Benefits

We offer you the extra benefits you need and deserve.
As a
Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan) member, your Medicare and Medicaid benefits are set up so you get the most out of your plan!

Molina Dual Options MyCare Ohio offers a range of other services under this plan! Such as:

Dental
We offer additional dental benefits that include preventive and comprehensive dental services such as cleanings, fillings, and dentures.  The services listed below are examples of covered services, and each has a specific limit (e.g., maximum allowance, number of procedures, and/or frequency of services): 

  • Dental exams
  • X-rays
  • Routine cleanings
  • Fluoride
  • Fillings
  • Deep cleanings
  • Crowns and bridges
  • Extractions
  • Root canals
  • Dentures
  • Anesthesia

 

Fitness
The Silver&Fit® program offers you access to participating fitness centers and/or a Home Fitness Kit.

If you have a caregiver, you can bring them with you to help you use the fitness center’s services and equipment.

There are two ways to start using your Silver&Fit® benefit:

  • Go to SilverandFit.com. After registering on the website, you can find fitness centers, pick a Home Fitness Kit, and search for online classes.
  • Call Silver&Fit® customer service at (877) 427-4711 (TTY: 711), Monday to Friday, 8 a.m. to 6 p.m., local time, excluding holidays.

 

Over-the-Counter (OTC Benefit)
You can get non-prescription OTC health and wellness items like vitamins, sunscreen, pain relievers, cough and cold medicine and bandages. 

You can use your MyChoice card:

  • In Store: Through participating retail locations.
  • Online: Visit NationsOTC.com/Molina
  • By Phone: Call (877) 208-9243 (TTY: 711) to speak with a NationsOTC Member Experience Advisor, 24 hours a day, 7 days a week, 365 days a year.
  • By Mail: Fill out and return the OTC Order Form in the OTC Product Catalog.

Things to remember:

 

Transportation
You can get a ride to your health care appointments such as office visits, physical therapy, dialysis or to pick up prescriptions at your local pharmacy. If you have recurring appointments, these can be scheduled ahead of time. 

Transportation Reservation Number: (844) 491-4761
(TTY: 711), 24 hours a day, 7 days a week.

If you need to cancel your transportation services, please call 24 hours in advance of your appointment.

Things to remember:

  • It is important to call 2 calendar days in advance of your appointment to schedule the transportation.
  • If you need to cancel your transportation services, please call 24 hours in advance of your appointment.
  • If you require special assistance such as wheelchair accessible, please mention that when making your appointment so the most appropriate transportation can be arranged.
  • You will need prior authorization if you travel over 100 miles for a one-way trip.

 

Vision
Your eyes are the tools to see the world! Let us help you keep them safe and healthy!  (It is important to keep them safe and healthy.) We offer vision care services such as eye exams, eyeglasses, and contacts to help ensure you see clearly and stay well so you don’t miss a single moment with your loved ones. 
  

 

Healthy Actions Program

Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan) wants to help you reach your best health! As a member of Molina Dual Options MyCare Ohio, you can receive rewards for completing healthy actions throughout the year. We want to help encourage you on your path to well-being!

All you must do is:

  • Complete your healthy actions between 1/1/2024 - 12/31/2024
  • Claim your rewards by 1/31/2025

 

WHAT ARE HEALTHY ACTIONS?

Healthy actions are preventive and wellness visits with your doctor. You and your doctor can discuss a personal care plan based on your health needs. Although routine care visits cannot prevent health problems, they can help detect illnesses before they become more serious.

WHICH HEALTHY ACTIONS CAN I COMPLETE?

The grid below shows a list of health screenings that are available for Molina Dual Options MyCare Ohio members. Talk with your doctor to determine which screenings are right for you.

 

Screening

Description

Annual Wellness Visit

Yearly check up with your doctor to create a preventive care plan.

Blood Pressure Screening

Blood pressure screening completed by your doctor for adults ages 18-85 diagnosed with hypertension.

Breast Cancer Screening

Mammogram to check breast tissue for breast cancer in women ages 50-74.

Diabetes A1c Test

Blood test to check your blood sugar levels for adults ages 18-75 with diabetes.

Flu Shot

Yearly vaccine to lower your chances of getting seasonal flu.

 

WHO DO I COMPLETE MY HEALTHY ACTIONS WITH?

Call your doctor to schedule a visit. You can find a doctor online using the Find a Provider tool at MolinaProviderDirectory.com/OH or your My Molina portal. You can also call the Health and Wellness Line at: (844) 487-3261, TTY: 711, Monday – Friday, 8 a.m. to 5 p.m., local time, for assistance.

 

HOW DO I CLAIM MY REWARD?

You can claim your reward by:

Mail – You will receive an attestation form to your mailing address which you can fill out and send back to us; no postage is required.

Phone – Call Health and Wellness Line at: (844) 487-3261, TTY: 711, Monday – Friday, 8 a.m. to 5 p.m., local time.

 

THINGS TO KNOW ABOUT YOUR REWARDS

Your rewards will be loaded onto your MyChoice Card.

Use your earned rewards to buy healthy food and produce at the same stores that already take MyChoice.  

Find participating stores at Flex.MolinaHealthcare.com.  Visit your My Molina portal to get more information.

This incentive is for in-store use only. You cannot use this incentive online.

The rewards stay on your MyChoice card in the incentives purse as long as you are a Molina Dual Options MyCare Ohio member. Renewing members will have their incentives roll over into their new plan year. 

If you leave Molina Dual Options MyCare Ohio and you have incentives dollars left in your purse, you have the option to receive a CVS gift card. 

Watch a video at Molinaflexcard.com to learn more.

Rewards are awarded for healthy actions completed between January 1, 2024 – December 31, 2024. You can earn only one reward this year for each eligible completed screening.

Molina Dual Options MyCare Ohio’s reward program is subject to change without notice based on guidance from the Centers for Medicare and Medicaid services (CMS) and the state.

If you have questions or need help, please call the Health and Wellness line at (844) 487-3261, TTY: 711, Monday – Friday, 8 a.m. to 5 p.m., local time.

 

Information You Need
We want you to make the right health care choices. Your Summary of Benefits, Member Handbook, Provider and Pharmacy Directory, and other resources are available here.  

*Printed copies of information posted on our web site are available upon request.

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