Do I Qualify for Medicaid Ohio

Medicaid Ohio provides health insurance coverage for those who qualify. To determine eligibility, Ohio Medicaid has an online tool. It asks questions about age, disability status, family size, and income. Medicaid has income and asset limits. Income limits vary depending on family size. Generally, if income is within a certain level, or if you qualify as low-income, you may be eligible. For Ohio Medicaid, assets include bank accounts, stocks, bonds, and other resources. If you need help applying, you can reach out to the local Ohio Medicaid office. You can also find Ohio Medicaid application forms online or at a local Ohio Department of Job and Family Services (ODJFS) office.

Medicaid Eligibility Ohio: Income and Assets

Medicaid is a health insurance program for people with low incomes and limited assets. In Ohio, Medicaid is administered by the Ohio Department of Medicaid (ODM).

Income Limits

  • For individuals: The income limit is 138% of the federal poverty level (FPL). For 2023, this means an annual income of $18,754 or less.
  • For families: The income limit is 138% of the FPL for a family of three. For 2023, this means a combined annual income of $25,527 or less.

Income limits are higher for pregnant women and children. For more information, visit the ODM website.

Asset Limits

  • For individuals: The asset limit is $2,000. This includes cash, bank accounts, stocks, bonds, and other investments.
  • For couples: The asset limit is $3,000. This includes the assets of both spouses.

Homes and vehicles are not counted as assets for Medicaid eligibility. However, there are some exceptions to this rule. For more information, visit the ODM website.

In some cases, you may be able to qualify for Medicaid even if you exceed the income or asset limits. This is called “special eligibility.” To be eligible for special eligibility, you must meet certain criteria, such as being disabled, blind, or working in a qualifying job.

How to Apply for Medicaid

To apply for Medicaid in Ohio, you can:

  • Apply online at the ODM website.
  • Call the ODM Customer Service Center at 1-800-324-8680.
  • Visit your local county Department of Job and Family Services (DJFS) office.

You will need to provide proof of your income, assets, and other information.

Medicaid Benefits

Medicaid covers a wide range of health care services, including:

  • Doctor visits
  • Hospital stays
  • Prescription drugs
  • Mental health services
  • Dental care
  • Vision care

The specific benefits that you receive will depend on your individual needs.

Income LimitAsset Limit
Individual: $18,754Individual: $2,000
Family of Three: $25,527Couple: $3,000

Medicaid Covered Groups in Ohio

Medicaid is a government health insurance program that helps people with limited income and resources get health coverage. To be eligible for Medicaid, you must meet certain requirements, including income and resource limits. In Ohio, Medicaid is available to a variety of groups, including:

Children and Pregnant Women

  • Children under 19: All children under 19 are eligible for Medicaid, regardless of their family’s income or resources.
  • Pregnant women: Pregnant women are eligible for Medicaid if their income is below 138% of the federal poverty level.

Parents and Caregivers

  • Parents and caregivers of children: Parents and caregivers of children who are eligible for Medicaid may also be eligible for Medicaid themselves.

People with Disabilities

  • People with disabilities: People with disabilities may be eligible for Medicaid if they meet certain income and resource limits.

People in Nursing Homes

  • People in nursing homes: People who live in nursing homes may be eligible for Medicaid if they meet certain income and resource limits.

Other Groups

  • Other groups: Other groups who may be eligible for Medicaid include people who are blind, people who are disabled, and people who are elderly.
Medicaid Income Limits in Ohio
GroupIncome Limit
Children under 19138% of the federal poverty level
Pregnant women138% of the federal poverty level
Parents and caregivers of children138% of the federal poverty level
People with disabilities100% of the federal poverty level
People in nursing homes100% of the federal poverty level

Ohio Medicaid Application Process

Applying for Ohio Medicaid is straightforward. You can apply online, by mail, or by phone. The application process is the same regardless of the method you choose.

Eligibility Requirements

  • Ohio residents
  • U.S. citizens or qualified non-citizens
  • Income and asset limits
  • Age, disability, or pregnancy

You can find the specific eligibility requirements on the Ohio Medicaid website.

Documents Needed

  • Proof of identity
  • Proof of citizenship or legal residency
  • Proof of income
  • Proof of assets
  • Proof of disability (if applicable)
  • Proof of pregnancy (if applicable)

You can find a complete list of required documents on the Ohio Medicaid website.

Application Steps

  1. Gather the required documents.
  2. Choose a method to apply: online, by mail, or by phone.
  3. Complete the application form.
  4. Submit the application form and required documents.

The application process can take up to 45 days. You will be notified of the decision by mail.

What Happens After I Apply?

Once you have applied for Ohio Medicaid, your application will be reviewed. You may be asked to provide additional information or documentation. If you are approved for Medicaid, you will receive a Medicaid card in the mail. The Medicaid card will allow you to access medical and dental services covered by Medicaid.

If you are denied Medicaid, you can appeal the decision. The appeal process can be complex, so it is important to consult with an attorney or advocate.

Table of Ohio Medicaid Income Limits

Household SizeAnnual Income Limit

Ohio Medicaid Coverage for Health Conditions

Medicaid in Ohio provides comprehensive healthcare coverage to eligible individuals and families with low income and limited resources. The program covers a wide range of health conditions, including:

  • Physical health conditions, such as diabetes, heart disease, cancer, and respiratory illnesses
  • Mental health conditions, such as depression, anxiety, and schizophrenia
  • Substance use disorders, such as alcoholism and drug addiction
  • Dental care, including routine cleanings, fillings, and extractions
  • Vision care, including eye exams and glasses or contacts
  • Hearing care, including hearing aids and assistive devices
  • Long-term care services, such as nursing home care and home health care
  • Prescription drugs, including both brand-name and generic medications

Additional Coverage for Certain Conditions

In addition to the basic Medicaid coverage, Ohio also provides additional coverage for certain health conditions, including:

  • HIV/AIDS: Ohio Medicaid provides comprehensive coverage for HIV/AIDS treatment, including antiretroviral medications, opportunistic infection prophylaxis, and other supportive services.
  • Breast and cervical cancer: Ohio Medicaid covers screening and treatment for breast and cervical cancer, including mammograms, Pap tests, and biopsies.
  • Children with special health care needs: Ohio Medicaid provides comprehensive coverage for children with special health care needs, including early intervention services, therapy, and assistive devices.

Table of Covered Services

The following table provides a more detailed overview of the health conditions covered by Ohio Medicaid:

Health ConditionCovered Services
Physical health conditionsRoutine checkups, immunizations, screenings, treatment for acute and chronic illnesses, hospital care, surgery, prescription drugs
Mental health conditionsCounseling, therapy, medication management, hospitalization, residential treatment
Substance use disordersDetoxification, counseling, therapy, medication management, residential treatment
Dental careRoutine cleanings, fillings, extractions, dentures, crowns, bridges
Vision careEye exams, glasses or contacts, surgery
Hearing careHearing tests, hearing aids, assistive devices
Long-term care servicesNursing home care, home health care, personal care assistance
Prescription drugsBrand-name and generic medications, over-the-counter medications (with a doctor’s prescription)

Alright friends, I hope this article gave you all the info you need about Medicaid Ohio eligibility. I understand government programs can be confusing, but hopefully, I cleared things up a bit for you. If you still have questions, you can always contact your local Medicaid office or visit the Ohio Department of Medicaid website. And don’t forget, check back later for updates or any changes to the program. Thanks for reading, y’all!