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Humana Healthy Horizons: Ohio Medicaid

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.

Mother plays with son outside

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 Humana.com/HealthyOhio.

Ohio Department of Medicaid Next Generation Medicaid program

The Ohio Department of Medicaid (ODM) designed its Next Generation Medicaid program to help make sure Medicaid recipients in Ohio get the care they need when they need it.

Before the end of the year, Ohio Medicaid’s next generation managed care plans will provide a more personalized approach to support your healthcare needs.

The Next Generation Medicaid program in Ohio will launch in phases throughout 2022. Key dates to remember include:

On July 1, OhioRISE will begin to provide coordination and specialized services to help children and youth with behavioral health needs who receive care across multiple systems.

In October 2022, Gainwell Technologies, the Single Pharmacy Benefit Manager (SPBM), will begin providing pharmacy services across all managed care plans and for all members.

During the last three months of 2022, ODM will complete the launch of its Next Generation Medicaid program. Choose Humana Healthy Horizons in Ohio today, and:

  • You will continue getting the full complement of Medicaid benefits you get today
  • The Ohio Medicaid Enrollment Center (or Ohio Benefits) will record your choice
  • Your choice will be effective when ODM completes the launch of its Next Generation Medicaid program
  • Around 30-45 days prior to Humana beginning operations, you will get in the mail your member ID card, health plan information, and your official start date of coverage

Select your Ohio Medicaid Next Generation Managed Care Plan now

Apply for Medicaid

To apply for Medicaid in Ohio:

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 Single Pharmacy Benefit Manager (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

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

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Value-added benefits

Learn about the extra benefits and services available to Humana Healthy Horizons in Ohio members.

Documents & forms

Find the documents and forms you need, including your Member Handbook.