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Ohio Medicaid: Eligibility and application information

Open enrollment for Ohio NextGen Medicaid runs from March 9 to June 11, and you have a new choice for your health plan. Choose Humana Healthy Horizons in Ohio.

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Helping you on your way to good health

We designed Humana Healthy Horizons™ in Ohio to provide you with the care and support you need—so you have more time to focus on what you love.

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.

Humana Healthy Horizons in Ohio is proud to partner with the Ohio Department of Medicaid (ODM) to provide coverage to Ohio residents eligible for Medicaid.

Why Choose Humana Healthy Horizons?

Now more than ever, your health and healthcare coverage are important. Humana Healthy Horizons makes available to Ohio Medicaid members access to the high-quality healthcare coverage you want and extras you need.

Apply for Medicaid

To apply for Medicaid in Ohio:

Enrollment

ODM will notify you if you are a mandatory Medicaid enrollee required to enroll in a plan. If you do not enroll in a plan, ODM will assign you to a plan.

For people assigned a managed care plan in Ohio, you have until November 30, 2022 to try your health plan. If you want to switch to a different health plan, you can. No questions asked. After November 30, you will remain enrolled in the plan, as long as you are eligible for Medicaid. This is called the “lock-in” period.

How to change your plan

If you are already enrolled in a plan and want to change to a different plan:

After November 30, if you want to change to a different plan, you must meet 1 of the following requirements:

  • You have been a member of your current plan for 3 months or less, or
  • You’re having problems finding the care you need

If you believe you meet 1 of the above requirements:

Disenrollment

If you are no longer eligible for Medicaid, you will be disenrolled from your health plan. You can lose Medicaid eligibility for a number of reasons, such as if your income level changes. We will notify you in writing if you lose your Medicaid eligibility and no longer have coverage through Humana Healthy Horizons in Ohio.

You also can be disenrolled from Humana Healthy Horizons in Ohio if you:

  • Abuse or harm health plan members, providers, or staff
  • Become eligible for Medicare
  • Do not fill out forms honestly or do not give true information (commit fraud)
  • Lose your Ohio Medicaid eligibility
  • Stay in a nursing home for more than 30 days in a row

If you become ineligible for Ohio Medicaid, all your services may stop. If this happens, 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.

Get more information

Looking for help?

Find a doctor

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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.