Ohio Health Services FAQs
- How are Medicare and Medicaid programs managed in the state of Ohio?
- How can I apply for Medicare or Medicaid in Ohio?
- What are the most recommended Medicare or Medicaid programs?
- Is there a difference between Original Medicare (OM) and the coverage offered by Medicare Advantage (MA)?
- Are there tools used to compare Medicare plans in Ohio?
- What resources are there in Ohio to better understand Medicare and Medicaid benefits?
- Does the Ohio Benefits portal work for everyone?
- What other health service programs does the state of Ohio provide?
- Are any health service programs designed specifically for children and families?
- What agencies manage these health service programs, and how can I get in contact with them?
- What initiatives is the Ohio state government focusing on in terms of health care?
- How is Medicaid being modernized in Ohio state?
- How can I qualify for Medicaid in Ohio?
- Is the Ohio state government extending care to all elderly persons?
- Are the organizations within the Ohio Program for All-Inclusive Care for the Elderly (PACE) run by the state government?
- How many PACE programs currently operate in Ohio?
- Are these the only programs addressing vulnerable Ohioans?
- How is the state of Ohio helping individuals with developmental disabilities?
- How is the state working to help individuals fighting drug addiction?
- How is the state helping those with mental illness?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Through Medicare programs like the Program for All-Inclusive Care for the Elderly, Ohio is working to provide health services to the elderly.
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.
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.
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.
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.
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.
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.
Ohio Health Services
What Health Care Services Can I Receive in Ohio?
The state of Ohio offers various types of health services to residents, and these health programs include Medicare for the elderly, Medicaid for those in need, and more. To find out how you can apply for these medical assistance benefits, or how you can automatically be enrolled in certain programs, download our comprehensive health services guide.
Who Can Get Health Benefits in Ohio?
While Ohio offers various health service programs for residents of the state, applicants must meet certain eligibility requirements in order to qualify for the programs. Eligibility requirements often depend on income and whether or not the applicant falls into a certain category, such as seniors, pregnant women and children. Find out if you might be eligible for the benefits of these health care programs by downloading our guide.