The care coordinator can be the most valuable benefit
A care coordinator is a person who helps connect the pieces of a member’s care. The coordinator may help prepare for appointments, connect doctors and behavioral-health providers, arrange transportation, understand medications and equipment, find community programs, resolve gaps in services, and create a plan after a hospital or nursing-facility stay. Strong coordination can prevent problems that no single extra benefit can solve.
Supporting independence at home
For eligible members, Medicaid and home- and community-based services may help with personal care, meals, transportation, home safety, caregiver needs, or other daily supports. A coordinator can help identify these resources and support a person’s goal of remaining safely in the community rather than entering—or returning to—a facility.
Next Generation MyCare Ohio
Next Generation MyCare Ohio is designed to coordinate Medicare and Medicaid services for eligible Ohioans. Participating plan options include Anthem, CareSource, and Molina. Eligibility, county availability, provider participation, and benefit details must be verified before enrollment.
D-SNPs in Kentucky and Indiana
Dual Eligible Special Needs Plans are Medicare Advantage plans for people with both Medicare and Medicaid. Plans may coordinate medical care, prescription coverage, Medicaid services, transportation, dental, vision, hearing, and other supports. Medicaid categories and benefits differ by state.
Provider acceptance must be checked
A doctor accepting Ohio, Kentucky, or Indiana Medicaid does not necessarily mean the doctor participates in every D-SNP or integrated plan. Verify each physician, specialist, hospital, pharmacy, and prescription with the specific plan.
C-SNPs may be an alternative
Some people with Medicaid also qualify for a Chronic Special Needs Plan. A C-SNP may offer a stronger condition-focused program or a better provider and benefit fit. Compare it with available D-SNP or MyCare options rather than assuming one plan type is always best.
Support after enrollment matters
Help may be needed with member materials, benefit activation, provider issues, transportation, care coordination, or coverage questions. Senior Benefits Resource remains available after enrollment to help members understand where to turn.