Molina Complete Care for MyCare Ohio (HMO D-SNP) Plan Eligibility
The Ohio Department of Medicaid will let you know if you are eligible for the MyCare Ohio program. You are eligible if:
- You get full benefits from both Medicare and Medicaid
- You are 21 years of age or older
- You live in the MyCare Ohio service area
If you do not select a MyCare Ohio plan to cover both your Medicare and Medicaid benefits, the Ohio Department of Medicaid will choose a plan for you. You have the right to choose the health plan that is right for you and your health care needs. Make it Molina Complete Care for MyCare Ohio. Learn How to Enroll.
Who is not eligible to join the Molina Complete Care for MyCare Ohio plan?
Not everyone who has both Medicaid and Medicare can enroll in Molina Complete Care for MyCare Ohio. You cannot enroll if you:
- Do not have full Medicaid benefits and Medicare Parts A, B and D;
- Are younger than age 21;
- Are enrolled in PACE (Program for All-Inclusive Care for the Elderly);
- Have any private creditable medical insurance, including retiree benefits, other than a Medicare Advantage plan;
- Have intellectual or other developmental disabilities and receive services through a waiver or Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID)
- You are an individual who receives home and community-based waiver services through the Ohio Department of Developmental Disabilities.
Additionally, you have the option not to be a member of a MyCare Ohio managed care plan if:
- You are the member of a federally recognized Indian tribe, regardless of your age.