Health Maintenance Organization - Medicaid | Buckeye Community Health Plan

Provides a managed health care insurance plan that provides participants with a network of health providers that participants agree to use for all needed health services including doctors, hospitals and pharmacies. Plan may offer incentives and additional services to increase participants' use of preventive health care. Offers services such as primary care visits, check-ups, immunizations, prescription drug benefits, health education, physicals, family planning, maternity and prenatal care, emergency and urgent care, mental health services, substance use disorder services, vision and dental care, chiropractic care, podiatry, speech and hearing, medical equipment, diagnostic tests, and outpatient hospital care. Addresses customer concerns with billing and issues concerning covered services. Enhanced coverage of health services (called Healthchek) for those age 20 or younger (including prenatal and well baby care) is also provided to members.Organization provides the opportunity to file a complaint against providers or the plan.

Data provided by

211 Cleveland

Physical Address

4349 Easton Way, Ste. 400, Columbus, OH 43219

Hours

Healthcare Plan Customer Service M-F: 7:00am-7:00pm.

Voice

(866) 246-4358

voice | Member Services

Voice

(866) 246-4356

voice | Administration

Fax

(866) 786-0482

Application process

Must first apply and be approved for Medicaid. After being approved, clients are usually transitioned to a Managed Care Plan (MCP). Clients can change their MCP during open enrollment every November, but there are other circumstances in which the client may change their plan. The consumer hotline can provide information on what this plan covers or provides or for assistance with issues or concerns.

Fee

None.

Eligibility

Serves Medicaid and Medicare/Medicaid recipients in Ohio who choose this plan as their network provider. Plan members residing outside the 29 counties who become eligible for Medicare are not eligible for extra benefits.

Service area

Ohio

Agency info

Buckeye Community Health Plan

Offers a health maintenance organization (HMO) for Medicaid recipients as well as providing lines of insurance on the Marketplace and specialty services.