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Frequently Asked Questions

What is Molina Dual Options MyCare Ohio?
It's a program to provide better, coordinated health care for people with both Medicare and Medicaid, often called dual eligible or duals. Plans that participate in MyCare Ohio are called Medicare-Medicaid Plans.

Why join a Medicare-Medicaid Plan?
By combining the two, you get Medicare and Medicaid services plus prescription drugs in one plan. To make it even easier, a care coordinator and care team works with you to ensure you get all the services you need. 

Why join Molina Dual Options?
We understand that your health and well-being is what matters the most. By coordinating all your Medicare and Medicaid benefits under one plan, Molina Dual Options MyCare Ohio offers health care focused on your unique needs.

This means you create your care team. Doctors, nurses, a care coordinator and other health professionals will be ready to provide the care you need, all under one plan. And that means one Member ID for both Medicare and Medicaid benefits. You don't pay extra to join.

Plus, Molina has over 35 years of experience working closely with our members and communities, providing the high quality health care you need and deserve.

What benefits and services will be available?
A plan like Molina Dual Options will combine and coordinate all your Medicare and Medicaid benefits in one single health plan.

  • All Medicare benefits under
    • Part A - Hospital
    • Part B - Medical
    • Part D - Prescription Drugs
  • Medicaid covered benefits and more


Can I keep my current doctor and other care providers?
We know it's important to you to keep receiving care without interruption. That's why we work with you and your doctors to make sure you get what you need. For a time after you join Molina MyCare Ohio, you may be able to continue to receive care from a provider that is not a network provider. This is called transition of care. Transition of care is important to ensure a smooth transition to our health plan and can last from 90 days up to a year. Your care team will work to add your providers to the Molina MyCare Ohio network. Meanwhile, you must still call Member Services before seeing your provider.

After the time period you must get all your covered​ services from providers who work with Molina Dual Options MyCare Ohio. These are "in-network" providers. Your doctor must agree to work with Molina Dual Options MyCare Ohio.

How will enrollment work?
The Ohio Department of Medicaid sent you a letter about the upcoming Open Enrollment Period. To keep Molina MyCare Ohio for your Medicaid benefits, you do not need to do anything. To get our extra benefits, you need to choose Molina Dual Options for your Medicare benefits, too. For more information, call (855) 665-4623 TTY 711, Monday - Friday, 8:00 a.m. to 8:00 p.m., local time or visit MolinaHealthcare.com/Duals.

You have the right to choose the health plan that is right for you and your unique needs. Make it Molina Dual Options.

How do I enroll?
Call the Ohio Medicaid Consumer Hotline and tell them you want to join Molina Dual Options.

(800) 324-8680
Hearing Impaired TTY (800) 292-3572

Representatives are available from 7:00 a.m. to 8:00 p.m. Monday to Friday and 8:00 a.m. to 5:00 p.m. on Saturday. You can also visit the enrollment website at www.ohiomh.com.

 

Check out the eligibility criteria on the Am I Eligible? section.

Learn How to Enroll in Molina Dual Options.

See What's Covered in Molina Dual Options.

View our Member Section to see all of our Member Resources information.

Have More Questions? Contact Us.

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