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Medical-800

MEDICAL PLANS

The following is a summary of your medical benefits. For a more detailed explanation of benefits, please refer to your Summary Plan Description (SPD), certificate of coverage or SBC. You may access a list of participating providers through the carrier’s website.

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Medical-800

MEDICAL PLANS

The following is a summary of your medical benefits. For a more detailed explanation of benefits, please refer to your Summary Plan Description (SPD), certificate of coverage or SBC. You may access a list of participating providers through the carrier’s website.

Medical Mutual of Ohio Plan

  In-Network  Out-of-Network
Annual Year Deductible
(Individual/Family)		 $0/$0 $250/$500
Coinsurance 100% 80%
Out of Pocket Maximum $3,175/$6,350 Unlimited
Preventive Care Covered at 100% Ded + 20%
Primary Office Visit (PCP) $20/visit Ded + 20%
Specialist Office Visit $30/visit Ded + 20%
Emergency Room Care $100/visit $100/visit
Urgent Care $35/visit Ded + 20%
1-800-228-6472
member.medmutual.com

RESOURCES

Click to view documents below.

MMO SBC
MMO Toolkit Flyer
MMO Toolkit Poster
Lark - Diabetes Management
Lark - Diabetes Prevention
Lark-Wellness-Flyer
Lark - Hypertension
Lark Overview
Nurse Line
Sword-Virtual Physical Therapy Expanding our Chronic Condition Management Program
Where to Find Care
MMO Advocacy Program
MMO Fitness Discounts
MMO Member Wellness Programs
MMO Mom's Meals Self Pay Program
MMO Wellness Programs and Resources
Beltone Discount

Anthem Plan

  In-Network  Out-of-Network
Annual Year Deductible
(Individual/Family)		 $0/$0 $250/$500
Coinsurance 100% 70%
Out of Pocket Maximum $6,350/$12,700 $12,700/$25,400
Preventive Care Covered at 100% Ded + 30%
Primary Office Visit (PCP) $20/visit Ded + 30%
Specialist Office Visit $30/visit Ded + 30%
Inpatient Hospital Services No charge Ded + 30%
Outpatient Hospital Services Office visit: $20, Other outpatient: no charge Ded + 30%
Emergency Room Care $100/visit $100/visit
Urgent Care $35/visit Ded + 30%
1-833-952-2042
anthem.com

RESOURCES

Click to view documents below.

Anthem SBC
Care Options Flyer
Special Offers and Discounts
Bloom OE Packet
Sword-Virtual Physical Therapy FAQ
SWORD Program FAQs
SWORD Program Poster
Anthem Mental Health Overview
Anthem Prevent Heart Disease
Anthem Sydney Web Registration
Anthem Health Guide

UH Choice Plan

  In-Network 
Annual Year Deductible
(Individual/Family)		 $0/$0
Coinsurance 100%
Out of Pocket Maximum $3,175/$6,350
Preventive Care Covered at 100%
Primary Office Visit (PCP) $10/visit
Specialist Office Visit $25/visit
Inpatient Hospital Services No charge
Outpatient Hospital Services $10/visit
Emergency Room Care $50/visit
Urgent Care $25/visit
1-877-230-0992

RESOURCES

Click to view documents below.

Contigo SBC

Healthcare Bluebook

Healthcare price and quality transparency.

Look up the fair value of the service(s) you need at www.healthcarebluebook.com prior to discussing the cost with your health care provider. If the price you are quoted is more than the listed fair value, let the provider know and ask if they can match the fair value.

Note: Always confirm the provider and/or facility is in-network.

Search

Easily search any procdure to find out how much you should be paying in your area

Compare

Bluebook’s Fair Price information and quality rankings enable smarter healthcare decisions.

Save

Potentially save in out-of-pocket costs every time you receive medical care.