Buckeye Community Health Plan > For Members > Your Benefits

Your Benefits

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Welcome Members

Thank you for choosing Buckeye Community Health Plan. We take your trust seriously, and give the highest priority to providing outstanding customer service. Buckeye is sensitive to our members' cultural needs. We are also committed to working in partnership with our extensive network of doctors and hospitals to help members “Grow Healthy. Stay Healthy.” That partnership helps us to make sure members get the care they need. We also support healthy lifestyles by sponsoring and taking part in local health fairs; offering transportation to all medical appointments – at no charge to members; providing our Start Smart prenatal program; and making nurses and local outreach workers available to those with special needs.

If you are eligible for Ohio Medicaid, you and/or members of your family may receive health care benefits through either the Covered Families and Children (CFC) program (including Healthy Start and Healthy Families) or the Aged, Blind, or Disabled (ABD) program. CFC Medicaid consumers include families, children up to age 19, and pregnant women. ABD Medicaid consumers include adults age 65 and older and Ohioans who are blind or disabled at any age.

On our website, you will see some information marked either for CFC or ABD. Some information may be different, depending on which Ohio Medicaid program you receive. If you have any questions, or you are not sure if you are a CFC or ABD member, please call Buckeye’s member services at (866) 246-4358 TTY (800) 750-0750 and we will be happy to help you.

(866) 246-4358
TTY: (800) 750-0750

Hours
7 A.M. to 7 P.M. EST
Monday through Friday

Members: If you can’t reach your doctor after office hours, weekends or on holidays, please call NurseWise at (866) 246-4358.
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At Buckeye Community Health Plan, you are our top priority day in and day out. We realize sometimes questions slip your mind when dealing with one of our healthcare professionals. Now, when that happens, you can search for answers anytime of the day on Krames Online, an up-to-date patient education resource. With access to more than 4,000 health and medication topics, Krames Online gives you and your family the ability to find answers to most questions, both big and small. Click on this link to start a search!

Your Primary Care Provider (PCP)

Your PCP will work with you to direct your healthcare. Your PCP will do your regular check-ups and shots (including adult physicals) and will treat you for most of your routine healthcare needs. Visits to your PCP are not limited. If needed, your PCP will send you to other doctors (specialists) or admit you to the hospital.

Extra Services and Benefits

Buckeye offers the following extra services and benefits to its members. For more information on these services, check the information in the Member Handbook or call Member Services at 866-246-4358 (TTY 800-750-0750):

Transportation:

As an extra benefit, 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, and redetermination appointments with your CDJFS caseworker.

Call TMS 48 hours (two business days) in advance at 866-531-0615 to schedule transportation.

Vision Services:

Buckeye provides annual eye exams for children AND adults. We also offer an expanded selection of eyeglass frames (a wider selection than what is available with fee-for-service Medicaid).

Buckeye also provides $50 toward the purchase of contact lenses, per member per year, and $50 toward the contact lenses fitting fee your vision provider charges, per member per year (not covered by Medicaid fee-for-service). Effective January 1, 2012.

Dental Services:

Buckeye’s dental services include two periodic oral exams and cleanings per year (more than what is available with fee-for-service Medicaid).

Start Smart For Your Baby:

Start Smart for Your Baby is our special program for women who are pregnant to help you take good care of yourself and your baby. In this program, members can earn up to $200 on a CentAccount card pre-paid Mastercard for going to pre-natal, postpartum, and well-baby visits for the first 15 months of life. During pregnancy, it’s also important for members to follow doctor’s orders for a healthy pregnancy.

To be eligible, a pregnant woman must enroll before the third trimester.

Be Well! Program:

As a Buckeye Community Health Plan ABD member, you can take part in a special member-only program called “Be Well!”

In addition to helping you live a healthy life, it also rewards you for being active in your healthcare. As part of our Be Well! Program, when you receive services listed below you can earn up to $110 on a pre-paid CentAccount card each calendar year that you are a Buckeye member.

Flu Shot – $25
Diabetic Management (must stay current with all four diabetic tests - LCL, HbA1c, Eye and Nep) – $35
Physician Exam with your PCP – $25
Mammogram – for women – $25

(NOTE: This program applies once per member per calendar year, and stated information is effective January 1, 2012).

Want to find out more information on our programs and services? Visit the Stay Healthy section for a complete listing.

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