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UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan) in 2025, please refer to our full plan details page.
UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan) is a Medicare-Medicaid Plan plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Ohio. The overall rating for this plan is not yet available for 2025.
It's important to know that UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)is a Medicare-Medicaide (MMP) plan. This means you can only enroll in this plan if you meet specific criteria for both medicare and medicaid. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
We don't have information on the Maximum Out-Of-Pocket cost for this plan. You can call our licensed insurance specialists by clicking "Call to Enroll" below for more information.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan) has an enhanced alternative drug benefit. This plan has a $0 deductible for prescription drugs. During the initial coverage phase, you will pay the costs for your drugs until your total drug costs reach $2,000. After this, you enter the catastrophic coverage phase, where you pay nothing for covered Part D drugs.
Additional Benefits
The UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan) offers a wide range of benefits with varying cost-sharing. Many services, such as primary care, emergency services, and home health services, have no copay. The plan covers essential services including inpatient and outpatient care, hearing, vision, and dental services, and offers transportation to plan-approved health-related locations. This plan provides coverage for medical equipment, diagnostic and radiological services, and home infusion services. However, it's important to note that some services, like cardiac rehabilitation and certain types of hearing aids, are not covered. Additionally, some services require prior authorization, and there may be limitations on the number of visits for certain dental services.
Inpatient Hospital See details
Inpatient Hospital benefits, including Acute and Psychiatric care, are covered, with additional days for both also covered; however, Non-Medicare-covered stays and upgrades for Acute are not covered. Prior authorization is required for these services.
Outpatient Services See details
Outpatient Services are covered, including Outpatient Hospital Services, Observation Services, Ambulatory Surgical Center (ASC) Services, and Outpatient Blood Services. Outpatient Substance Abuse Services are covered, but Individual and Group Sessions for Outpatient Substance Abuse are not covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan), but requires Prior Authorization.
Ambulance and Transportation Services See details
The UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan) plan covers ambulance and transportation services. Ambulance services have no copay or coinsurance, but ground and air ambulance services are not covered. Transportation services to plan-approved health-related locations are covered for up to 30 one-way trips per year, and there is no copay or coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan). Emergency Services and Urgently Needed Services have no copay and no coinsurance, while Worldwide Emergency Services, Worldwide Urgent Coverage, and Worldwide Emergency Transportation are not covered.
Primary Care See details
Primary Care Physician Services, Occupational Therapy Services, Physician Specialist Services, Other Health Care Professional, Additional Telehealth Benefits, and Opioid Treatment Program Services are covered with no copay and no coinsurance, while Routine Chiropractic Care, Individual Sessions for Mental Health Specialty Services, Group Sessions for Mental Health Specialty Services, Individual Sessions for Psychiatric Services, and Group Sessions for Psychiatric Services are not covered. Physical Therapy and Speech-Language Pathology Services are covered with no copay and no coinsurance.
Preventive Services See details
Preventive services are covered, but annual physical exams, health education, in-home safety assessments, and several other services are not covered. Remote access technologies are covered, and other preventive services like glaucoma screenings and diabetes self-management training are also covered.
Hearing Services See details
Hearing services are covered, including routine hearing exams and fitting/evaluation for hearing aids. Prescription hearing aids are covered, but inner ear, outer ear, and over-the-ear hearing aids are not covered, and OTC hearing aids are not covered.
Vision Services See details
Vision services include routine eye exams, eyewear, contact lenses, eyeglass lenses, and eyeglass frames. Routine eye exams are covered once per 12-month period for members under 21 and over 59 years of age, or per 24-month period for members 21 through 59 years of age. Contact lenses, eyeglass lenses, and eyeglass frames are covered once per 12-month period for members under 21 and over 59 years of age, or per 24-month period for members 21 through 59 years of age, and eyewear requires prior authorization. Upgrades are not covered.
Dental Services See details
Dental services are covered, including oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, orthodontic services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics, removable, maxillofacial prosthetics, implant services, prosthodontics, fixed, oral and maxillofacial surgery, and orthodontics. Some services require prior authorization, and the number of visits and periodicity may be limited for certain services.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan), including Medicare Part B Insulin Drugs. Medicare Part B Chemotherapy/Radiation Drugs are not covered.
Dialysis Services See details
Dialysis Services are covered by the UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan). There is no copay or coinsurance for this benefit.
Medical Equipment See details
Medical equipment is covered by UnitedHealthcare Connected for MyCareOhio, including Durable Medical Equipment (DME) and other services like incontinence garments, with no copay or coinsurance. Diabetic supplies, diabetic therapeutic shoes/inserts, prosthetic devices, and medical supplies are not covered, and DME for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, but Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services are not covered. There is no copay for the covered services.
Home Health Services See details
Home Health Services are covered with no copay or coinsurance, but authorization is required. Additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are not covered by the UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan), including Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan), including additional days beyond Medicare-covered and non-Medicare-covered stays. Prior authorization is required.
Other Services See details
Other Services include acupuncture, which requires prior authorization, and various other services. Over-the-counter items, meal benefits, dual eligible SNPs, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Freestanding Birth Center Services, Family Planning Services, Respiratory Care Services, Nursing Home Services, Home and Community Based Services, and Personal Care Services are not covered. Private duty nursing services are covered, with a limit of 16 hours every day. Other covered services include mental health and substance use disorder treatment, medically necessary wheelchair van, adult day health, specialized recovery, assisted living, choices home care attendant, home maintenance and chore, community transition, emergency response, enhanced community living, home care attendant, home delivered meals, home medical equipment & supplemental adaptive & assistive devices, home modification, homemaker, community integration, nutritional consultation, out-of-home respite, personal care, social work counseling, waiver nursing, waiver transportation, tobacco cessation counseling, and a food benefit.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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