Annual Enrollment 2023

Enroll in benefits for 2023

ACTION REQUIRED!

This year, you MUST complete enrollment in Workday between October 13 and 31 if you are benefits eligible and want to continue, change, add or drop benefits.

Each year, you have the opportunity to enroll in benefits or make changes to your existing choices. This year, elections for our three medical plans with OhioHealthy will NOT carry over for 2023. This is a change from previous years, when benefits carried over without re-enrolling in Workday.

To maintain benefits for 2023, you must go into Workday and submit elections during the enrollment period, October 13 — 31.

What’s on this page?

On this page, you’ll learn about enrollment this year, including what’s changing and what’s new. We’ll explain how to schedule a one-on-one session with a benefits counselor to learn more about your benefits options and how to enroll in Workday. And we’ll remind you of the actions you must take to maintain benefits for 2023.

Don’t forget to explore OhioHealthRewards.com to see all that OhioHealth has to offer. The information on this page reflects benefits coming in 2023, and plan costs. Other information on OhioHealthRewards.com site reflects current (2022) benefits. Unless noted on this page, the plan design described throughout this site will be the same for 2023.

Let’s get started!

What’s changing for 2023?

  • In 2023 our three medical plan options will have a three-tier provider network. You and your covered family members will choose which tier to use each time you seek care. Depending on what provider and/or facility you use, your out-of-pocket costs may be different. When using Tier 1 providers and facilities, the annual deductibles will not increase or slightly decrease on all three plan options: High Deductible Health Plan (HDHP), Preferred Provider Organization Plan (PPO) or Preferred Provider Organization Assist Plan (PPO Assist). See Provider Tier chart below.
  • There will be an increase to biweekly premiums for the HDHP and PPO plans.
  • There will be a premium surcharge of $70 per pay period for spouses who are working and eligible for medical coverage through their employer. This surcharge is in addition to the premium cost for whatever plan you elect that includes a spouse: associate + spouse and family plans. Like many other employers, the working spouse premium surcharge is one way to manage ongoing healthcare costs, now and into the future, so that we can continue to provide affordable coverage for our associates.
  • For 2023, associates will receive a $30 per-pay medical plan wellness discount without having to complete a Wellness Screening or online Health Assessment in 2022 — but spouses will NOT receive a discount.
  • OhioHealth Fitness Rewards (gym reimbursement) and Wellness Rewards (CaféWell and cash incentives) will no longer be offered in 2023. This change is due to low associate participation in these programs and recent long-term studies show that these types of wellness programs with incentives do not drive improved health outcomes.
  • If you’re electing the Permanent Life with Long-Term Care benefit (or making changes to your current coverage), there is a new way to enroll. For information on how to enroll, please read the Selerix Enrollment User Guide.

Why are these changes being made?

Healthcare costs continue to rise year after year, and we are weathering a very challenging economic environment. We have invested significant dollars in staffing and responded to associate feedback by providing benefit enhancements like expanding the Education Benefits program and Student Loan Relief Benefit.

We are committed to providing competitive benefits that meet the needs of our associates while managing the high costs of healthcare. This is so that we can provide choice and flexibility in our benefit offerings and continue providing quality healthcare for our associates, our patients and communities.

New offerings in 2023

  • Mental and emotional health support is expanding to supplement our current offerings.
  • New resources are coming to support associates who are starting and raising a family.

Schedule a one-on-one session with a benefits counselor

We want to make enrollment as easy as possible, so we have arranged for you to receive a one-on-one session with a professional benefits counselor. They will review the available benefits with you, answer your questions, and help you complete your enrollment. Your benefits counselor will:

  • Review the available benefits with you and answer your questions.
  • Discuss your specific circumstances and needs to help you make the best choices.
  • Help you complete your enrollment in Workday.

We strongly encourage you to take advantage of this resource. To schedule your one-on-one, follow these steps:

  • Visit MyOhioHealthAnnualEnrollment.com beginning September 21.
  • Follow the on-screen instructions to make your appointment — NEW this year, you can meet in-person with a benefit counselor at certain care sites. Just select the drop-down menu in the scheduling tool and pick your preferred location to see available dates and times.
  • A confirmation email/text message will be sent to you — followed by reminders 24 hours and 3 hours prior to your appointment.
  • At the time of your appointment, a benefits counselor will contact you from a 205 area code.

You can prepare for your session by carefully reviewing all the changes on this page and considering your specific benefit needs and circumstances.

Let ALEX help you choose a medical plan

Get help with ALEX, an interactive online tool that will walk you through your benefit options and provide personal assistance in pointing out what choices make the most sense for you. Ask ALEX here.

How do I enroll?

First, consider scheduling with a benefit counselor, in-person or over-the-phone. Our professional benefit counselors can complete your enrollment in Workday with you.

If you prefer to do it yourself, login to Workday between October 13 and 31 to make your 2023 elections:

  • Open the benefits enrollment task in your Workday inbox and update your benefit elections.
  • Confirm dependents/beneficiaries.
  • Be sure to click SUBMIT as the final step.

Quick tips

  • Take advantage of the benefit counselors if needed — you can ask questions, talk through your best benefit options, or have the counselor complete your enrollment in Workday with you.
  • Complete enrollment no later than Monday, October 31.
  • If you add a new dependent, you must submit documentation (such as a Birth Certificate or Marriage Certificate) verifying their eligibility in Workday, otherwise they will not have benefit coverage in 2023.
  • You can print a summary of your choices from Workday as a confirmation statement or revisit Workday at any time to see your 2023 choices.

2023 Medical plan changes

Premiums

Note: Premium charts below do not reflect the additional $70 per pay surcharge for a working spouse who has access to medical coverage through their employer.

Associate cost per pay period (26 pay periods per year)
Full-time rates
Coverage typeWithout discountsWith discounts
HDHP+HSA
Associate only$77$47
Associate + spouse$218$188
Associate + child$136$106
Associate + children$154$124
Family$235$205
PPO
Associate only$106$76
Associate + spouse$262$232
Associate + child$181$151
Associate + children$213$183
Family$293$263
PPO Assist
Associate only$63.50$33.50
Associate + spouse$143$113
Associate + child$114.50$84.50
Associate + children$133.50$103.50
Family$162$132
Associate cost per pay period (26 pay periods per year)
Part-time rates*
Coverage typeWithout discountsWith discounts
HDHP+HSA
Associate only$92$62
Associate + spouse$245$215
Associate + child$164$134
Associate + children$188$158
Family$268$238
PPO
Associate only$121$91
Associate + spouse$289$259
Associate + child$209$179
Associate + children$249$219
Family$327$297
PPO Assist
Associate only$76.50$46.50
Associate + spouse$169$139
Associate + child$140.50$110.50
Associate + children$165.50$135.50
Family$194$164
*48–63 scheduled hours per pay period — Per-Pay Amounts

Deductibles & Out-of-pocket Maximums (OOPM)

Tier 1 (In-Network)
Coverage typeDeductibleOOPM
HDHP+HSA
Associate only$2,000$4,500
Associate + 1$3,000$6,750
Associate + 2 or more$4,000$9,000
PPO
Associate only$500$3,000
Associate + 1$750$4,500
Associate + 2 or more$1,000$6,000
PPO Assist
Associate only$125$900
Associate + 1$200$1,400
Associate + 2 or more$275$1,900
Note: your out-of-pocket costs for copays and coinsurance will be the lowest in Tier 1.
Tier 2 (In-Network)
Coverage typeDeductibleOOPM
HDHP+HSA
Associate only$3,000$6,500
Associate + 1$4,500$9,750
Associate + 2 or more$6,000$13,000
PPO
Associate only$1,500$5,000
Associate + 1$2,250$7,500
Associate + 2 or more$3,000$10,000
PPO Assist
Associate only$150$1,000
Associate + 1$225$1,500
Associate + 2 or more$300$2,000
Note: your out-of-pocket costs for copays and coinsurance will be higher than Tier 1, but lower than Tier 3.
Tier 3 (Out-of-Network)
Coverage typeDeductibleOOPM
HDHP+HSA
Associate only$4,500Unlimited
Associate + 1$6,750Unlimited
Associate + 2 or more$9,000Unlimited
PPO
Associate only$3,000Unlimited
Associate + 1$4,500Unlimited
Associate + 2 or more$6,000Unlimited
PPO Assist
Associate only$1,800Unlimited
Associate + 1$2,800Unlimited
Associate + 2 or more$3,600Unlimited
Note: your out-of-pocket costs for copays and coinsurance will be the highest in Tier 3.

Health Savings Account (HSA) Employer Match

Maximum Annual Match
HDHP
Associate onlyup to $250
Associate + 1up to $375
Associate + 2 or moreup to $500

Medical Plan Network Tiering

To find what Tier your provider is in, go to OhioHealthyPlans.com or call the OhioHealthy Member Advocates at (888) 841.5670.

Tier 1: In-Network
You will have the lowest cost and get the highest level of benefits when you receive care or services
About this tierIncluded Providers
As compared to Tiers 2 or 3.
  • Lower copays for physician/specialist office visits (when applicable),
  • Lower deductibles
  • Lower coinsurance and lower out-of-pocket maximums
  • OhioHealth Physician Group
  • OhioHealth facilities
  • Central Ohio Primary Care Providers
  • Nationwide Children’s Hospital
  • Cleveland Clinic
Tier 2: In-Network
About this tierIncluded Providers
  • Deductible, coinsurance, and copays are lower than when using an out-of-network provider (Tier 3), however they will be higher than services received from Tier 1 network providers and facilities.
  • Any contracted provider that is not in Tier 1.
  • The following are some of the providers that are Tier 2
    • Fairfield Medical Center
    • Licking Memorial Hospital (Newark)
    • Holzer Hospital (Athens)
    • Genesis Hospital (Zanesville)
  • All claims for services that are outside of the OhioHealth Preferred Service Area.
  • Any other network providers and facilities that have agreed to negotiated rates for our plan members.
Tier 3: Out-of-Network
About this tierIncluded Providers
  • You could be billed the difference between what the OhioHealthy Plan pays and what the provider chooses to charge. Seeing providers outside of the Tier 1 and Tier 2 networks will cost you the most out-of-pocket.
  • If you receive care from a provider who is not a part of the networks described above, your services may not be discounted.
  • Any providers not included in Tier 1 or 2.
  • The following are some of the providers that are out-of-network
    • OSU = Ohio State University
    • MCHS = Mount Carmel Health System
    • Avita = Avita Health System (Galion, Bucyrus and Ontario locations)
    • Adena = Adena Regional Medical Center
    • Marietta Memorial

If you or a covered dependent has an Emergency Medical Condition and receive Emergency Services at an Emergency Facility outside of the Tier 1 network, covered services will be paid according to the Tier 1 benefit.

Questions?

You’re encouraged to schedule an appointment with a benefits counselor who can answer your questions and help you enroll in Workday. Benefits representatives are also available after October 13 by phone at (877) 819.0579 to answer your annual enrollment questions.

Monday — Friday, from 8 AM — 8 PM
Saturday, October 15, 22, and 29 from 8 AM — 12 noon

If you have any general benefit questions, contact the HR Resource Center at (614) 533.8888.

Note: O’Bleness Bargaining Unit associates receive separate benefits communication about their medical plan options for 2023.