Am I Eligible to enroll in a Molina Dual Options MyCare Ohio Plan?

The Ohio Department of Medicaid will let you know if you are eligible for the MyCare Ohio program. You are eligible if:

  • You are receiving full benefits from both Medicare and Medicaid
  • You are 21 years of age or over
  • You reside in the MyCare Ohio service area

 

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 enroll in a MyCare Ohio plan?
Not everyone who has both Medicaid and Medicare can enroll in 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; or
  • 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 a member of a federally recognized Indian tribe, regardless of your age.