Two kinds of D-SNP in Ohio
| Fully integrated D-SNP (FIDE SNP) | Coordination-only D-SNP | |
|---|---|---|
| Who can join | People 21+ with full Ohio Medicaid and Medicare Parts A, B and D | People with QMB, SLMB, QI or QDWI only, not full Medicaid |
| What it covers | Medicare and Medicaid from one plan, including long-term services | Medicare; your Medicare Savings Program still pays premiums (and, with QMB, cost sharing) |
| How it connects to MyCare | It is the Medicare side of your MyCare plan | Separate from MyCare |
The Ohio Department of Medicaid's contract with MyCare plans requires each to offer a FIDE SNP and bars them from offering coordination-only D-SNPs to people with full Medicaid. Ohio has no highly integrated (HIDE) D-SNPs.
What changed for 2027
In 2026, many companies sold coordination-only D-SNPs in Ohio. CMS's 2027 data shows every Ohio D-SNP now belongs to one of the four MyCare organizations. If your D-SNP is ending, you should have a non-renewal letter and a special enrollment period: see Ohio plans ending in 2027. Open Enrollment runs through December 7, 2026.
Medicare Advantage plans may offer extra benefits such as dental, vision, hearing or fitness. Extra benefits vary by plan and county, may have limits and costs, and not every plan offers them. Check a plan's Summary of Benefits or Evidence of Coverage.
Before you choose
- Check your doctors and drugs against the plan's network and formulary.
- Keep your Medicaid renewal current; losing Medicaid can end D-SNP eligibility.
- Compare with Original Medicare plus a Part D plan.
To review D-SNPs and other plans from the companies they work with, you can request a call from a licensed insurance agent. The full guide is D-SNPs in Ohio.
Related questions
What is MyCare Ohio?
The Medicaid program behind Ohio's D-SNPs.
Can I have Ohio Medicaid and Medicare?
Full and partial dual eligibility.
What is Next Generation MyCare Ohio?
Why Ohio's D-SNPs changed.
Sources
- Medicare.gov — Special Needs Plans (SNP)
- Ohio Department of Medicaid — Next Generation MyCare Provider Agreement (2027)
- CMS — Medicare Advantage/Part D contract and enrollment data (CY2027 Landscape)
- eCFR — 42 CFR 423.38, enrollment periods
More questions in this guide
- Can I have Ohio Medicaid and Medicare at the same time?
- Does Ohio Medicaid pay for nursing home care?
- Does Ohio Medicaid take your house after you die?
- Is MyCare Ohio available in my county?
- What is the difference between Medicare and Medicaid in Ohio?
- What is a qualified income trust (Miller trust) in Ohio?
- What is MyCare Ohio?
- What is Next Generation MyCare Ohio?
- What is the PASSPORT waiver in Ohio?
Part of the guide: Ohio Medicaid and Medicare together · All questions
Frequently asked questions
How many D-SNPs are in Ohio for 2027?
CMS's 2027 plan data shows 10 D-SNP plans in Ohio, all from the four MyCare Ohio organizations: 6 fully integrated plans and 4 coordination-only plans, offered in all 88 counties.
Do I have to join a D-SNP if I have Medicaid?
No. You can keep Original Medicare with a Part D plan or choose another Medicare plan. With full Medicaid you are still enrolled in a MyCare plan for your Medicaid benefits.
Can I switch D-SNPs during the year?
Often, yes. People with full Medicaid can join the integrated D-SNP that matches their Medicaid plan in any month, and people with Medicaid or Extra Help can move to a standalone Part D plan once a month.
Medicare in your Ohio county
Plans, local agents and help, county by county: Franklin · Cuyahoga · Hamilton · Summit · Montgomery · Lucas · Butler · Stark · Lorain · Warren · Delaware · Lake · Mahoning · Clermont · Trumbull · Licking · Medina · Greene · Fairfield · Portage · All 88 counties →
