Ohio Medicaid Eligibility


 

Ohio Medicaid Program

Low-income Ohioans who do not have any health coverage may be able to qualify for public benefits through the Medicaid program. Designed to assist very poor, uninsured, and sick individuals, Medical Assistance in Ohio is open to adults with children, pregnant women, children under age 19, adults age 65 or older, and adults with disabilities between age 18 and 64.

If you fall into one of the groups of eligible individuals, you will be assigned to the program corresponding with your group. One type of Medicaid is offered to pregnant women, children, and families, while seniors and those who are blind or disabled fit into another type.

There is also Medicaid for workers with disabilities, as well as coverage for women diagnosed with breast or cervical cancer, and young adults out of foster care. Medicaid in Ohio covers family planning services, screening and treatment services to children 21 and younger, hospital care, ambulatory surgery, dental and vision care, and doctor’s office visits. Many other services are also covered through these comprehensive plans, and performed by highly skilled health care professionals. Visit the Ohio Department of Job and Family Services for a full list of benefits.

 

Income Guidelines

Group                                       Income (percent of FPL)

Infant                                                    150%

Child age 1-5                                        150%

Child age 6-19                                      150%

Parent (unemployed)                            90%

Parent (employed)                                90%

Pregnant Women                                  150%

Single Aged/Blind/Disabled                   65%

*$1500 asset limit

Aged/Blind/Disabled Couple                  83%

*$2250 asset limit

 

Other Eligible Groups

  • Families who receive Temporary Assistance for Needy Families (TANF) benefits
  • Supplemental Security Income (SSI) beneficiaries
  • Disabled individuals who no longer qualify for SSI benefits
  • Qualified Medicare Beneficiary (QMB) program: Medicaid pays your Medicare monthly premium, deductibles, and coinsurance if your income is below the poverty level.
  • Specified Low-Income Medicare Beneficiary (SLMB) program: Medicaid pays your monthly premiums only if your income is below 120% FPL.
  • Medically Needy program: Medicaid for those who have high medical expenses that when subtracted from your income deem you eligible for Medicaid.

 

Federal Poverty Level 2012

 

Resources

Ohio Department of Job and Family Services: Medicaid

Apply for Medicaid and determine eligibility online

Ohio Medicaid Consumer Hotline: 800-324-8680

TTY: 800-292-3572

Locate a county office