 |
 |
 |
 |
 |
 |
 |
 |
 |
|
|||||||||
|
You live in the East Central Region!
This means that the managed care plans (MCPs), the hospitals that contract with them, and the extra services and benefits the MCPs offer that are described here are available to eligible individuals residing in the following counties:
Ashland
Carroll
Holmes
Portage
Richland
Stark
Summit
Tuscarawas
Wayne
Eligible individuals are certain individuals who receive health care benefits through the Ohio Medicaid program for the aged, blind or disabled.
Please take the time to read all the information about the MCPs available to you. This information can help you choose the MCP that is best for you. To learn about the doctors that are part of the plan or to ask questions about the MCP, you can call (toll-free) the Member Services line for each plan listed below.
As a member of a Medicaid managed care plan, you have the option to change the plan that you have selected within the first three months of your membership or annually, thereafter, during your region's open enrollment month, which is March.
| Buckeye Community Health Plan | CareSource | Unison Health Plan |
|---|---|---|
| 1-866-246-4358 | 1-800-993-0780 | 1-800-642-4168 |
| (TTY) 1-800-750-0750 | (TTY) 1-800-750-0750 | (TTY) 1-888-616-0021 |
| Monday – Friday 7:00 am – 7:00 pm |
Monday – Friday 7:00 am – 7:00 pm |
Monday – Friday 7:00 am – 7:00 pm |
You can also call the Managed Care Enrollment Center toll-free at 1-800-605-3040, or if you are hearing impaired (TTY) 1-800-292-3572 Monday – Friday 8:00 am to 8:00 pm. An enrollment counselor can answer your questions and discuss your options. You can even make your choice right over the phone.
En Espanol 1-800-605-3040
MCPs may have more hospitals in other counties on their provider panel. Please contact the MCP’s toll-free number for a current list of all panel hospitals in your area. Remember that doctors can only admit you to certain hospitals, so be sure to ask your doctor which hospital he/she can send you to
| Buckeye Community Health Plan | CareSource | Unison Health Plan |
|---|---|---|
| 1-866-246-4358 (TTY) 1-800-750-0750 |
1-800-993-0780 (TTY) 1-800-750-0750 |
1-800-895-2017 (TTY) 1-800-616-0021 |
|
|
|
|
Some MCPs provide more services and benefits than the regular Medicaid fee-for-service (FFS) program offers. For a complete list of additional services and benefits offered by an MCP, please call the MCP’s toll-free number. Following are examples for each MCP:
| Health Care Plan | Additional Services and Extra Benefits |
|---|---|
| Buckeye Community Health Plan 1-866-246-4358 (TTY) 1-800-750-0750 |
|
| CareSource 1-800-993-0780 (TTY) 1-800-750-0750 |
|
| Unison Health Plan 1-800-895-2017 (TTY) 1-800-616-0021 |
|
MCPs must provide transportation for its members if:
MCPs may provide additional transportation services as an extra benefit to members. The extra transportation assistance listed below is in addition to the transportation MCPs must provide to their members as listed above. For more information on how to arrange non-emergency transportation, contact the MCP’s member services.
The county department of job and family services will provide transportation through the Non-Emergency Transportation (NET) program whenever the transportation shown below is not provided by the MCP.
| Health Care Plan | Cab Fare Shuttle Service | Must Call MCP in Advance |
|---|---|---|
| Buckeye Community Health Plan 1-866-246-4358 (TTY) 1-800-750-0750 |
15 round-trips per 12 month period to any health care, dental, WIC or CDJFS re-determination appointments | 48 Hours |
| CareSource 1-800-993-0780 (TTY) 1-800-750-0750 |
30 one way trips per member per 12-month period to any health care, or CDJFS re-determination appointments | 48 Hours (2 business days) |
| Unison Health Plan 1-800-895-2017 (TTY) 1-800-616-0021 |
30 one way trips per member per 12-month period to any health care, participation pharmacy or CDJFS re-determination appointments | 48 hours (2 business days) |
To help you choose the Managed Care Plan or MCP that is right for you, think about the following questions while also reading the information included in this mailing. After you have considered the questions below, call the Ohio Medicaid Managed Care Enrollment Center (MCEC) at 1-800-605-3040 to speak to an Enrollment Counselor or visit them on-line at www.ohiomcec.com. The MCEC will answer any questions you have and help you select the Managed Care Plan of your choice.
Remember, when you receive a notice in the mail that tells you it is time to choose your MCP, simply call the Managed Care Enrollment Center at the toll-free number below to choose your MCP. If YOU do not choose, an MCP will be chosen for you.
For help in answering your questions…
Call 1-800-605-3040 to speak to an Enrollment Counselor
or visit us on-line at www.ohiomcec.com
En Espańol: 1-800-605-3040
|
EAST CENTRAL SOUTH WEST WEST CENTRAL CENTRAL NORTH EAST N. EAST CENTRAL NORTH WEST SOUTH EAST |
||
Smaritan Hospital
Ashland