Buckeye health plan dental coverage Customer service: (888) 345-1780 Fax number for providers: (800) 249-1513 Hours available: Monday - Friday / 8:00 AM to 5:00 PM. Buckeye Health Plan Awarded Ohio Medicaid Contract; Buckeye in the News - Colorectal Cancer Awareness Month 2024; Ohio Medicaid Managed Care Plans Reinvest In Ohio Communities; Buckeye in the News - Minority Health Month 2024; Ohio Medicaid’s Managed Care Plans; Buckeye in the News - Healthy Resolutions 2025 Welcome to Northern Buckeye Health Plan. J&B Medical Supply. Oct 1, 2024 · It also covers dental and vision services. The copay is not waived if admitted to the hospital for worldwide emergency A Buckeye Care Guide can connect you to healthcare, local social services, and behavioral health resources. com. Our mission is to provide employees and their families the most competitive and cost effective benefits possible. This includes coordinating care and services for you or your family for immediate needs. Benefits or Opt In Members. To find a dentist near you, visit Buckeye’s “Find a Docto External Link” portal or call Buckeye Member Services at 1-866-246-4358. Provider Services for Ambetter. When you need a place to turn for behavioral health challenges, Buckeye is your guide to better health. see your Evidence of Coverage. When it comes to dental care, Buckeye Health Plan offers coverage for preventive services such as cleanings, X-rays, exams, and fluoride treatments. which is a Qualified Health Plan issuer in the Ohio Health Insurance Marketplace. This is a solicitation for insurance. Because you chose or were assigned to only get Ohio Medicaid-covered services from our plan, Medicare will be the primary payer for most services. Buckeye is committed to helping our members get and stay healthy. 1 to Dec. Health Insurance Open Enrollment Period Runs Nov. It's important to us too. Sep 1, 2023 · This is a summary of health services covered by Buckeye Health Plan – -Medicaid Plan) (Buckeye Health Plan) for 2024. com Buckeye cares about your wellbeing. Buckeye Health Plan provides health care services to Ohio residents who are eligible, including individuals with low income, individuals who are pregnant, infants, and children, older adults, and individuals with disabilities Buckeye may not discriminate on the basis of race, color, religion, gender, sexual orientation, gender identity, Buc keye Health Plan provides health care services to Ohio residents who are eligible, including individuals with low income, pregnant women, infants, and children, older adults, and individuals with disabilities . 2. MyCare Ohio is a dual-eligible program that contracts with both Medicare and Ohio Medicaid in 12 counties. Ambetter. Guidelines For providers . Ambetter offers affordable health care coverage for individuals and families. For example, maybe you need help connecting with a primary care doctor and arranging transportation. Expand Ambetter Health is the brand name used for products and services provided by one or more of the wholly owned subsidiaries of Centene Corporation, who are issuers in the states indicated at AmbetterHealth. Buckeye Health Plan is your partner and advocate. Buckeye’s dental benefits give your family a reason to smile. Health insurance claims denials are an issue for many people: Insurance companies selling plans on Buckeye Health Plan Awarded Ohio Medicaid Contract; Buckeye in the News - Colorectal Cancer Awareness Month 2024; Ohio Medicaid Managed Care Plans Reinvest In Ohio Communities; Buckeye in the News - Minority Health Month 2024; Ohio Medicaid’s Managed Care Plans; Buckeye in the News - Healthy Resolutions 2025 AeroFlow. Learn more about Ohio Medicaid managed care plans available through Buckeye Health Plan. Sep 19, 2024 · Buckeye Health Plan Coverage for Dental Implants. Ambetter Health offers quality, affordable healthcare with a trusted provider network. Member Perks – learn about member perks such as telehealth, dental, and over-the-counter benefits. Qualified enrollees of the Medicare-Medicaid Plan (MMP) receive healthcare benefits of both programs from one single health plan. Buckeye partners with members to address conditions like: Anxiety; Depression; Schizophrenia Oct 1, 2024 · Last updated: 10/01/2024 Material ID: H0022_WEBSITE_2025_Approved_11052024. We are here to support your health needs and make that part of your day easier. The Health Insurance Marketplace is an online shopping mall of healthcare plans. , which is a Qualified Health Plan issuer in the Ohio Health Insurance Marketplace. Introduction . You can choose to get both your Medicare and Ohio Medicaid benefits through Buckeye so all of your services can be coordinated. Please read the for the full list of benefits. Beginning Nov. Feb 22, 2021 · Plans also include [dental/vision coverage. Enroll with one MyCare Ohio plan for Medicaid *If you require coverage for Pediatric Dental please shop on the Health Insurance Marketplace for a stand alone dental plan. A dental insurance plan will help you to better manage your dental costs and get the benefits you need with affordable dental insurance coverage. The Northern Buckeye Health Plan – Northwest Division of OHI is part of a not-for-profit, state wide consortium. GET ADDITIONAL COVERAGE WITH THE OPTIONAL, ADD-ON AMB18-BK-C-00007-OH 7/18 Ambetter from Buckeye Health Plan is a Qualified Health Plan Issuer in For information on the Healthchek program, please contact Buckeye Health Plan at 1-866-246-4358 (TDD/TTY: 1-800-750-0750) and ask to speak with the Quality Improvement Department or get in touch with your county’s Healthchek Coordinator by contacting your county Department of Job and Family Services. . The PCP serves as the “medical home” for the patient. Buckeye may not discriminate on the basis of ra ce, color, religion, sex, sexual orientation, gender identity, age, Ambetter from Buckeye Health Plan is a Qualified Health Plan issuer in the Ohio Health Insurance Marketplace and does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations. Nov 1, 2018 · Get Covered During Open Enrollment in Ohio with Ambetter from Buckeye Health Plan. Enrollment in our plans depends on contract renewal. ” Enrollees choosing this enrollment with Buckeye Health Plan have all covered services provided and paid for by Buckeye Health Plan. There is no worldwide coverage for care outside of the emergency room or emergency hospital admission. Buckeye Community Health Plan, Inc. Buckeye is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. Date: 11/01/18 . Ambetter from Buckeye Health Plan is underwritten by Buckeye Community Health Plan, Inc. To find a dentist near you, visit Buckeye’s “Find a Doctor” portal or call Buckeye Member Services at 1-866-246-4358. Our D-SNP plans have a contract with the state Medicaid program. Plus, we help with social needs that can impact health and well Ambetter from Buckeye Health Plan (Health Insurance Marketplace) * + optional dental coverage for subscribers. Your Health and Drug Coverage under Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) Member Handbook. Oct 1, 2024 · Last updated: 10/01/2024 Material ID: H0022_WEBSITE_2025_Approved_11052024. Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. We offer support services and programs to help. Ambetter from Buckeye Health Plan is a Qualified Health Plan issuer in the Ohio Health Insurance Marketplace and does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations. You may access incontinence supplies included on the list (PDF) from J & B Medical Supply. Buckeye provides round trip coverage for covered services 30+ miles away. Date: 12/01/22 . complies with applicable Federal civil rights laws and does not discriminate on the basis Medical, dental and vision care WITH NO COPAYS*; MORE Prescription coverage WITH NO COPAYS**; FREE mental health coverage and specialty care *For covered services **Please see our preferred drug list for all medically necessary, Medicaid covered prescriptions. This is a summary of drug and health services covered by Wellcare Dual Access (HMO-POS D-SNP) from January 1, 2025 to December 31, 2025. Expand We know how important it is to have a health plan you can count on. This is a summary of health services covered by Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) (Buckeye) for 2021. 844-621-4581. ©2025 Buckeye Community Health Plan, Inc. List of Drugs (Formulary) – if you have a Medicare Advantage Prescription Drug plan, access your plan’s Drug List (Formulary) and search tool. Amid the ongoing COVID-19 pandemic, Ambetter [from Health Plan] also covers the cost of COVID-19 tests and the associated physician’s visit when medically appropriate. Ohio Health Insurance Plans from Buckeye Health Plan. If you, or someone you’re helping, have que. Find out if you’re eligible and apply online today. Nov 1, 2019 · Ambetter from Buckeye Health Plan is underwritten by Buckeye Community Health Plan, Inc. , Ambetter. At Buckeye Health Plan, we understand how important you and your family's healthcare needs are. Health benefits and health insurance plans contain exclusions and limitations. Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to Get to know your Dental coverage which may be included with Wellcare By Allwell from Buckeye Health Plan 7700 Forsyth Boulevard Clayton, MO 63105. Buckeye may not discriminate on the basis of race, color, religion, gender, sexual orientation, gender Ambetter from Buckeye Health Plan is underwritten by Buckeye Community Health Plan, Inc. Buckeye partners with members to address conditions like: Anxiety; Depression; Schizophrenia A Spouse and dependent children (up to the age of 26) who meet the Plan’s eligibility criteria are able to enroll in the Northern Buckeye Health Plan (NBHP) for medical, dental, or vision coverage. Disaster Coverage – learn how to access coverage in the event of a disaster or local emergency. Buckeye Health Plan has been serving Ohio since 2004 and currently serves more than 460,000 members across its Medicare, Medicaid Ambetter from Buckeye Health Plan is underwritten by Buckeye Community Health Plan, Inc. Additional Dental Information What you should know: This plan includes coverage up to $3,000 per plan year for all in-network and out-of-network covered routine comprehensive dental services. *If you require coverage for Pediatric Dental please shop on the Health Insurance Marketplace for a stand alone dental plan. This booklet will provide you with a summary of what we cover and the cost-sharing responsibilities. ***Please Note: Comprehensive Dental Benefits (Class 2) are subject to a six month waiting period until services can be rendered. 15, 2018. Envolve Dental administrates dental benefits for the health plan and will internally coordinate dental benefits and claim payments. Dental 2023 Schedule of Benefits Category Code General Service Description Frequency (how often our plan will pay) Diagnostic (Preventive) Services Oral Exam D0120 At Buckeye Health Plan, we understand how important you and your family's healthcare needs are. Vision Services Eye Exam Medicare Covered In-Network Our Ambetter Health dental insurance is designed to help you fulfill your dental care needs. com 3252410_OH4PMKTMANE PRO_3252410E Internal Approved 04/11/2025. Behavioral health is just as important as physical health. That’s why we offer Ohio health insurance plans that cover every stage in life, including medical, behavioral health, pharmacy, dental, vision and so much more. It explains health care services, Ambetter from Buckeye Health Plan is underwritten by Buckeye Community Health Plan, Inc. 1 through Dec. This is only a summary. **Dental Annual Maximum Benefit does not apply toward any other maximums. If you, or someone you’re helping, have questions about H0908, Plan 006 Worldwide Emergency Coverage $125 copay Worldwide emergency and worldwide urgently needed services are subject to a $50,000 maximum plan coverage. Covered Dental Benefits: Our plan provides coverage for the dental services described below. A Spouse that is eligible for enrollment may enroll in NBHP for secondary coverage when they are primary on another plan. , which is a Qualiied Health Plan issuer in the Ohio Health Insurance Marketplace. Every year, Medicare evaluates plans based on a 5-star rating system. Buckeye Health Plan is a Medicaid managed care plan that offers comprehensive healthcare coverage to eligible individuals in Ohio. This handbook tells you about your coverage under Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) (Buckeye Health Plan) through December 31, 2023. In addition, Buckeye offers up to 15 round-trip visits (30 one-way trips) per member per 12- month period to covered healthcare/dental appointments, WIC appointments, redetermination appointments with your CDJFS caseworker, as well as pharmacies following a doctor appointment. Expand For adults ages 19 years and older, or 21 and older in Kentucky, Ambetter Health offers multiple health insurance plans that also include vision and dental coverage. * If you’d like insurance coverage for adult vision and dental care, choose a plan with “+ Vision + Adult Dental” in the plan name. Additional dental limitations and exclusions apply. 15, Ohio residents may select Ambetter from Buckeye Health Plan for healthcare coverage in 27 counties through the federal Health Insurance Provider Manual . Please read the Member Handbook for the full list of benefits. Buckeye Health Plan's plan is called Ambetter. Mar 31, 2025 · For years, Buckeye Health Plan has delivered healthcare solutions to Ohio residents, and now, it’s easier to stay covered with our Health Insurance Marketplace plan: Ambetter Health. Buckeye Health Plan is a health plan provider offering Ohio Medicaid benefits for eligible Ohio Ambetter - Coverage Map Author: Buckeye Health Plan Subject: Ambetter from Buckeye Health Plan Coverage in Ohio Keywords: healthcare, coverage, marketplace, benefits, program, dental, vision Created Date: 5/4/2015 3:51:32 AM Medical, dental and vision care WITH NO COPAYS*; MORE Prescription coverage WITH NO COPAYS**; FREE mental health coverage and specialty care *For covered services **Please see our preferred drug list for all medically necessary, Medicaid covered prescriptions. Combined Medicare and Medicaid. Buckeye Health Plan is a health plan provider offering Ohio Medicaid benefits for eligible Ambetter from Buckeye Health Plan Coverage for: Individual/Family | Plan Type: HMO Clear Gold + Vision + Adult Dental: Standard Gold On Exchange Plan SBC-41047OH0030071-01-2024 Underwritten by Buckeye Community Health Plan The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Primary Care Provider (PCP) The primary care provider (PCP) is the cornerstone of Buckeye. Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. HMO: 1-855-766 5 days ago · The company also sells competitively priced plans, and many plans offer dental coverage. BuckeyeHealthPlan. Refer to your 2023 Evidence of Coverage for any applicable cost sharing and benefit maximum. Buckeye makes it easier for your family to take care of their oral health with: Two free oral exams and teeth cleanings per year. Depending on your family size and income, you may even qualify for help to pay your monthly premium. Expand Apr 5, 2025 · Buckeye Health Plan offers dental benefits to help families maintain their oral health, including two free annual exams and teeth cleanings. Buckeye Health Plan Raises Awareness of Timely Dental Care for the Whole Family. Dec 1, 2022 · Staying up to Date on Dental Care Has Lasting Health Benefits. Buckeye Health Plan provides health care services to Ohio residents who are eligible, including individuals with low income, individuals who are pregnant, infants, and children, older adults, and individuals with disabilities . ***Ambetter from Buckeye Health Plan is underwritten by Buckeye Community Health Plan, Inc. You can get Ambetter Health dental coverage as a buy-up plan to your health insurance. As we approach the end of the year, many Ohioans are behind on important dental care visits, putting themselves at greater risk for oral and other health challenges. Ambetter from Buckeye Health Plan Coverage for: Individual/Family | Plan Type: HMO Everyday Bronze + Vision + Adult Dental: Standard Bronze On Exchange Plan SBC-41047OH0030057-01-2025 Underwritten by Buckeye Community Health Plan The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We focus on stabilizing the rate of trend and enhanced purchasing power options. nic nkvwd fvbcm kpmed dkupwtk ufokv tjq drowo fhfxmun ehmev