Medicaid Eligibility in Ohio

Calendar Icon Updated February 11, 2019
Medicaid

Funded by both the federal and state government, the health  insurance program known as Medicaid was designed with low-income  families in mind. Children, elderly, and disabled members of society are  often first among the list of eligible applicants in the state of Ohio.  Before applying, it is important to note the state’s specific criteria  for getting approved and accepted into the program to receive coverage.

Ohio’s Requirements for Medicaid Qualification

Ohio  only approves applicants who meet the necessary requirements as set  forth by the state. Certain income standards ensure only those who truly  need the assistance receive it. With thousands of people on Medicaid in the state, it is not possible for everyone to get approved. Children  and pregnant women are among the most common recipients, although  adults who fall below the poverty level are now eligible as well. The  Ohio Benefits website allows potential applicants to check if they may be eligible for services before even having to submit a full application.

How to Apply for Medicaid in in Ohio

Multiple  methods exist for applying for Ohio Medicaid. Many people have taken to  the online version which is fast to use and initiates a quick response.  A pop-up window comes on the screen when attempting to start a new application. It  allows users to either sign in with an existing account or create an  account if it is their first time. Provide a first and last name, date  of birth, and social security number to sign up and start the process.

Those  who do not wish to use the online version may instead visit their local  office to fill out a paper form. It can get submitted directly to a  worker who can assess the information and approve or deny the claim. It  is also possible to apply by telephone by calling the Ohio Medicaid  Consumer Hotline at (800) 324-8680.

Ohio Medicaid Application

Start  by creating an account that allows you to access your information now  and in the future. First and last name, date of birth, and social  security are required to create the account and begin the process. After  setup, the application will allow you to fill out questions and provide  the necessary details. Contact details, income information, outgoing  bills, bank account information, and more needs to get disclosed so your  caseworker can determine your eligibility and need.

What Does Medicaid Cover in Ohio?

A variety of covered services provide Medicaid recipients with the medical care they need. Emergency  room visits, dental care for those under 21, family planning services,  inpatient and outpatient hospital services, pregnancy, preventative  health, and more ensures all Medicaid patients get the care they require  when they require it.

Income Requirements for Ohio Medicaid

Household  size and total amount of income versus outgoing bills plays a part in  determining the income limit for each family. Single-family households  can make up to $15,800 per year, while a four-person family can bring in  $32,319 per year to qualify. Those who fall well below the poverty  line, as well as children and pregnant women, qualify most often.

How Much Does Medicaid Cost in Ohio?

More than $21 billion gets spent on Ohio Medicaid costs.  The federal government shares these expenses with the state, with Ohio  allocating over 37 percent of their budget to its funding. This amount  will only grow over time, as there are plans to expand the program to  ensure more people who need coverage can receive it.

Cost and Coverage of Medicaid in Ohio

Low-income  families do not usually have the means to pay for services. The state  and federal program offered covers all or nearly all of the costs  instead. There may be a co-pay for some recipients, but it is often a small dollar amount that is  doable for most people. Non-emergency services and dental services  typically only have a $3 co-pay associated with them.

Prescription Drugs with Medicaid in Ohio?

Some  prescription drugs are covered by Ohio Medicaid. Some come fully  covered, while others have a co-pay involved to purchase them. Generic  medicines cost less, often just $2 per bottle. Medications that require a  prior authorization from a doctor to obtain cost at least $3 to fill.

Which Medicaid Plan is Best in Ohio?

Five  Medicaid plans exist in Ohio. While each has its ideal qualities, one  of the best plan choices is CareSource. It receives high ratings for  keeping kids healthy and the communication and service provided by  associated doctors.

Eligibility Team

Read More