Learn More About Next Generation MyCare
The Next Generation MyCare Program
The Next Generation MyCare program provides enhanced healthcare benefits to Ohioans who have both Medicaid and Medicare. This program helps you get the care you need all in one plan.
ODM designed the program to:
- Focus on the individual
- Help individuals and communities be healthier
- Give everyone the best care for their needs
- Help providers keep making care better
- Improve care for individuals with complex needs and help them live independently in their communities
- Make the program more transparent and responsive
Your Next Generation MyCare plan gives you all benefits available through traditional Medicare and Medicaid programs. This includes long-term care services in the community, assisted living, and in a nursing facility as well as behavioral health services. Your plan may also provide extra benefits like additional transportation, rewards, and more. Learn more about the benefits available to you and your plan options by viewing the Next Generation MyCare Plan Comparison.
What is the timeline for the Next Generation MyCare program?
In the program, the plans partner with the Area Agencies on Aging (AAA) to serve you. AAAs are regional agencies that work with your plan to support your care. Because of this, the program roll out schedule is based on the AAA regions and the counties they serve. Locate your county in the roll out schedule to see when the program will be available for you.
Am I eligible?
You are eligible to be enrolled when the program is available in your county, if you meet the following criteria*:
- Have full Medicaid
- Have Medicare parts A, B, and D
- Are 21 or older
What plans are available in the Next Generation MyCare program?
There are four Next Generation MyCare plans. Three of the plans are available for you to select statewide. These plans cover your Medicare and Medicaid benefits.
The plans available statewide are:
Buckeye Health Plan is not an option for new members in the Next Generation MyCare program in plan year 2026.
The Next Generation MyCare program is here - what does this mean for me?
If you are eligible, you may start receiving care through a Next Generation MyCare plan on the date the program becomes available in your county. When your benefits begin depends on whether - and when - you select a plan or are automatically assigned one. You cannot begin receiving care through a Next Generation MyCare plan ahead of the date the program becomes available in your county. Additionally, if you are eligible for the MyCare Ohio Waiver, you will start receiving services through the waiver once your plan starts.
Once you are enrolled with your plan, you should receive a new member ID card and other materials explaining your benefits.
Where can I go with questions about the Next Generation MyCare program?
If you want to learn more about the Next Generation MyCare plans or doctors available by plan, contact the Ohio Medicaid Consumer Hotline at 800-324-8680 or www.ohiomh.com.
If you need help comparing the plans available in your area, including the Next Generation MyCare plans, you can contact the Ohio Department of Insurance Ohio Senior Health Insurance Information Program (OSHIIP) at 800-686-1578 or oshiipmail@insurance.ohio.gov.
Learn More about the Next Generation MyCare Program
To learn more, visit the Next Generation MyCare Families & Individuals webpage on medicaid.ohio.gov or view the following resources:
- Next Generation MyCare Program Overview One-Pager shares information about the program, eligibility, and more.
- Next Generation MyCare Member Frequently Asked Questions highlights common questions about the program and options available to members.
- Next Generation MyCare Member Help Desk One-Pager provides guidance about which help desk members can contact for different kinds of questions or issues.
- Next Generation MyCare Program Member ID Card One-Pager shares the member ID card template.