The Ohio Department of Medicaid (ODM) implemented the Next Generation MyCare program to provide enhanced healthcare
benefits to those who have both Medicaid and Medicare. This program helps you get the care you need all in one plan.
 

Beginning May 1st, 2026 in Allen, Auglaize, Hancock, Hardin, Mercer, Putnam, and Van Wert counties.

 

What are the benefits of the program?

• New and improved services

• More in-home providers available to you

• Shorter wait time for prior authorizations

• More support for you to receive the care you need through a care team

• Better transportation options to get you to and from your appointments

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Am I eligible for the program?

Members will be enrolled if they:

• Have full Medicaid and Medicare parts A, B, and D

• Are age 21 and older have health insurance that covers both inpatient hospital stays and doctor visits

• Live in one of the 29 counties where MyCare Ohio was previously available or until the program is available in your county

• Are not already enrolled in a Program for All-Inclusive Care for the Elderly (PACE) or a Developmental Disabilities waiver, or have health insurance that covers both inpatient hospital stays and doctor visits

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What are my plan options?

​View the Next Generation MyCare Plan Comparison at www.ohiomh.com by clicking "Compare MyCare Ohio Plans" button under "Compare Plans and Find a Provider" section to learn more.

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*Buckeye Health Plan is not an option for new members in the Next Generation MyCare program in 2026. Members who had Buckeye Health Plan in the previous MyCare Ohio program and moved to the area may continue to receive care through that plan if they want.

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How will I be notified if I am enrolled?

• You will get a letter from ODM telling you that you are being enrolled in MyCare Ohio

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Which plan is right for me?

• View the Next Generation MyCare Plan Comparison at https://ohiomh.com/ by clicking the "Compare MyCare Ohio Plans" button under "Compare Plans and Find a Provider" section to learn more.

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Materials you will get from your Next Generation MyCare Plan

Standard Materials

• Once you are enrolled in a Next Generation MyCare plan, you will get the following in the mail:

• A welcome packet with information about your Next Generation MyCare plan and benefits

• Member ID card

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Additional Materials

• A member handbook

• Information about your doctors and health services

• Newsletters

• Healthcare reminders

• Provider and pharmacy directory

• Summary of benefits

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​Members should contact the Ohio Medicaid Consumer Hotline at 800-324-8680 or visit www.ohiomh.com for questions about their plan and benefits. Representatives are available Monday through Friday 7 a.m. – 8 p.m. and Saturdays 8 a.m. – 5 p.m. Eastern time. 

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