October 2023
Aetna Better Health of Ohio, Inc. – MyCare Ohio 2024 Value Added Benefits
Dual Benefits Members Medicaid Only Members
24-Hour Nurse Hotline
24-Hour Nurse Hotline
A single ID card for your Medicaid and Medicare benefits
N/A
A MyCare Ohio health plan to serve as your single point of
contact for all your Medicare and Medicaid services
N/A
A care team, which will include you, your family, your
doctor(s), your MyCare Ohio health plan and anyone else
you choose to help you make decisions about your health
care
A care team, which will include you, your family, your
doctor(s), your MyCare Ohio health plan and anyone else
you choose to help you make decisions about your health
care
Opportunity to participate in Quarterly Member Advisory
meetings in member’s area
Opportunity to participate in Quarterly Member Advisory
meetings in member’s area
Flex card with $50 allowance every month to help with
utilities, rent and/or healthy foods. *Must meet certain
criteria to qualify. The benefits mentioned are a part of a
special supplemental program for the chronically ill. Not all
members qualify. *
N/A
$0 copayment for prescription drugs
N/A
Up to $35 worth of eligible over-the-counter (OTC) items
every month purchased through the approved OTC catalog
or in-network store locations. *
N/A
Non-emergency transportation to covered health services
that are 30 miles or more from member’s home*
Non-emergency transportation to covered health services
that are 30 miles or more from member’s home*
Additional transportation - 30 round trips or 60 one-way
trips to plan-approved health-related locations*
N/A
Oral Dental Exams, Prophylaxis (Cleaning), fluoride
treatments and dental x-rays every 6 months*
Oral Dental Exams, Prophylaxis (Cleaning), fluoride
treatments and dental x-rays every 6 months*
Kidney disease education services
Kidney disease education services
Fresh, home-delivered meals: 10 meals per hospital
discharge
N/A
Podiatry: 6 routine foot care visits/annually
N/A
Cell phone benefit -upgrade to federal free cell phone
program for those who qualify.
Unlimited free calls to the plan’s Member Services toll-free
number that do not apply to monthly minute allotment. As
appropriate, the plan will send free health-related texts and
other free texts.
Cell phone benefit -upgrade to federal free cell phone
program for those who qualify.
Unlimited free calls to the plan’s Member Services toll-free
number that do not apply to monthly minute allotment. As
appropriate, the plan will send free health-related texts
and other free texts.
SilverSneakers® community fitness program provides
members with regular exercise (strength training, aerobics,
flexibility) and social opportunities*
•
•
etc.)
• Fitness classes
•
• One Home kit or Steps kit available each calendar
year
Online resources include:
• Member portal
•
• On-demand classes
SilverSneakers app with reminders to move and more
N/A
Smoking cessation: 42 additional sessions over Medicare
benefit
N/A
*Members may have to receive approval from the plan to obtain the benefit, and/or other conditions may apply. Please
contact Aetna at 1-855-364-0974 for more information.
October 2023
Buckeye Health Plan, Inc. – MyCare Ohio 2024 Value Added Benefits
Dual Benefits Members Medicaid Only Members
24-Hour Nurse Hotline
24-Hour Nurse Hotline
A single ID card for your Medicaid and Medicare benefits
N/A
A MyCare Ohio health plan to serve as your single point of
contact for all your Medicare and Medicaid services
N/A
A care team, which will include you, your family, your
doctor(s), your MyCare Ohio health plan and anyone else you
choose to help you make decisions about your health care
A care team, which will include you, your family, your
doctor(s), your MyCare Ohio health plan and anyone else you
choose to help you make decisions about your health care
Opportunity to participate in Quarterly Member Advisory
meetings in member’s area
Opportunity to participate in Quarterly Member Advisory
meetings in member’s area
$0 copayment for prescription drugs
N/A
Non-emergency transportation to covered health services
that are 30 miles or more from member’s home
Non-emergency transportation to covered health services
that are 30 miles or more from member’s home
Additional 60 one-way rides for covered health services
annually via taxi, bus, subway, public transportation, or other
routine medical transportation. Additional trips may be
authorized based on enrollee’s medical condition.
Additional 60 one-way rides for covered health services
annually via taxi, bus, subway, public transportation, or other
routine medical transportation. Additional trips may be
authorized based on enrollee’s medical condition.
$25 per calendar month over the counter (OTC)
supplemental benefit. Members must receive covered OTC
items available via mail order.
$25 per calendar month over the counter (OTC)
supplemental benefit. Member must receive covered OTC
items available via mail order.
Rewards and Incentives
• VISA rewards gift card for $20 – Flu shot*
• VISA rewards gift card for $20 – Colorectal cancer
screening*
• VISA rewards gift card for $20 – Bone Density Test*
• VISA rewards gift card for $25 – Mammogram*
• VISA rewards gift card for $25 – HbA1c*
• VISA rewards gift card for $20 – Diabetes retinal
screening*
• VISA rewards gift card for $20 – Kidney screening*
• VISA rewards gift card for $25 – Wellness exam with
PCP*
• VISA rewards gift card for $20 – Completing Health
Risk Assessment*
• VISA rewards gift card for $20 – Follow-Up Visits after
Inpatient Hospitalization*
• VISA rewards gift card for $25 – Follow Up Visits after
Hospitalization with Mental Health Diagnosis*
N/A
*Members may have to receive approval from the plan to obtain the benefit, and/or other conditions may apply. Please
contact Buckeye at 1-866-549-8289 for more information.
October 2023
CareSource – MyCare Ohio 2024 Value Added Benefits
Dual Benefits Members Medicaid Only Members
24-Hour Nurse Hotline
24-Hour Nurse Hotline
A single ID card for your Medicaid and Medicare benefits
N/A
A MyCare Ohio health plan to serve as your single point of
contact for all your Medicare and Medicaid services
N/A
A care team, which will include you, your family, your
doctor(s), your MyCare Ohio health plan and anyone else you
choose to help you make decisions about your health care
A care team, which will include you, your family, your
doctor(s), your MyCare Ohio health plan and anyone else you
choose to help you make decisions about your health care
Opportunity to participate in Quarterly Member Advisory
meetings in member’s area
Opportunity to participate in Quarterly Member Advisory
meetings in member’s area
$0 copayment for prescription drugs
N/A
$100 quarterly allowance for Over-the-Counter (OTC) eligible
items
N/A
Non-emergency transportation to covered health services
that are 30 miles or more from member’s home
Non-emergency transportation to covered health services
that are 30 miles or more from member’s home
Dental oral exam and prophylaxis (cleaning) covered once
every 6 months
Dental oral exam and prophylaxis (cleaning) covered annually
for 21 and over and twice annually for 20 and under
Additional 60 one-way trip visits to plan approved locations
including provider visits, redetermination appointments,
pharmacy, gym, and grocery
N/A
$500 annual flex allowance to supplement hearing, dental
and vision services, and accessories
N/A
28 meals following an observation or inpatient discharge*
N/A
Rewards for Good Health– Members can earn rewards
through the My CareSource Rewards program when
completing important screenings for their health and disease
management. The rewards card can be used at a variety of
retailers including Walgreens, Walmart, Walmart.com and
Kroger.
* Purchase restrictions apply. Members cannot purchase
tobacco, firearms, alcohol, gasoline, or lottery. Other
restrictions may apply.
• Breast Cancer Screening - $50
• Diabetes A1C Testing - $50/2x per year
• Flu Shot - $40/1x per season (potential $80/year due
to flu seasons)
• Annual Physical/Wellness - $25
• Prenatal Visits (must complete all 7 visits) - $85
• Postpartum Visit - $25
• *Rewards may vary by age, gender, and health needs.
N/A
*Members may have to receive approval from the plan to obtain the benefit, and/or other conditions may apply. Please
contact CareSource at 1-855-475-3136 (TTY: 1-833-711-4711 or 711) for more information.
October 2023
Molina – MyCare Ohio 2024 Value Added Benefits
Dual Benefits Members Medicaid Only Members
24-
24-
A single ID card for your Medicaid and Medicare benefits
N/A
A MyCare Ohio health plan to serve as your single point of
contact for all your Medicare and Medicaid services
N/A
A care team, which will include you, your family, your
doctor(s), your MyCare Ohio health plan and anyone else you
choose to help you make decisions about your health care
A care team, which will include you, your family, your
doctor(s), your MyCare Ohio health plan and anyone else you
choose to help you make decisions about your health care
Opportunity to participate in Quarterly Member Advisory
meetings in member’s area
Opportunity to participate in Quarterly Member Advisory
meetings in member’s area
$0 copayments for prescription drugs
N/A
Non-emergency transportation to covered health services
that are 30 miles or more from member’s home
Non-emergency transportation to covered health services
that are 30 miles or more from member’s home
Additional 30 one-way rides to covered health services.
Door-to-door ride service when requested. Flexible options
like rideshare services, an all-day bus pass and gas vouchers.
Stops at the pharmacy after a doctor’s visit. Prior
authorization may be required for certain services.
N/A
-
rays, and cleanings are each covered two times a year
N/A
$60 in covered Over-the-Counter Medications and Supplies
purchases every three months without carry over
N/A
$0 Copay for up to 56 home delivered meals over 4 weeks,
for qualifying members after transitioning from an in-patient
hospital setting or skilled nursing facility, for members with a
chronic illness, and for members with a medical condition or
potential medical condition that requires the member to
remain at home for a period of time.
N/A
The Silver&Fit Program comes at no cost for members. It
provides unlimited access to participating fitness centers,
one home fitness kit (options include fitness tracker),
customized exercise plan, digital workout video online,
healthy aging coaching and classes, and rewards for reaching
goals.
N/A
Additional telehealth services are available for Primary Care
Physician Services. You have the option of getting these
services through an in-person visit or by telehealth from a
network provider who offers the service by telehealth. Prior
authorization may be required for certain services. *
N/A
*Members may have to receive approval from the plan to obtain the benefit, and/or other conditions may apply. Please
contact Molina at 1-855-665-4623 for more information.
October 2023
United Healthcare Community Plan of Ohio, Inc. - MyCare Ohio 2024 Value Added
Benefits
Dual Benefits Members Medicaid Only Members
24-Hour Nurse Hotline
24-Hour Nurse Hotline
A single ID card for your Medicaid and Medicare benefits
N/A
A MyCare Ohio health plan to serve as your single point of
contact for all your Medicare and Medicaid services
N/A
A care team, which will include you, your family, your
doctor(s), your MyCare Ohio health plan and anyone else you
choose to help you make decisions about your health care
A care team, which will include you, your family, your
doctor(s), your MyCare Ohio health plan and anyone else you
choose to help you make decisions about your health care
Opportunity to participate in Quarterly Member Advisory
meetings in member’s area
Opportunity to participate in Quarterly Member Advisory
meetings in member’s area
$0 to $10.35 copayment for brand name drugs, $0 to $4.15
copayment for generic drugs
N/A
Non-emergency transportation to covered health services
that are 30 miles or more from member’s home
Non-emergency transportation to covered health services
that are 30 miles or more from member’s home
Additional 30 one-way trip visits for non-waiver members
annually via taxi, bus, subway, public transportation, or other
routine medical transportation appropriate to the enrollee's
condition. Mileage reimbursement with appropriate
documentation and request
Additional 30 one-way trip visits annually for non-waiver
members via taxi, bus, subway, public transportation, or other
routine medical transportation appropriate to the enrollee's
condition. Mileage reimbursement with appropriate
documentation and request
Monthly $25 Food Benefit: With this benefit, you'll get a
single prepaid card at the start of the plan year, to get healthy
groceries at no cost. The prepaid card can be used at
participating retailers. This is an in-store benefit. The prepaid
card is loaded with credits every month to buy approved
grocery items which include fruits and vegetables, dairy
products, beans, bread, fish, poultry and more. Credits cannot
be used to purchase tobacco or alcohol. Unused credits expire
at the end of each month.
Monthly $25 Food Benefit: With this benefit, you'll get a
single prepaid card at the start of the plan year, to get healthy
groceries at no cost. The prepaid card can be used at
participating retailers. This is an in-store benefit. The prepaid
card is loaded with credits every month to buy approved
grocery items which include fruits and vegetables, dairy
products, beans, bread, fish, poultry and more. Credits cannot
be used to purchase tobacco or alcohol. Unused credits expire
at the end of each month.
supports focused on
the caregiver needs (education, empowerment, resources) to
prevent burnout and to gather insights from the home that
can provide early insights to care managers on escalating risk
and change in condition
supports focused on
the caregiver needs (education, empowerment, resources) to
prevent burnout and to gather insights from the home that
can provide early insights to care managers on escalating risk
and change in condition
Access to Findhelp database through call center, for
community resources including food, housing, legal
assistance, fitness programs, etc.
Access to Findhelp database through call center, for
community resources including food, housing, legal
assistance, fitness programs, etc.
Pyx is a mobile app with call center staff additionally able to
take live calls to address social isolation, companionship, and
help members identify community resources to address social
determinants of health (SDOH). The services are available
through care management referral.
Pyx is a mobile app with call center staff additionally able to
take live calls to address social isolation, companionship, and
help members identify community resources to address social
determinants of health (SDOH). The services are available
through care management referral.
Rewards for Good Health – Members can earn rewards for
completing important check-ups for their health and disease
management. *
• Breast cancer screening - $50 gift card
• Diabetes HbA1c Test - $50 gift card
• $15 gift cards for completed Plan House-Call visit.
N/A
Healthy First Steps: A clinical program focusing on the
importance of prenatal and postpartum care which offers
member rewards
Healthy First Steps: A clinical program focusing on the
importance of prenatal and postpartum care which offers
member rewards
*Members may have to receive approval from the plan to obtain the benefit, and/or other conditions may apply. Please
contact United at 1-877-542-9236 for more information.
