Questions and Answers for New Members

What is AmeriHealth Caritas Ohio?

AmeriHealth Caritas Ohio is a managed care organization and a member of the AmeriHealth Caritas Family of Companies, a national leader of Medicaid managed care. AmeriHealth Caritas Ohio is honored to have been selected as one of the managed care organizations to administer health care services to participants in the Ohio Department of Medicaid (ODM) Medicaid managed care program.

AmeriHealth Caritas Ohio is a mission-driven health care organization. We emphasize preventive care, health maintenance, and community outreach programs.

At AmeriHealth Caritas Ohio, care is the heart of our work.

How do I choose a plan?

The Ohio Department of Medicaid Enrollment Hotline can help you choose and enroll in a plan. Call the Ohio Department of Medicaid Enrollment Broker at 1-800-324-8680 (TTY 1-800-292-3572)

I am interested in enrolling in AmeriHealth Caritas Ohio. How and when can I enroll?

Call the Ohio Department of Medicaid Enrollment Hotline at 1-800-324-8680 (TTY 1-800-292-3572) to enroll.

If I enroll with AmeriHealth Caritas Ohio, will I lose my regular Medicaid benefits?

No. You will keep all of the same Medicaid benefits that you're currently eligible for today.

Will my family be on a different managed care organization (MCO) plan or are we able to stay on the same plan?

Your family can choose to be on one health plan or split up between plans. Each person can only be a member of one health plan.

What if I want to change my selected or assigned MCO?

New members can change health plans during the first 90 calendar days following the date of their enrollment. You can also switch health plans one time a year . Certain members can change health plans at any time for any reason. If you want to change your health plan, call the Ohio Department of Medicaid Enrollment Hotline at 1-800-324-8680 (TTY 1-800-292-3572).

Can I still join if I also have Medicare?

Yes. Members may be eligible for both Medicaid and Medicare, depending on income level. The state determines your eligibility.

Will I have a monthly payment?

Contact your Health Benefits Manager.

What will I receive as a new member?

Once you are enrolled with AmeriHealth Caritas Ohio, you will receive a welcome kit. The information in this kit tells you about our plan, benefits and services. The kit will include the member handbook and member ID card. It will also have information on how to change your primary care provider. You can also access this information online through our New Members section.

What are the benefits and services offered by AmeriHealth Caritas Ohio?

Visit our members section to learn more about the benefits and services we offer.

Does my health care provider participate with AmeriHealth Caritas Ohio? Is my provider on your plan? Does my provider participate in your network?

We are actively enrolling providers within your area. Your provider may be in the process of being enrolled. You can also use our online provider search tool to find a provider already in our network.

Will my benefits change?

No. You will not lose any of your current benefits received through Medicaid. In fact, you may be eligible for additional benefits through AmeriHealth Caritas Ohio.