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Ohio Medicaid coverage

Learn about the behavioral health, hearing, medical, and vision coverage our members get.

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Understanding your plan

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

Behavioral health services

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 coverage

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

Dental coverage

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

Hearing coverage

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

Medical coverage

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

Pharmacy coverage

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.

Virtual doctor visits

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.

Vision coverage

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

Looking for help?

Find a doctor

Find a doctor, hospital, or pharmacy.

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.