How Medicare eligibility works
Molina Medicare Complete Care (HMO D-SNP) is a Medicare Advantage plan for people who have both Medicare and Medicaid. It includes all original Medicare benefits and more.
You can join if:
- You live in the plan’s service area
- You have Medicare Part A
- You have Medicare Part B, and you or Medicaid continue to pay your Part B premium (if needed)
- You have Medicaid
- You are in a qualifying dual eligible group (see your Evidence of Coverage booklet for specific qualifications)
Ways to enroll:
2027 Online Enrollment Form
2027 Enrollment Form - Molina Complete Care for MyCare Ohio (HMO D-SNP)
2027 Enrollment Form - Molina Complete Care Connect for MyCare Ohio (HMO D-SNP)
2026 Enrollment Form − Molina Medicare Complete Care (HMO D-SNP)
2026 Enrollment Form − Molina Complete Care for MyCare Ohio (HMO D-SNP)
Mail your form to:
Molina Healthcare
Attn: Membership Accounting
PO Box 940149, Plano, TX 75094
- Apply through Medicare. Visit the CMS Medicare Online Enrollment Center: Medicare.gov
Need help?
Call (866) 403-8293 (TTY 711), Monday–Saturday, 8 a.m. to 8 p.m. local time.

Starting January 1, 2027, the list of plans available within the county
- Molina Complete Care for MyCare Ohio (HMO D-SNP): Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Carroll, Champaign, Coshocton, Crawford, Darke, Defiance, Erie, Fairfield, Fayette, Gallia, Guernsey, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lawrence, Licking, Logan, Marion, Meigs, Mercer, Miami, Monroe, Morgan, Morrow, Muskingum, Noble, Paulding, Perry, Pike, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Tuscarawas, Van Wert, Vinton, Washington, Williams, Wyandot, Clark, Cuyahoga, Delaware, Franklin, Greene, Hamilton, Madison, Montgomery, Pickaway, Stark, Summit, Union, Butler, Clermont, Clinton, Columbiana, Fulton, Geauga, Lake, Lorain, Lucas, Mahoning, Medina, Ottawa, Portage, Trumbull, Warren, Wayne, Wood
- Molina Complete Care Connect for MyCare Ohio (HMO D-SNP): Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Carroll, Champaign, Coshocton, Crawford, Darke, Defiance, Erie, Fairfield, Fayette, Gallia, Guernsey, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lawrence, Licking, Logan, Marion, Meigs, Mercer, Miami, Monroe, Morgan, Morrow, Muskingum, Noble, Paulding, Perry, Pike, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Tuscarawas, Van Wert, Vinton, Washington, Williams, Wyandot, Clark, Cuyahoga, Delaware, Franklin, Greene, Hamilton, Madison, Montgomery, Pickaway, Stark, Summit, Union, Butler, Clermont, Clinton, Columbiana, Fulton, Geauga, Lake, Lorain, Lucas, Mahoning, Medina, Ottawa, Portage, Trumbull, Warren, Wayne, Wood