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Ohio Medicaid’s managed care plans
Ohio Medicaid’s managed care plans are designed to provide personalized care to meet your healthcare needs. You can explore the managed care plans available and enroll by visiting www.ohiomh.com or by contacting the Ohio Medicaid Consumer Hotline at 1-800-324-8680. Representatives are available 7 a.m. to 8 p.m. Eastern time (ET) Monday through Friday and 8 a.m. to 5 p.m. ET Saturday. They can provide interpreters and answer member questions about open enrollment.
Don’t lose benefits
Your health plan renewal date may be coming soon. If you haven’t already, you may need to recertify to keep getting UnitedHealthcare coverage.
Is your address up to date?
Make sure your current address, phone, and email are on file so you'll get notices about changes to your coverage. Log in at Self Service Portal Home Page (ohio.gov).
We’re here for you Ohio
No-cost or low-cost health coverage from UnitedHealthcare Community Plan.
Helping people is at the heart of all we do
All Ohioans deserve affordable health care, including you. We offer Medicaid plans to help Ohioans get healthy — and stay healthy. We cover adults, people with disabilities, pregnant women, and children with our Ohio Medicaid plans.
Get a plan that gives you more. UnitedHealthcare has a large provider network in Ohio. That gives you many options to choose the right doctors and specialists to fit your health care needs. We also offer more services and extras, which can make a real difference in your life.
Medicaid plans
UnitedHealthcare Community Plan
Our Ohio Medicaid plan covers eligible families, pregnant women of
any age, infants, children and adults. The plan also offers extra
support and care to adults and children with a disability, long-term
illness or special health care needs.
Members must choose a primary care doctor from our network. Plus get access to a 24/7 nurse advice hotline, health education materials and extras that other plans don't offer.
OhioRISE
Ohio Resilience through Integrated Systems and Excellence (OhioRISE) program is a managed care program for youth with behavioral health needs. OhioRISE increases access to in-home and community-based services to ensure OhioRISE members and families have help with systems such as juvenile justice, child protection, developmental disabilities, mental health and addiction, education, and others.
Dual Special Needs plans
Individual & Family ACA plans
UnitedHealthcare offers Individual & Family ACA plans in Ohio. They’re designed to give you the coverage you need without breaking the bank.
Choose from plans in the Bronze, Silver and Gold metal levels. They each come with a variety of benefits, including reliable support from our customer service experts.
See why Ohioans choose UnitedHealthcare
Whatever plan you choose, we’ll help you get the care you need.
- Large variety of network doctors/providers
- No-cost virtual visits
- Low- or no-cost prescription drugs
1Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Other hearing exam providers are available in the UnitedHealthcare network. The plan only covers hearing aids from a UnitedHealthcare Hearing network provider.
It’s your health. It’s your choice.
Everyone deserves affordable health care, including you.
Working adults, people with disabilities, pregnant women, and children who qualify for Medicaid should check out UnitedHealthcare Community Plan.
We have the Medicaid benefits and extras that can make a real difference in your life. All at no cost to you.
Find a doctor you trust in our network
- Dental coverage
- Vision coverage
- Transportation to and from doctor appointments
- 24/7 Nurse Hotline to answer your health questions
- No copays
Sometimes, you might need a little extra help. Get extras not covered by Medicaid.
- Earn rewards for keeping you and your baby healthy
- Earn gift cards for getting preventive services
- Doctor Chat; chat with a doctor wherever you are
- Wellhop for Mom & Baby
We also offer resources to help you make the most of your plan, including:
- Member Services
- Aunt Bertha resource tool
- Care management
- Health education tools
Helping you live a healthier life. We are here for you, OHIO. Remember to choose UnitedHealthcare Community Plan.
To learn more about UnitedHealthcare Senior Care Options, visit UHCCommunityPlan dot com forward slash OH.
Ohio health plans as low as $0 cost
Ohio Medicaid Plans
- No or low-cost
- Pregnant woman and children
- Childless adults
- Low-income individuals and families
- Blind and disabled individuals
Ohio Department of Medicaid
- No or low-cost
- Low-income individuals and families
- Blind and disabled individuals
- All ages
Ohio Dual Special Needs plans
- Those qualifying for both Medicare and Medicaid
- Seniors 65+
- People with disabilities
- No premiums
- Value-added benefits at no cost to you
Featured programs
New On-Demand Self Care for $0
You can get the Self Care app from AbleTo at no cost. Self Care offers you:
- Meditation tools to help you relax
- Mood and habit tracking so you can find patterns and see how your behaviors affect your mood
- Guides around topics that matter most to you
- Optional weekly check-ins to unlock personalized content
To get started, visit ableto.com/begin
We cover Ohio
We’re here for you, Ohio. We have one of the largest networks in Ohio. UnitedHealthcare is proud to offer health care coverage to more than 380,000 Ohioans through Medicaid. We’re here today — and here to stay.
Medicaid 101— what Medicaid will cover
For 2022, Ohio Medicaid will cover:
- Well and sick care
- Pregnancy care
- Care for conditions
- Dental, vision and hearing care
- Home care and supplies
- Rides and other help
NOTE: Benefits may vary by plan type and eligibility. Visit ohiomh.com to learn more.
Extras you get with UnitedHealthcare
- Healthy Rewards — Earn up to $100 in credits for completing healthy activities
- Vision — Includes an annual eye exam, glasses and $150 toward contact lenses to help you see life more clearly
- Dental — Get exams and cleanings every 6 months to help keep your teeth and gums healthy
- Pulsewrx Wireless Phone — As a member, you may qualify for a mobile phone at no cost with unlimited talk, text and data
- No copays — With our plan, there are no copays for covered services
- Transportation – Rides to and from approved medical appointments and pharmacies
- Quitting tobacco – We offer coaching and supplies to help you quit for good
- Obesity care – We cover screenings and counseling
- Disease management – For asthma, diabetes or other chronic conditions
- Housing navigator – To help with your housing needs
Looking for a doctor?
We have a huge network of doctors and specialists in Ohio. We’ll make it easy to see all your options and find the right care providers for you. Search by language, city or ZIP code.
Covered over-the-counter products
UnitedHealthcare Community Plan of Ohio members can get over-the-counter (OTC) products and medicines with a prescription. Just bring the following to the pharmacy:
- Your member ID card
- Prescription from your health care provider
How to find a participating pharmacy
- Visit our website at https://member.uhc.com/communityplan
- Call a Members Matters Representative at 1-800-895-2017, TTY 711 and press 5, 6 or 7
UnitedHealthcare Community Plan covers all medically necessary Medicaid-approved medications. We use a preferred drug list (PDL), which shows the drugs we want providers to prescribe.
Benefits for moms and kids
Build a healthy future for you and your baby with UnitedHealthcare Healthy First Steps®. Our program will help you take the right steps to keep you and your baby healthy.
We’ll help you:
- Choose a pregnancy provider and a pediatrician (child’s doctor)
- Schedule visits and exams and arrange rides to your visits
- Sign up for our maternity rewards program by downloading the Babyscripts myJourney app on your smartphone. Earn $20 just for signing up
- Get top quality breastfeeding supplies including breast pumps, breast milk storage bags, and support from a lactation specialist
- Get Moms Meals delivered during a high-risk pregnancy and post discharge from hospital
- Connect with community resources such as Women, Infants and Children (WIC) services
- Connect with other
expectant moms with Wellhop for Mom & Baby, a free online video
community
Transportation
Our Ohio Medicaid plan provides 30 one-way or 15 round rides per calendar year. All types of transport, including taxi, wheelchair, ambulette, ambulance and stretcher are covered. Members must call to set up trips 5 days in advance.
Approved trips include:
- Dental and vision appointments
- Pharmacies
- Women, infants, and children (WIC) visits
- Job and Family Services offices to renew benefits
- Unlimited trips during pregnancy and after giving birth, for WIC appointments and visits to the newborn intensive care unit
- Trips to food pantries and grocery stores for curbside pick up
Members or their representatives who prefer to use their own vehicle
can claim for mileage.
Health education
Exercise and weight loss
Exercise and weight loss
Losing weight does not have to be hard. Getting more exercise is one of the best ways. Try to get 60 minutes or more of exercise every day. It doesn’t have to mean doing hard exercises or going to the gym every day. Just move your body. Here are some ideas:
Move — dancing to your favorite tunes can help you burn more than 300 calories an hour. If you do play video games, play interactive ones where you have to move. You don’t even have to leave the house. Try exercises like jumping jacks, marching in place, going up and down stairs, push-ups or sit-ups at home.
Walk — take a walk with a friend outside. Walk your dog or your neighbor’s dog, or walk your cat. Instead of driving, walk or bike to school or a friend’s house.
Clean — vacuum your house or apartment. Wash the car. Mow the lawn. It’s another chance for you to get more exercise, and maybe even have some fun.
Unplug — limit your time watching TV or using your smartphone,
computer or other device. Keep screen time to less than two hours a
day. When you do watch TV or use your phone, try marching in place or
exercising while you watch/play.
Healthy eating for a healthy you
When you eat more calories than you use, your body stores the extra calories as fat. A few extra pounds are not bad for most people. But too many extra pounds and too much body fat can be bad for your health. Doctors call this being “overweight” or “obese.”
Body mass index (BMI) is a way to check for obesity. Doctors use your height and your weight to see how much body fat you have. The best way to stay at a healthy weight or to lose weight is to make good food choices. Here are some easy ways to do that every day:
- Eat more vegetables and fruit whenever possible
- Choose low-calorie foods or smaller portions when eating out
- Pick healthy side dishes like apple slices or apple sauce instead of french fries
- Drink water or milk instead of soda
- Try nuts or whole grain crackers instead of chips
- Replace sugary snacks with yogurt or dried fruit (with no added
sugar)
Medicaid plans
OH Medicaid is health insurance for people with low incomes. You might be able to get Medicaid in Ohio if you’re pregnant, have children or live with a disability. In some cases, other adults may also qualify. Costs to you are low and based on your ability to pay. It’s important to know that Medicaid rules and coverage differ from state to state.
Dual Special Needs Plans (D-SNP)
Dual Special Needs Plans (also called dual health plans or D-SNPs for short) are for people who get both Ohio Medicaid and Medicare. Dual plans cover doctor visits, hospital stays and prescription drugs. They offer more benefits and extras than Original Medicare. You’ll keep all your Ohio Medicaid benefits, too.