Ohio Medicaid Program & Eligibility
Coverage, eligibility, and how to get Medicaid help in Ohio.
Medicaid Population
State Coverage
Medicaid in Ohio
OH Medicaid Eligibility
- You live in Ohio
- You are a U.S. citizen or qualifying immigrant
- Meet the income limit for the program that applies to you
*Non-U.S. citizens may be eligible for Alien Emergency Medical Assistance or Refugee Medical Assistance.
Ohio Medicaid covers several groups of people:
- Adults ages 19-64 who don't have dependent children
- Parents or caretaker relatives of dependent children
- Pregnant individuals
- Children and teenagers
- Adults ages 65 or older, blind, or living with a disability
Applying for Medicaid
Ohio has multiple ways to apply for Medicaid, so you can choose the option that works for you.
- Online: Apply through Ohio Benefits
- By phone: Call the Consumer Hotline at 1-800-324-8680
- By mail: Complete the paper application and mail it to your local County Job and Family Services office. Find your local office here.
- In person: Visit your local County Job and Family Services office. Find your local office here.
It helps to have the following ready for everyone in your household:
- Dates of birth
- Social Security Numbers
- Immigration documents (if applicable)
- Proof of income (pay stubs, W-2, 1099, or tax return)
- Current health insurance information, if any
After Applying
After you apply, the state of South Carolina will review your application and notify you of your eligibility.
While your application is under review: You may receive a letter asking you to provide additional documentation, such as proof of income or identity. Respond promptly to avoid delays in your application being processed.
If you’re approved:
- You'll receive a letter with your Medicaid ID or your managed care ID card in the mail.
- Most members will enroll in a Medicaid managed care plan.
- Coverage may be retroactive, meaning Medicaid can help cover recent medical bills.
Staying enrolled:
- Report changes in income, household size, or address promptly to your local County Job and Family Services office or through Ohio Benefits.
- Your coverage must be renewed annually. Watch for renewal notices and respond on time to avoid losing coverage.
Income Limits
Income limits for Medicaid in Ohio depend on your household size and what program applies to you.
What’s Covered
Doctor and Hospital Visits
Preventative Care and Screenings
Mental Health and Substance Use Treatment
Prescription Drugs
Maternity and Newborn Care
Dental and Vision Services
Long-Term Care (for eligible individuals)
Emergency Transportation Services
Need help with Medicaid
in South Carolina?
Below are some of the most commonly asked questions.
Medicaid in South Carolina is a public health insurance program that provides free or low-cost health coverage to eligible low-income individuals and families. In South Carolina, Medicaid is also known as Healthy Connections.
If your income is too high for Medicaid, you may still qualify for lower-cost coverage through healthcare.gov. Visit healthcare.gov to explore your options.
You can apply for Medicaid through South Carolina's Medicaid website: apply.scdhhs.gov
Applications can be also be completed by phone, by mail, or in person at your local county office.
Filling out government forms (paper or digital) can be confusing. We know the anxiety of missing important mail from the state. We built Fortuna to take the stress out of health plan coverage.
We provide your own dedicated navigator available by phone and chat to help you out!
For most people, Medicaid in South Carolina has no monthly premium and very low or no out‑of‑pocket costs. Some services may require small copayments, but many groups (such as children and pregnant individuals) are exempt.
Medicare is health insurance that generally covers people aged 65+. Medicaid covers people of all ages if you make below a certain income or face hardship based on other circumstances like disability.
Fortuna focuses on Medicaid. If you need Medicare support, we can help you enroll onto a Medicare-Medicaid program.
Yes, if Fortuna is available through our partner health plan and providers. Please contact your insurer or provider for more information.
Yes, Fortuna is only available through providers and insurers. Please contact us at info@fortunahealth.com for more information.
Ready to renew or start your coverage?
Take the next step and keep your Medicaid benefits active with Fortuna’s simple, guided process.
