Source: Urgent Care Association, "2018 Benchmark Report." Save up to 85% at MinuteClinic vs. the ER for comparable services. /+fF]`E` E.ibSq.VJ {])V1'0p:~5; -"BN>tQF. Any individual enrolled in one of the universitys faculty and staff medical plans automatically has access to Ohio State Travel Assistance services. When billing insurance companies, the physicians accept lower fees/insurance reimbursement than physicians who use their own equipment, supplies, staff and facilities Physicians who own their own facility and resources use insurance billing codes that include their facility/overhead costs into a single patient bill for an office visit and are . Prime Care Advantage requires that you receive medical care from a statewide network of providers. 0000023663 00000 n Clemens, MI 48046. 0000006007 00000 n Specialty medications have a separate formulary and must be filled by Accredo Specialty Pharmacy. OSU's James Cancer Hospital out of network for many Obamacare exchange STANDARD Various community providers. If you have a disability and experience difficulty accessing this content, contact our webmaster at webmaster@osumc.edu. You can access information such as the status of your deductible and out-of-pocket maximum, view claims and show your medical ID card to providers. Location: 110 Plageman Building (The 1st floor) Hours: Monday - Friday 9 am - 5 pm (During a term break, Monday through Friday 9 am - 12 pm) Phone: (541) 737-6748. Your eligible child is enrolled in a college outside the network area. Login to the HealthSmart WebExchange portal to view your benefits and claims. document.write(new Date().getFullYear()); | Student Academic Services Building | 281 W. Lane Ave. | Columbus, Ohio 43210 | 614-292-OHIO, Contact: Admissions | Webmaster | Page maintained by Office of the CIO, Request an alternate format of this page | Web Services Status | Nondiscrimination notice. Turn on dark mode More about Student Health Insurance. hrconnection.osu.edu, Fingerprinting by appointment only Your prescription benefit follows a formulary. 0000025154 00000 n Students are covered for general and malpractice insurance by The Ohio State University. Health Insurance | INTO OSU | Oregon State University The following marketplace/exchange plans will cover care at Ohio State: Open Enrollment for Medicare Advantage plans will be held Oct. 15 - Dec. 7. Credit, debit, health savings accounts (HSA) and some insurance accepted. The Ohio State University Office of Human Resources can help. A formulary is a list of covered medications organized by how they will be paid. Delta Dental, the plan administrator, provides network coverage through two networks: Delta Dental PPO and Delta Dental Premier. so(7@| You are living outside the network area for 30 consecutive days or more. Please contact the insurance company for more information. If you need a temporary identification card, please go to theTrustmark Self Service site or contact HR Connection at (614) 247-myHR (6947) for assistance. (866) 442-8257 If you lose job-based insurance, COBRA provides continuation coverage. To make a payment online visit go.osu.edu/SHSPayment. Ohio State Dental Faculty Practice patients are responsible for copay(s) and/or payment for services at the time of treatment. Emergency care is covered worldwide under the universitys faculty and staff medical plans. Accepted Insurance | OhioHealth Central Ohio Hospitals Administers the pharmacy benefits for our plan. To whom does the requirement apply? We also accept the following state-sponsored insurance plans: Medicaid, CareSource, Molina, United Healthcare Community Plan, My Care Aetna, and Paramount. %"1gQ{k "G +UKt;F&1zDi3e[izB9J."V.J7KXi\#C5 6R?by/2djR,1MrKcGa3J07 th3*(* 0 S~cYUepik/SIy^@wNS59+GNS{48y$hRAGo\S2-0M>M6%[Dur_wDT{5G+S+ ~Z?zNz5,wsh/GXocF!B{w=lzy]FIZEa;Vkb/ZgfUaE}4w`'@/1!J29t+Wa.aH"#>K#vm+nhc3C|=|="g{|V6&Ljpd91{?0r=u1va+cK.lEf7(Vxl:=6L\j|-0\fi1]kWvE0qyD;3|A\(jYF!/s^^px[uJAkT_:"obx -~Q&]{/Vv+1v: GP? When services are received in the network, your deductible and coinsurance amount are lower than when you obtain services outside of the network. Get a better understanding of your hospital bill. If you do not see your company listed, please give us a call at (614) 789-9464. Optional Dental Insurance - Ohio State University 0000025311 00000 n You must meet certain criteria to temporarily enroll in this plan, as detailed on the Out-of-Area Benefit Election Form. SHS offers student health insurance for students that may not have had access previously. P.O. Submit a petition to waive, See the 22-23 Member Overview Booklet (AU22, SP23, SU23), Learn more about my benefits (AU22, SP23, SU23), Learn more about the WilceCare Supplement, Add a newborn or new spouse to my coverage. Medical Benefits - Human Resources at Ohio State Please note that traditional Medicare does not have dental coverage. Insurances Accepted - Scioto Urgent Care While members can choose providers from either network at any time, those utilizing Premier Network providers will receive a higher level of benefit coverage. The Ohio State University Wexner Medical Center and The James Cancer Hospital and Solove Research Institute care for a large number of Medicare and Medicare Advantage patients. !*a 0000028736 00000 n From the availableplan options, you choose which medical coverage and benefit levels best match the needs of you and your family. The following Medicare Advantage plans cover care at Ohio State: Subscribe. Home Call UnitedHealthcare Global to arrange services you need to ensure you receive these benefits. 0000011312 00000 n The author of this review will not be able to see this report. The amount owed will be determined by the services provided and the patients benefits. 0000030924 00000 n Note: If the insurance information you've entered in your waiver changes at any point in the year, please email a copy of your new insurance card or policy information to shi_info@osu.edu so that our records adequately reflect your active coverage. 0000014692 00000 n First Friday Important Deadlines. 0000015091 00000 n Student Health Insurance - Office of Student Life830 Lincoln Tower, 1800 Cannon Drive, Columbus, OH 43210, 614-688-7979 | Fax: 614-292-1170 | shi_info@osu.edu, Privacy Statement 0000060085 00000 n CAPP CARE CARESOURCE -MEDICAID ONLY CARESOURCE - JUST 4 ME - WE DO NOT TAKE THIS INSURANCE CARESOURCE - VETERANS CARE CELTIC INS CENBEN USA CENTRAL BENEFITS CENTRAL OHIO PRIMARY CARE - SENIOR CARE ADVANTAGE CHAMPVA CHOICECARE NETWORK CIGNA COFINITY COMMUNITY INSURANCE COMPANY To identify the cost of a specific service, test or procedure, call 614-292-0113. To determine your coverage level and to determine if your plan covers non-emergency care from out-of-network providers read the Medical Plans-Specific Plan Details or contact OSU Health Plan at (614) 292-4700, option 0, for assistance. Drop Box: 7 a.m. to 5 p.m. Financial Assistance | Ohio State Medical Center To determine your coverage level and to determine if your plan covers non-emergency care from out-of-network providers read the Medical Plans-Specific Plan Details or contact OSU Health Plan at (614) 292 . Examples of circumstances for an individual to enroll in the Out-of-Area Plan: You may change your medical plan election during Open Enrollment or in connection with certain qualified status changes including loss of other coverage for you or your eligible dependents or gaining a dependent as a result of marriage, birth, adoption or placement for adoption. 2 Out-of-pocket costs that you incur when receiving services from out-of network providers will apply to the network out-of-pocket maximum. Review eligibility by zip code. Additionally, any unpaid charges are ultimately the responsibility of the patient. (614) 247-myHR (6947) When selecting a plan, think about how frequently you visit the doctor, whether you need out-of-network coverage and how you want to balance your employee contribution rates with what you are required to pay for medical services. The Department of Insurance is primarily responsible for selecting insurance carriers and insurance brokers; analyzing and procuring appropriate policy limits; and scripting policy language that best fits the coverage needs of The Ohio State University. mn+oqig^H\mz`6y|&nJE@$! Z|wA]NeI!f>z8a]PajG:z0)* 376!.lJoVoV^$v? 0000008107 00000 n We do not accept Medicare, and we are unable to submit a claim on your behalf. 0000411433 00000 n Notwithstanding anything to the contrary herein, Ohio State shall have the right to elect to self-insure for the amount of the liability coverage Ohio State is required to . OSU Find a Provider | Find Your OSU Provider or Specialist JavaScript is required for this site to function. trailer <<427E268A02364D149688F03842E687C6>]/Prev 443640/XRefStm 1700>> startxref 0 %%EOF 369 0 obj <>stream 0000025871 00000 n (614) 292-7813 (Fax) The checklist can help you choose a plan that is affordable, follows you where you travel and covers Ohio State doctors. The Student Health Benefits Plan includes medical, mental health, prescription drug, dental and vision benefits. Student Health Insurance. A hard copy ID card is available upon request via, For dental coverage for members 19 years and older, you will not receive a permanent Delta Dental ID card. NOTE: This comparison chart should be used as a general guide only. Review eligibility by zip code. The Ohio State Dental Faculty Practice accepts many health insurance programs. If you have a disability and experience difficulty accessing this site, please contact us for assistance via email at hrconnection@osu.edu or by phone at 614-247-6947. Out-of-network services are not covered under this plan, except for emergencies. Ohio State Health Plan Benefits | OSU Health Plan | *[^;gg8BPdr8aR|8w()'Q s3>Dq Coverage for your selections will begin January 1, 2023. We are currently experiencing processing issues with several insurance companies, resulting in billing delays. 7 Your copay is applied to the facility claim. Health Savings Accounts, Flexible Spending benefit cards or checks and Care Credit are also acceptable. No claim forms are necessary for network medical services. %PDF-1.6 % OhioHealth physicians are designated through several physician groups. PCP services also can be provided by a Primary Care Nurse Practitioner who practices with a PCP. This does not affect all of their insurance plans, however. All Oregon State students are strongly encouraged to have some form of health insurance. 0000055644 00000 n 0000018528 00000 n When seeking care, you will save the most at Ohio State Columbus-campus locations, which we call our Tier One providers: If those are not available, try the next level called Tier Two (Preferred) providers: Seeing providers who are not Tier One or Tier Two will likely result in much higher out-of-pocket costs. Billing Information and Financial Services | OSUCCC - James We work diligently to appropriately transfer risk, primarily through the purchase of . Pharmacy : Student Health Services Review the Prime Care Connect Requirementsfor more details, including eligibility requirements. 5 A PCP is a generalist physician designated as a family medicine, general internal medicine, geriatric medicine or general pediatrics provider. The biggest change for 2021 is Ohio State University will no longer be in network for Medical Mutual Medicare Advantage plans. Insurances We Accept | Ohio State Medical Center PDF Keep access to Ohio State doctors through Medicare coverage. You can search for network plan providers atOSU Health Plan Member Searchor by calling OSU Health Plan at (800) 678-6269. Patient Resources - OSU Medicine If you have a disability and experience difficulty accessing this content, please contact the Digital Accessibility Center for assistance at, Oral and Maxillofacial Surgery and Dental Anesthesiology, Oral and Maxillofacial Pathology Services, Oral and Maxillofacial Radiology Services, The Oral Health Improvement through Outreach (OHIO) Project. 24/7 access to licensed medical and mental health doctors and providers regarding diagnosis and treatment of many illnesses. MinuteClinic - CVS Marketplace checklist. a paycheck), Foreign Check: acheck written on a foreign bank not specifically prepared as US currency. All Ohio State medical plan options include preventive care with 100% coverage. 2023 Marketplace/Exchange Plans . If you have insurance related questions please contact us at (405) 744-7665. 0000026042 00000 n Open Enrollment for Marketplace/Exchange plans will be held Nov. 1 - Dec. 15. We know that when our faculty and staff are healthy, everyone wins. Payment exceptions can possibly be made for patients with extensive treatment plans; with most plans we can request a predetermination, after written results are returned by the insurance carrier the patients can pay only their estimated co-pays and deductibles up front. Contact Optum to determine coverage. 614.292.4700 or 800.678.6269 OSUHealthPlanCS@osumc.edu 700 Ackerman Rd., Columbus, OH 43202 Student Health Insurance - Office of Student Life 830 Lincoln Tower, 1800 Cannon Drive, Columbus, OH 43210 614-688-7979 | Fax: 614-292-1170 | shi_info@osu.edu 2020 independent market research study . +d04{.]wABfg9x2{0{2{0{2{0{2{0{2{0{2{0{yyzyx)QRx)^J/Kx'RG"%A"e>|(QG1~#o7~#o7W_dx ='}ks8aQLg/8.` endstream endobj 325 0 obj [/Separation/PANTONE#20200#20C 343 0 R<>] endobj 326 0 obj [/Separation/PANTONE#20424#20C 343 0 R<>] endobj 327 0 obj <> endobj 328 0 obj <> endobj 329 0 obj <> endobj 330 0 obj <> endobj 331 0 obj <>stream You should expect to receive your card approximately two weeks after you enroll. OSU requires all non-resident international students and their dependents (living in the U.S.) be covered by health insurance. Non-discrimination Notice With MinuteClinic, costs 40% less than urgent care. Ohio State Dental Clinic patients are responsible for payment in full at the time of treatment. The university-sponsored medical plans provide comprehensive coverage and wellness benefits for you and your eligible dependents. For adult dental, your network locations are Delta Dental PPO/Delta Dental Premier Networks. The Department of Insurance | Financial Services To help you make an informed decision, we have developed a checklistto use when you explore plan options. 0000017425 00000 n Our associates work across the university spectrum and collaborate with our insurance partners, to develop innovative strategies to support the mission and goals of our land grant institution. This plan is available only to faculty and staff who meet specific income qualifications and requirements. hrconnection@osu.edu, Office: 8 a.m. to 5 p.m. The Ohio State University, OneCampus Portal, Powered by. Select or waive Student Health Insurance coverage. 0000045508 00000 n Copayments (co-pays) are due at the time of service. Turn on dark mode Selecting Your Exchange or Medicare Advantage Plan, Anthem MediBlue Access Basic (Regional PPO), Anthem MediBlue Access Core (Regional PPO), Humana Gold Plus - Diabetes and Heart (HMO C-SNP), The Health Plan (formerly The Health Plan of Upper Valley), MediGold Mount Carmel Cash Back No Premium, Molina-Dual Eligible Special Needs Plan (D-SNP), Perennial Advantage Concierge (HMO C-SNP). This plan is intended to help reduce the financial barriers to obtaining health care. Phone: 844-206-0374. All of the benefits available to you reflect Ohio States commitment to provide high-quality, affordable plans and represent a significant component of your total rewards for working at Ohio State. Ohio States Prime Care medical plans provide benefits for emergency and urgent care services with no network restrictions outside Ohio. 0000002104 00000 n This Task has been designed for use by all roles. Login to the HealthSmart WebExchange portal to view your benefits and claims. Student Health Insurance - Office of Student Life830 Lincoln Tower, 1800 Cannon Drive, Columbus, OH 43210, 614-688-7979 | Fax: 614-292-1170 | shi_info@osu.edu, Privacy Statement All benefits-eligible faculty and staff can enroll in health care coverage during open enrollment or a life event. In addition, a medical plan change can be made when an employee has a change in employment which results in a medical plan contribution tier change, such as changing from part-time to full-time or vice versa. End of COVID-19 Emergency HRBackgroundChecks@osu.edu Use ourFind a Providerpage. Insurance. Refer to the Plan Document for complete information. Phone: 8 a.m. to 5 p.m. All of the medical plans provide coverage for the same types of medical services; however, the employee contribution rate for each plan varies based on how the plan pays for those services. Email:hrconnection@osu.edu. Maintains the formulary a list of drugs covered by our plan. Your provider choices can help you save money. Gj While OhioHealth physicians generally accept most major health insurers in the region, it's important you check with your insurance company before your medical visit to confirm that your health insurance is accepted by your physician. 4 Must meet eligibility criteria. If an insurance payment is not received within 60 days from the date of service, the amount due becomes the patient's responsibility. 0000009648 00000 n UHCSR provides primary coverage for members under 19 years of age, and Delta Dental of Ohio provides secondary coverage. H\@w+zw%8y c)o)HAM}7440SS ]kf~-4n>sTK9IMm~m.=O~v[]NzZ_Km/6w%\i6\ SCReX#$jv<5)p\'U-++z@o;;{%kY9tA]@{jmM^%Y%uuuu.ZY_P_ Underwrites the medical, mental health, pharmacy and vision benefits of our plan as well as providing additional travel benefits. 317 0 obj <> endobj xref 0000005314 00000 n For faculty and staff who have applied and been approved for enrollment, the network restriction will be removed if your permanent home address is outside Ohio or in select areas of Ohio without adequate network access. Open Enrollment for Marketplace/Exchange plans will be held Nov. 1 - Dec. 15. If you are unable to initiate or complete the waiver process inMy Buckeye Linkbefore the deadlinebecause: you must submit aPetition to Waiverequest for consideration. (seeOut-of-Area Plan Summary of Benefits and Coverage (SBC)). UnitedHealthcare StudentResources (UHCSR), HealthSmart Benefit Solutions and HealthSmart RX partner with us to administer all but the adult dental portion of your benefits, including vision. Provide more details about this review of 'Student Health Insurance'. Learn More from OSU Human Resources Contact OSU Health Plan 614.292.4700 or 800.678.6269 OSUHealthPlanCS@osumc.edu 700 Ackerman Rd., Suite 1007 Columbus, OH 43202 0000004532 00000 n Insurances We Accept | Ohio State Medical Center Show it to providers when you use services.
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