Ohio Health Services FAQs

  1. How are Medicare and Medicaid programs managed in the state of Ohio?

    Medicare and Medicaid are managed by the Ohio Department of Job and Family Services within the Ohio Department of Medicaid. Specifically, the department has simplified the process of applying for these services in the state through the online Ohio Benefits portal.

  2. How can I apply for Medicare or Medicaid in Ohio?

    The Ohio state government has implemented an online portal to apply for and learn more about Medicare/Medicaid called the Ohio Benefits portal. This is a webpage that is accessible through the Ohio government website.

  3. What are the most recommended Medicare or Medicaid programs?

    Each patient is different, and as such, maintains different needs for health care. More so, eligibility for programs such as Medicare or Medicaid depend largely on the applicant’s age and medical condition. Before choosing a program, review your potential benefits and eligibility through the Ohio Benefits portal or the official Medicare website.

  4. Is there a difference between Original Medicare (OM) and the coverage offered by Medicare Advantage (MA)?

    There are no significant differences in terms of the minimum standard of care between OM or MA. All plans within Medicare Advantage must provide the same services offered within OM. The difference lies in how MA comprehensively includes coverage for drug prescriptions while OM does not. Learn more about prescription drug coverage by downloading our free guide.

  5. Are there tools used to compare Medicare plans in Ohio?

    Although the Ohio Department of Insurance cannot rate Medicare plans, there are several private organizations that specialize in identifying the best plan for you, such as Standard & Poor and Consumer Reports. Qualified representatives at the Ohio Senior Health Insurance Information Program (OSHIIP) may be able to connect you with these organizations.

  6. What resources are there in Ohio to better understand Medicare and Medicaid benefits?

    The Ohio Benefits website provides information online to residents of particular counties. There is also the OSHIIP program, which connects patients with trained volunteers to discuss and clarify healthcare questions.

  7. Does the Ohio Benefits portal work for everyone?

    Ohio Benefits primarily works for individuals in one of five Ohio state counties: Clark, Fairfield, Licking, Summit and Warren. Those residing in other counties can still receive information on the portal, but may not be able to apply for services. Furthermore, Ohio Benefits also provides information on food and cash benefits.

  8. What other health service programs does the state of Ohio provide?

    The state of Ohio provides a number of health services beyond simply Medicare and Medicaid. The state also provides drug addiction services, free clinics and mental health resources for Ohio residents.

  9. Are any health service programs designed specifically for children and families?

    The state of Ohio maintains programs for children through Healthy Ohio as part of an outreach campaign designed to promote healthy eating, eliminate child abuse and provide preventive healthcare essentials. Further, Ohio state also maintains programs for pregnant women to receive assistance and habilitation services.

  10. What agencies manage these health service programs, and how can I get in contact with them?

    There are four major agencies that administer these health service programs. They are as follows: the Commission on Minority Health, the Department of Mental Health and Addiction Services, the Department of Health and the Governor's Office of Health Transformation. Each of these departments can be reached via the Ohio state government website.

  11. What initiatives is the Ohio state government focusing on in terms of health care?

    The state government is currently working on modernizing Medicaid for Ohio residents, streamlining access to Medicaid and other health services and providing more tangible value for residents in terms of care. Learn more about Ohio Medicaid in our complimentary guide.

  12. How is Medicaid being modernized in Ohio state?

    The state’s initiative to modernize Medicaid is being done by integrating Medicare and Medicaid benefits for those individuals who are elderly and also low-income. In doing so, the state is also extending coverage to more Ohioans and developing health services within the community.

  13. How can I qualify for Medicaid in Ohio?

    Medicaid is designed for certain low-income persons, and as such, the state of Ohio has implemented initiatives to expand coverage to these people. Eligibility for Medicaid is determined by federal and state law, and varies on several other factors. You can identify your availability by visiting the Ohio Benefits website or by reaching out to a qualified representative at OSHIIP.

  14. Is the Ohio state government extending care to all elderly persons?

    Through Medicare programs like the Program for All-Inclusive Care for the Elderly, Ohio is working to provide health services to the elderly.

  15. Are the organizations within the Ohio Program for All-Inclusive Care for the Elderly (PACE) run by the state government?

    While each PACE organization is expected to follow federal regulations, the state of Ohio does not directly manage them. Rather, organizations that provide PACE networks for Ohio residents are not-for-profit organizations seeking to provide care for the state’s elderly residents.

  16. How many PACE programs currently operate in Ohio?

    As of 2018, there are two PACE programs serving patients in the state of Ohio: McGregor PACE for Dual-Eligibles and McGregor PACE for Medicare-Only Eligibles. They can be reached through the official Medicare website.

  17. Are these the only programs addressing vulnerable Ohioans?

    As highlighted in the 2018 Ohio budget plan, the state is also focusing on those with developmental disabilities, fighting drug addiction and supporting mental health services.

  18. How is the state of Ohio helping individuals with developmental disabilities?

    Ohio state is working to reduce the number of persons committed to care facilities and promoting more holistic home care solutions. Similar to the push to elevate Ohio’s PACE programs, the state is working integrate disabled individuals into the greater community to live happier lives.

  19. How is the state working to help individuals fighting drug addiction?

    Ohio state departments such as the Ohio Department of Mental Health and Addiction Services (OhioMHAS) has several prevention and treatment programs for drug addiction that work within both the adult and youth communities to eliminate drug use.

  20. How is the state helping those with mental illness?

    OhioMHAS is also the department working with mentally ill residents. With government-sponsored psychiatric hospitals throughout the state, the Ohio administration’s focus has been not only on access, but also safety when treating the mentally ill. Each regional psychiatric hospital is accredited by the OhioMHAS department and is held to high standards of care.