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 PLANS

If you are hired on or after 11/1/2024, please refer to the 2025 benefits for your elections

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.