- Buckeye health plan number. Louis, MO 63105 Fax: 1-844-273-2671 Part D Appeals: Once enrolled in a MyCare Ohio plan, a care manager is assigned to be the primary contact for all health care, behavioral health and long-term care Each provider has an Ambetter from Buckeye Health Plan Provider Network Specialist assigned to them. St. We are excited about what this will mean for our associates, and for YOU. Your care As a member of Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) you have the right to file an appeal for any denials related to medical services or prescription drug coverage. The $0. Buckeye Health Plan – MyCare Ohio Member Name:<Cardholder Name> Health Plan:<Card Issuer Identifier> MMIS Number:<Medicaid Recipient ID#2> Part C and D Grievances: Buckeye Health Plan - MyCare Ohio Appeals and Grievances Medicare Operations 7700 Forsyth Blvd. Buckeye has Buckeye Health Plan Transportation Buckeye Health Plan ofers transportation to help members get to medical, dental and vision appointments at no cost to them. 01 Billing Program seeks to Wellcare by Allwell carries Medicare Advantage (MA) plans in health maintenance organizations (HMOs) by leveraging our vast network of providers. Learn more about Ohio Medicaid renewal at Buckeye Health Plan. That’s why we offer Ohio health insurance plans that cover every stage in life, including Once enrolled in a MyCare Ohio plan, a care manager is assigned to be the primary contact for all health care, behavioral health and long-term care Buckeye Health Plan Advantage is an HMO SNP plan with a Medicare contract and a contract with the Ohio Medicaid program. Find answers to common questions, learn more about the basics of health insurance, and contact the Ambetter help center. This team serves as the primary liaison between the Plan and our Some plans also cover dentures. This page serves as your centralized hub for program Get Started Now! Visit provider. (Buckeye) is a managed care organization (MCO) contracted with the Ohio Department of Medicaid (ODM) to serve Medicaid members. Sign in or create your Ambetter Dispute-Appeal Types Pre-Service Provider Appeals: (no claim submitted) A pre-service appeal is the request for review per a “Notice of Adverse Action. 2025 Summary of Benefits - English (PDF) - last updated Oct Introduction This Provider and Pharmacy Directory includes information about the provider and pharmacy types in Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) (Buckeye) Buckeye has developed the expertise to work with dually eligible Medicare and Medicaid members to improve their health status and quality of life. Welcome to Buckeye Health Plan Welcome to Buckeye Health Plan (Buckeye), a subsidiary of Centene Corporation. View our provider resources online now. Buckeye Health Plan exists to improve the health of its members through focused, compassionate and coordinated care. Find Everything You Need To Manage Your Plan In One Place. Learn about Benefits and Services available from Buckeye Health Plan for health insurance in Ohio today. To assist in preparations, ODM compiled a list of important changes to Established to deliver quality healthcare through local, community-based partners, Buckeye Health Plan improves the health of its members Introduction This Provider and Pharmacy Directory includes information about the provider and pharmacy types in Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) (Buckeye) Simplify Office Administrative Tasks Keep our Quick Reference Guide nearby to make pre-visit planning and post-visit tasks quick and easy. You can count on us to provide the resources you need to care for yourself and your family. Buckeye Health Plan offers Ohio Medicaid and Medicare health insurance plans, along with our Health Insurance Marketplace product, Ambetter. This Get the MySafeRide Member App Buckeye Health Plan MySafeRide Web Login Gas Mileage Reimbursement 866-531-0615 Learn more about electronic transactions for providers. There are many ways to get in touch with us, and resources available on our website: Your health is our Buckeye Health Plan offers Ohio Medicaid and Medicare health insurance plans, along with our Health Insurance Marketplace product, Ambetter. Is this service listed below on this Buckeye Health Plan (Medicaid) Established to deliver quality healthcare through local, community-based partners, Buckeye Health Plan improves the health of Buckeye Health Plan offers health insurance plans with comprehensive Ohio Medicaid benefits that suit our members’ needs. Transportation options to bestsupport your needs We provide transportation benefits in threedifferent ways: Car or van through Lyft, Uber Health or local At Buckeye, maintaining our trusted partnership with our providers is a top priority. If you are an out-of-network provider seeking Buckeye Health Plan offers insurance plans that include prescription drug coverage. Buckeye Health Plan (Medicaid) Established to deliver quality healthcare through local, community-based partners, Buckeye Health Plan improves the health of Ambetter Support offers help when you need it. Enrollment in Buckeye Health Plan Advantage depends on Be sure to put your first and last name, the number from the front of your Buckeye member ID card, and your address and telephone number in the letter so that we can contact you, if needed. Learn about Buckeye Health Plan’s prescription drug coverage for Medicaid members. Do you need more information or have a question? Please fill out the below form or contact us at 1-866-246-4358. Your inquiry will be reviewed. MyCare Ohio program webpage shares information and resources about the program and the different ways members can receive services, contact information for the MyCare Ohio plans, Medical Management Buckeye Health Plan Waiver services will be authorized by the health plan case manager based on member waiver eligibility. Our goal is to furnish you and your staff with the necessary tools and services to provide the highest quality Appeals Regarding Medical Necessity Buckeye Health Plan Appeals/Grievance Department 4349 Easton Way, Suite 400 Columbus, OH 43219 If submitting paper claims, only original red At Buckeye, we offer a large choice of doctors and specialists to best meet our members’ healthcare needs close to home. New Member Information This handbook tells you about your coverage under Buckeye. com) location in Ohio, United States , revenue, industry and description. Have your tax ID number ready during sign up. Clinical Policies Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. View your plan’s provider directory for a list of doctors, Introduction This document is a brief summary of the benefits and services covered by Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) (Buckeye Health Plan). Find related and similar companies as well as . Apply on the state Marketplace today! Buckeye Health Plan providers are expected to educate and prepare their trading partners for the February 1 launch. It explains Medicaid & MyCare How to work with Buckeye Health Plan as a non-contract provider. 01 Billing program Centene Medicare providers can now utilize the CPT II $0. A Buckeye Health Plan representative may contact you regarding your inquiry. Members can pick between a variety of Contact us today. Buckeye Health Plan Profile and History Founded in 2004, Buckeye Community Health Plan provides affordable health care plans such as government-sponsored healthcare programs, New Centene Medicare CPT II and HCPCS $0. The Plan began serving Ohio Medicaid Members in January 2004. Take Charge Of Your Health With 24/7 Access To Ambetter Member Services And Resources. You are now a member of a healthcare plan, also known the Medicare portion of MyCare OH, Buckeye inpatient setting? If yes, the services Health Plan is managing the Medicaid require prior authorization including: benefits and will View Buckeye Health Plan (www. If you’re in a Medicare-Medicaid Plan (like Buckeye Health Plan), your Medicare-Medicaid Plan ID card is your main card for Medicare – you should still keep it and use it whenever you need As a Buckeye Health Plan provider, you can rely on: A comprehensive approach to care for your patients through disease management programs, healthy behavior incentives and 24-hour toll About Us Buckeye Health Plan, Inc. Once Medicaid and MyCare Ohio Members exceed their annual trip limit, please contact the county NET transportation Buckeye Health Plan offers Ohio Medicaid and health insurance plans, along with our Health Insurance Marketplace product, Ambetter. If you have an urgent medical situation please contact your doctor. 5. Search for community-based organizations that can help with Welcome to Buckeye Health Plan! We’re glad you’re a member. It’s time to take control of your As of January 1, 2026, your Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) will change and you will be enrolled in a new plan called Wellcare Buckeye MyCare Ohio Dual Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) Members As of January 1, 2026, your Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) will change and you will Have a question or concern for the Ambetter from Buckeye Health Plan team? We'd love to hear from you! Please fill out the contact form, and we'll be in touch shortly. 01 Billing Program. Buckeye has Physicians, other licensed health professionals, facilities, and ancillary providers contract directly with Buckeye for payment of covered services. It Effective January 1, 2024, Buckeye Health Plan is expanding our prior authorization program to include non-emergent MSK procedures. Buckeye is committed to helping our members get and stay healthy. (3 days ago) 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 Questions & Answers Q What is the phone number for Buckeye Health Plan? A The phone number for Buckeye Health Plan is: 866-246-4356. Access your secure account information for Buckeye Health Plan online through our healthcare portal for members and providers. an inpatient setting? If yes,the services Medical Management Waiver services will be authorized by the require prior authorization including: Buckeye Community Health Plan health plan case Introduction This Provider and Pharmacy Directory includes information about the provider and pharmacy types in Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) (Buckeye) Welcome to Buckeye Community Connect, our go-to resource for local services and resources that meet our members’ needs. Easily check member eligibility View, Healthy partnerships are our specialty. buckeyehealthplan. Buckeye has WELCOME TO BUCKEYE HEALTH PLAN Welcome to Buckeye Health Plan (Buckeye), a subsidiary of Centene Corporation. If you Please fill out the below form or contact us at 1-866-246-4358. You’re dedicated to your My Health Pays® Rewards Get rewarded for focusing on your health! Earn My Health Pays® rewards when you complete healthy activities like a yearly Joining a MyCare Ohio plan MyCare Ohio MMP benefits include: Inpatient hospital and nursing facility stays Home health Transportation services Fitness membership at a participating Contracted Providers Next Gen MyCare Welcome to the resource center for Buckeye’s Next Generation MyCare Ohio program. com and click Create an Account. It explains how to receive health care services, behavioral health coverage, Find out if you need pre-authorization with Buckeye Health Plan's easy pre-authorization check. If you have an You can also reach us from 8am-8pm EST at 1-877-687-1189 (TTY 1-877-941-9236). Buckeye Health Plan offers Ohio Medicaid and health insurance plans, along with our Health Insurance Marketplace product, Ambetter. Get covered today. Buckeye Health Plan provides the tools and support you need to deliver the best quality of care. In Ohio, WellCare and Buckeye Health Plan are bringing our health plans together to better serve you. Care for your family with Buckeye Health Plan. The expansion includes inpatient and outpatient hip, In addition to Wellcare Medicare Advantage plans, we also offer Wellcare By Buckeye Health Plan, a 2026 Dual Align plan that combines Medicare and Medicaid coverage. The Plan Learn about Ohio health insurance, Medicare and Medicaid healthcare plans from Buckeye Health Plan and enroll today. In this section, we provide information and resources. ” A “Notice of Adverse As a member of Buckeye Health Plan-MyCare Ohio, you will receive care management, which is extra help to coordinate your care and make sure you get the services you need. You can find more information about your benefits, including what exact services are covered by your plan, by checking your Dental What is Prior Authorization? Prior authorization means that you must get approval from Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) before you can get a specific service or Buckeye provides a Summary of Benefits to all members as a guide to understand covered services that we offer. You are now a member of a healthcare plan, also known as a managed Buckeye Health Plan provides health insurance plans and is one of the largest Ohio Medicaid providers. About Us Buckeye Health Plan, Inc. Learn about the Buckeye Health Plan member services. Questions? Contact Ambetter from Buckeye Health Plan 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 Reliable transportation powered by SafeRide Health A healthier member is our goal, and it starts with reliable transportation to attend appointments and stick to care plans. With Ambetter Health, you can rely on the services and support that you need to deliver the best quality of patient care. Our number one priority is the Call the Buckeye Health Plan Transportation Line to ensure eligibility. Take care of business on YOUR schedule. Ambetter from Buckeye Health Plan offers an online member account that lets you manage your insurance plan anytime. They include but are not limited to Verify Buckeye Health Plan member eligibility. We are pleased to provide the following information for Community Providers, FQHCs/RHCs, qualified Wellcare Member Services Phone Number Dual Special Needs Plans (D-SNPs): 1-844-796-6811 (TTY: 711) All other Medicare Advantage plans: 1-800-977-7522 (TTY: 711) Determine if pre-authorization is necessary. This handbook tells you about your coverage under Buckeye Health Plan - MyCare Ohio (Medicare- Medicaid Plan) (Buckeye Health Plan) through December 31, 2021. The Provider Portal is yours to use 24 hours a day, seven days a week to accomplish a number of tasks. Ambetter from Buckeye Health Plan offers quality, affordable health insurance in Ohio that fits your needs and budget. See company details and contact information for Buckeye Health Plan as well as related information and industry data. How to get a total number of Grievances, Appeals and Exceptions filed with Buckeye: To obtain a total number of Buckeye grievances, appeals and exceptions, please call Member Services at MyCare Concierge Team: 866-296-8731 If your patient has chosen to Opt Out of the Medicare portion of MyCare OH, Buckeye Health Plan is managing the Medicaid benefits and will only Call our 24/7 nurse advice line for answers to your health questions: 1-866-246-4358 (TDD/TTY: 1-800-750-0750) Buckeye Health Plan is committed to providing our Members with the resources they need to ensure the best possible care. BUCKEYE HEALTH PLAN Buckeye Health Plan (Buckeye) is a state-licensed, for profit managed care organization. If you don’t renew your Medicaid benefits, you will lose health insurance coverage. Plan Benefit Materials Access plan documents including your Annual Notice of Change, Summary of Benefits, and Evidence of Coverage. x2z xovh k1xpd xw08 lzvgx9hv ylgwuc 8ww xz2 knarb k9yy
