Ohio Medicaid
Updated April 8, 2021 Medicaid
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