Medical Overview
Medical plan basics
Our medical plan, administered by OhioHealthy, allows you to access quality healthcare and provide comprehensive coverage.
Whichever plan option you choose, by choosing in-network providers or specialists, you’ll keep more dollars in your pocket.
This page provides an overview of our medical plan options, before directing you to in-depth information about each one.
Our Medical plan options at a glance
| OhioHealthy HDHP+HSA | OhioHealthy PPO | OhioHealthy PPO Assist | Summary |
|---|---|---|---|
| For those who want lower premiums and a higher deductible than the OhioHealthy PPO (which you must meet before this plan pays any benefits), and access to a special tax-advantaged savings account with matching contributions from OhioHealth | For those who want higher premiums but a lower deductible (which means the plan pays benefits sooner) than the OhioHealthy HDHP+HSA, and predetermined amounts (copays) to pay for doctors’ office visits, urgent care and certain prescriptions | For those with a lower household income (specific criteria apply), with lower premiums and healthcare costs | |
| Features | |||
| Comprehensive coverage | Access comprehensive healthcare from medical experts in central Ohio and across the United States, including preventive care, physician, hospital, emergency room, lab, radiology, prescription drugs, mental health and substance abuse benefits | ||
| Lower premiums | ✓ | - | ✓ |
| Lower annual deductible | - | ✓ | ✓ |
| Out-of-pocket maximum to limit your healthcare expenses | ✓ | ✓ | ✓ |
| Pay out of pocket until you meet your deductible | ✓ | - | - |
| Pay a copay, even if you have not met your deductible | - | ✓ | ✓ |
| Contribute to a Health Savings Account (HSA), with matching contributions from OhioHealth | ✓ (No “use it or lose it” rule) | - | - |
| Prescription coverage | ✓ | ✓ | ✓ |
| 100% preventive care coverage | ✓ | ✓ | ✓ |
| Pay less when you use in-network providers or specialists | ✓ | ✓ | ✓ |
| Access to telehealth doctors (Teladoc Health) | ✓ | ✓ | ✓ |
| Access to 24/7 Nurse Advice Line | ✓ | ✓ | ✓ |
| Read more about OhioHealthy HDHP+HSA | Read more about OhioHealthy PPO | Read more about OhioHealthy PPO Assist | |
If you are enrolled or planning to enroll in Medicare, read the flyer available to download below before enrolling in one of our medical plan options.
Looking for support for Gender Dysphoria?
Our medical plan provides coverage for the treatment of Gender Dysphoria, including psychotherapy, hormone therapy and surgery. Full details are available in your plan's Summary Plan Description.
For medical plan questions
Call 1 (888) 841.5670 (Monday - Friday, 8:30 a.m. - 5 p.m. EST)
Visit ohiohealthyplans.com