Who is eligible for Ohio Medicaid?

Because Ohio has expanded Medicaid under the ACA, low-income adults without dependent children are eligible for the first time in 2014.  The following residents can enroll in Medicaid in Ohio (immigration rules apply):

  • Adults with household income up to 133 percent of poverty (138 percent after the built-in 5 percent income disregard).
  • Children with household income up to 206 percent of poverty.
  • Pregnant women with household income up to 200 percent of poverty.

How do I enroll?

Enrollment in Medicaid is year-round; you do not need to wait for an open enrollment period if you’re eligible for Medicaid

  • Ohio uses the federally-run insurance marketplace, so you can enroll through HealthCare.gov or use their call center at 1-800-318-2596.
  • You can use the Ohio Medicaid (Ohio Benefits) website to enroll.  You click on “check your eligibility” first, and if you’re eligible it will take you to the enrollment page.
  • You can call or visit your county Department of Job and Family Services office (click on your county to see contact information).

Once you enroll in Ohio Medicaid, you’ll get a basic Medicaid (fee-for-service) ID card in the mail.  Shortly after that, most new enrollees will receive a letter from Ohio Medicaid, asking them to select a Medicaid Managed Care program.  There are five available:  Buckeye Health Plan, CareSource, Molina Health Plan, Paramount Advantage, and UnitedHealthcare.