! Learn more here
There are changes coming from the Ohio Department of Medicaid and we do not want you to have a gap in your health coverage. There are easy steps you can take now to ensure you do not miss any news or changes to your benefits.
1. Keep your information current. Make sure your address and phone number are up-to-date with the Ohio Department of Medicaid. There are many ways to do this:
- Call 1-800-324-8680 and choose option 8. You can call Monday through Friday, 7 a.m. to 8 p.m. or Saturday 8 a.m. to 5 p.m.
- Log in to the online portal at benefits.ohio.gov.
- Contact a case worker with the County Department of Job and Family Service.
2. Check your mail. If you get a packet in the mail asking you to renew or asking for more information about your Medicaid coverage, respond right away. If you do not respond, you risk losing your coverage, even if you are eligible for Medicaid.
Learn more about these changes at medicaid.ohio.gov.
ALREADY A MEMBER?
Looking for information about your plan or services?
2023 Medicaid Managed Care Annual Open Enrollment
Ohio Medicaid managed care members will be able to select their plan by calling the Ohio Medicaid Consumer Hotline at 1-800-324-8680 or utilizing the Ohio Medicaid Consumer Hotline Member Portal. You do not have to do anything if you want to keep your current Medicaid Managed Care Plan.
Visit the Ohio Medicaid Consumer Hotline website for information.