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Ohio Medicaid

Ohio Medicaid provides health coverage to low-income state residents, including children, pregnant women, parents, seniors, and individuals with disabilities.

Ohio Medicaid provides health coverage to low-income state residents, including children, pregnant women, parents, seniors, and individuals with disabilities.

Program Name Ohio Medicaid
Expanded Medicaid Yes
Website https://medicaid.ohio.gov/
Phone 800-324-8680
Apply Online https://benefits.ohio.gov/
Appeal a Denial https://secure.jfs.ohio.gov/ols/RequestHearing/
Find a Local Office https://jfs.ohio.gov/County/County_Directory.pdf

Eligibility Requirements

To be eligible for Ohio Medicaid, you must be a resident of the state of Ohio, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 18 years of age or younger
  • Blind
  • Have a disability or a family member in your household with a disability
  • Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size* Maximum Income Level (Per Year)
1 $17,131
2 $23,169
3 $29,207
4 $35,245
5 $41,284
6 $47,322
7 $53,360
8 $59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Alcohol and drug addiction Physical and occupational therapy
Audiology services Physician services
Chiropractor services Podiatrist services
Dental Pregnancy
Emergency Prescriptions
Family planning Preventive health
Hospital Professional medical services
Laboratory and X-ray services Speech/language pathology
Medical equipment Transportation
Mental health Vision

Copayments

Emergency room for non-emergencies  $3 per visit
 Dental services  $3 per visit
 Eye examinations  $2 per examination
 Eyeglasses  $1 per fitting
 Most brand name (non-generic) medications  $2 per prescription refill
 Medications that require prior authorization  $3 per prescription or refill

There are no copayments charged if you are:

  • Younger than age 21
  • Pregnant or your pregnancy ended up 90 days ago
  • Living in a nursing home
  • Receiving emergency services in a hospital, clinic, office, or other facility
  • Receiving family planning-related services
  • Receiving hospice care
  • In a managed care plan that does not charge copayments

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