Welcome to Humana Healthy Horizons®. With us, you get a Medicaid plan that does more. Like more rewards, more everyday benefits, and more help and support to make your life easier—so you have more time to focus on what you love.
Humana Healthy Horizons: Ohio Medicaid
Pick your Medicaid health plan in Ohio | Humana
You can pick flowers.
You can pick your friends.
And you can pick a health plan.
When you first qualify for Medicaid, you may be assigned a health plan, but you don’t have to keep it. You have the right to pick a different health plan and switch to it during the first 90 days of your enrollment.
Pick Humana Healthy Horizons in Ohio. We care about our members’ whole health journey and aim to help them reach their best health.
Helping keep our members in their best health is what human care is all about.
Learn more at
Ohio Department of Medicaid Next Generation of Managed Care program
Ohio Department of Medicaid (ODM) designed its Next Generation program to help make sure Medicaid recipients in Ohio get the individualized care they need when they need it.
In 2022, ODM implemented two key phases:
- On July 1, ODM implemented OhioRISE (Resilience through Integrated Systems)
- On Oct. 1, ODM implemented the Single Pharmacy Benefit Manager (SPBM)
On Feb. 1, 2023, ODM launched the final phase of the Next Generation Medicaid program.
Member ID card updates
Feb. 1: Some members received an ID card at the start of their Humana Healthy Horizons in Ohio enrollment that had a printing error. This error resulted in the Member ID to display as Plan ID and the Plan ID to display as Member ID. We are sending replacement ID cards to affected members. Once you receive the updated card, please destroy the previous version you received.
ODM is committed to ensuring there is no disruption in services for Medicaid members
In 2022, managed care members were given the chance to pick a Next Generation managed care plan, such as Humana Healthy Horizons in Ohio.
If you picked a Next Generation managed care plan, you received coverage through your current managed care plan until Feb. 1, 2023, at which time your enrollment in the plan you picked went into effect.
If you picked a managed care plan that previously covered Ohio Medicaid members, your coverage with your new plan went into effect Dec. 1, 2022.
Apply for Medicaid
Ohio residents newly eligible for Medicaid have 3 ways to apply for Medicaid:
Visit the Medicaid Consumer Hotline website - Call the Medicaid Consumer Hotline at 800-324-8680 (TTY: 711), Monday – Friday, 7 a.m. – 8 p.m., and Saturday, 8 a.m. – 5 p.m., Eastern time
- Go to your
County Department of Job and Family Services
The Humana Healthy Horizons in Ohio difference
Everyone should have a health ally. We’re here to help you work toward your best health.
Humana Healthy Horizons in Ohio provides healthcare services to eligible Ohio residents, including:
- Individuals who meet income requirements
- Individuals who are pregnant
- Infants
- Children
- Older adults
- Individuals with disabilities
With Humana Healthy Horizons in Ohio, you get the coverage you need and more, including access to:
- Go365 for Humana Healthy Horizons®, a program that rewards you for completing healthy activities
- Health coaches and programs
- Specialized care management programs
For Humana Healthy Horizons in Ohio members, all pharmacy services are covered by Gainwell, Ohio Medicaid’s SPBM. Gainwell covers all Medicaid-covered, medically necessary prescription and over-the-counter (OTC) medications.
We do our best to give our members what they need plus things they didn’t even know they needed. We call that human care.
Map of Ohio counties covered by Humana Medicaid
Region 1 (West) counties include:
Adams, Allen, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Crawford, Darke, Defiance, Fulton, Greene, Hamilton, Hancock, Hardin, Henry, Highland, Logan, Lucas, Marion, Mercer, Miami, Montgomery, Ottawa, Paulding, Preble, Putnam, Sandusky, Seneca, Shelby, Van Wert, Warren, Williams, Wood, Wyandot
Region 2 (Northeast) counties include:
Ashland, Ashtabula, Carroll, Columbiana, Coshocton, Cuyahoga, Erie, Holmes, Geauga, Harrison, Huron, Jefferson, Knox, Lake, Lorain, Mahoning, Medina, Portage, Richland, Stark, Summit, Trumbull, Tuscarawas, Wayne
Region 3 (Central/Southeast) counties include:
Athens, Belmont, Delaware, Fairfield, Fayette, Franklin, Gallia, Guernsey, Hocking, Jackson, Lawrence, Licking, Madison, Meigs, Monroe, Morgan, Morrow, Muskingum, Noble, Perry, Pickaway, Pike, Ross, Scioto, Union, Vinton, Washington
Region 1 (West):
Adams, Allen, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Crawford, Darke, Defiance, Fulton, Greene, Hamilton, Hancock, Hardin, Henry, Highland, Logan, Lucas, Marion, Mercer, Miami, Montgomery, Ottawa, Paulding, Preble, Putnam, Sandusky, Seneca, Shelby, Van Wert, Warren, Williams, Wood, Wyandot
Region 2 (Northeast):
Ashland, Ashtabula, Carroll, Columbiana, Coshocton, Cuyahoga, Erie, Holmes, Geauga, Harrison, Huron, Jefferson, Knox, Lake, Lorain, Mahoning, Medina, Portage, Richland, Stark, Summit, Trumbull, Tuscarawas, Wayne
Region 3 (Central/Southeast) include:
Athens, Belmont, Delaware, Fairfield, Fayette, Franklin, Gallia, Guernsey, Hocking, Jackson, Lawrence, Licking, Madison, Meigs, Monroe, Morgan, Morrow, Muskingum, Noble, Perry, Pickaway, Pike, Ross, Scioto, Union, Vinton, Washington
Humana Healthy Horizons in Ohio