As a Dayton resident, you may wonder if you qualify for Ohio’s Medicaid plan. The program and its managed care plans cover more than you think in terms of senior care. Applying for coverage is easier than ever, thanks to online application forms.
To qualify for Ohio Medicaid, you must be a resident of the state with low-income status. Seniors who are age 65 and older, blind or disabled, and receiving SSI, already qualify for the program.
Applying for Medicaid is much easier now as most Dayton residents have access to computers and public WiFi. You can apply online at Ohio.gov. You can also use the website to manage your account and renew your coverage once you are approved.
The Montgomery County Department of Job and Family Services office can answer your questions and help you apply. The office is located at: 1111 S. Edwin C. Moses Blvd., Dayton. You can reach the office at (937) 225-4148. If you need a TTY/TTD line, use (937) 496-6652.
You will need to provide the office with documentation including: identification, proof of residency, social security card, and proof of income. You may be asked to provide bank statements and a list of assets with their real value for income consideration during the review.
Once approved, you will receive a Medical card in the mail. If you are assigned to a managed care plan or choose one, you will receive a separate card from them. Medical cards for fee-for-service members are sent each month. Ohio has five managed care plans: Buckeye Health Plan, Care Source, Molina Healthcare, Paramount Advantage, and United Healthcare. You will only be sent one managed care plan card to present to providers. Make sure your provider or professional service accepts Medicaid and/or the managed care plan.
You will need to renew every 12 months to continue coverage. If anything changes, such as moving to a new home or change in income, you will need to report these changes to the office within 10 days.
Ohio Medicaid covers a wide range of health care and medical services. Some services have set limits, small co-payments, or require prior authorization. The services are covered through the combination of Medicaid and your managed care plan.
The following are a list of covered services: Dental cleanings, dentures, and fillings Emergency room visits and medically necessary ambulance transport Inpatient and outpatient hospital stays Durable medical equipment and devices Prescriptions (unless you have Medicare Part D) Chest x-rays for long-term care facility residents Immunizations Annual physicals Preventative exams and screenings Lab work and x-rays Hearing and vision care Occupational, physical, and speech therapy Doctor and clinic visits Podiatrist and mental health visits Nursing services
Dayton seniors can contact the Department of Job and Family Services about non-emergency transportation to and from Medicaid covered services. The copay is zero for a round trip, as of 2015.
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