Ohio Medicaid coverage

Welcome to Humana Healthy Horizons^® in Ohio. Our members get hearing, medical, and vision coverage; behavioral health services; and extra benefits. Our members must get services from facilities and providers in our network. Providers in our network agree to work with us to make sure our members get the care you need.

The only time you can get care from providers who are not in our network is for:

• Emergency services
• Federally qualified health centers/rural health clinics
• Qualified family-planning providers
• Any out-of-network provider we approve you seeing

When you or your family members need a place to turn for mental health and/or substance use issues, our behavioral health services can help. As your healthcare partner, we want to make sure you get the care you need to be healthy, so you can focus on the days ahead.

COVID-19 tests and vaccination are free for our members.

Oral health is an important part of your overall health. Dental coverage is available for members.

Your hearing is an important part of your overall health. Hearing coverage and services are available to our members under age 21.

We help our members reach their best health. Coverage includes preventive health services and more.

As a Humana Healthy Horizons in Ohio member, all your pharmacy services are covered by Gainwell, Ohio Medicaid’s Single Pharmacy Benefit Manager (SPBM). Gainwell covers all Medicaid-covered, medically necessary prescription and over-the-counter (OTC) medications. You must use only Gainwell network pharmacies to get medications under the pharmacy benefit.

We know you can get sick or hurt without warning. Video doctor visits, also called telehealth visits, are a great way to see a doctor without leaving your home.

Our members get vision coverage and extra vision benefits to help keep their eyes healthy.