Any active or past patient of OSU Medicine Clinics or OSU Medical Center is eligible to register for and use MyChart. The author of this review will not be able to see this report. To identify the cost of a specific service, test or procedure, call 614-292-0113. The content of this site contains information pertaining to The Ohio State University. Administers the pharmacy benefits for our plan. All traditional Medicare plans and Medicare plans with Medigap coverage are also accepted at the OSUCCC - James and at the Ohio State Wexner Medical Center. In either case, Trustmark processes your medical claims. For questions about methods of payment, please call 614-292-0335. HWY6)t1rcd#GI Yr^t=j~(. q/n{=l} +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 We are a health care provider for most major health plans, but not all providers in each of our practices accept all insurance plans. Other resources: Non-discrimination Notice Melani Hamilton 2023-06-23T21:56:19+00:00 Students may access evidence of required insurance coverage procured by Ohio State for clinical compliance by accessing this page.. 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). Open Enrollment for Marketplace/Exchange plans will be held Nov. 1 - Dec. 15. 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. OhioHealth physicians are designated through several physician groups. Email:hrconnection@osu.edu. 0000025871 00000 n 0000030924 00000 n The university-sponsored medical plans provide comprehensive coverage and wellness benefits for you and your eligible dependents. We do not accept Medicare, and we are unable to submit a claim on your behalf. Non-discrimination Notice You can reach Patient Experience by calling: University Hospital: 614-293-8944. Home > Benefits Dental Benefits The Ohio State University Faculty and Staff Dental Plan provides both in-network and out-of-network benefit coverage for dental services. 4 Must meet eligibility criteria. %"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? Copayments (co-pays) are due at the time of service. Note:Ifthe insurance information youve entered in your waiver changes at any point in the year, please email a copy of your new insurance card or policy informationtoshi_info@osu.eduso that our records adequately reflect your active coverage. Contact your insurance company to review available out-of-network benefits. ;+4 Underwrites and administers the dental benefits for members 19 years and older. They can also help you with a medical bill. The HealthiestYou service gives you free access to board-certified psychiatrists, psychologists, therapists and counselors as long as youre covered under a UHCSR insurance plan. If you are unable to initiate or complete the waiver process inMy Buckeye Linkbefore the deadlinebecause: you must submit aPetition to Waiverequest for consideration. 5 A PCP is a generalist physician designated as a family medicine, general internal medicine, geriatric medicine or general pediatrics provider. P#nZU}?=K~qt>CGc1:..aw7h/!RHxnQDp9c%{N6\lCl}Nb){v$ hjU:;3e QO8N8G8HI vr( =6o6ktv*;+}>sQSGz P_6l7@Be* 8e;%J5nppQ 0000004532 00000 n 0000055644 00000 n 0000017425 00000 n /O5K(N1-qT,-`uTkH.7yF2"^#XNgp4/=| {,Cxe4nHH4q)7.e8E(p_J~2)>m?)|v=j.$g0ya'{)/J=yz;*HeG(c2\iY%%> 0000002060 00000 n When the university experiences an event, the Insurance Department assists the stakeholder with reporting and managing the claim to conclusion. Read Summary of Material Modifications. SHI manages the university's health insurance requirement and provides options to meet it. Each plans provisions vary, so you have flexibility when deciding which option is right for you and your family. Accepted plans at Ohio State. Administers the medical, mental health and vision benefits of our plan. Non-discrimination Notice Methods of Payment | College of Dentistry Members using assistive technologies that experience accessibility issues may contact OSU Student Health Insurance at 614-688-7979 Monday through Friday during regular business hours for assistance in obtaining a temporary and permanent Member ID card. 0000031307 00000 n hrconnection.osu.edu 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. You must have javascript enabled to use this website. 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. PDF Keep access to Ohio State doctors through Medicare coverage. Review cookie settings, If you have a disability and experience difficulty accessing this content, please contact, 2023 The Ohio State University - Student Health Services, Completing University Vaccination Requirement, Frequently Asked Questions about the Vaccination Requirement, Visit the SHI website for benefit details, Patients are required to visit Patient Registration before each scheduled appointment to verify insurance, billing information and provide a current insurance card (front/back), If Ohio State Comprehensive Student Health Insurance (SHI) or Wilce Care is purchased, Patient Registration will verify coverage, no card is needed, Ohio State Comprehensive Student Health Insurance Benefits Plan. Review the Prime Care Connect Requirementsfor more details, including eligibility requirements. 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. 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. Instead, go to, OSU Health Plan Network(inside Franklin County), UnitedHealthcare Options PPOandUnited Behavioral HealthNetworks (outside Franklin County). 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. PCP services also can be provided by a Primary Care Nurse Practitioner who practices with a PCP. We apologize for the inconvenience. The Ohio State University Student Health Services PO Box 772911 Detroit, MI 48277-2911 We are currently experiencing processing issues with several insurance companies, resulting in billing delays. Emergency care is covered worldwide under the universitys faculty and staff medical plans. !*a Petition to Waive requests are NOT accepted for a policy year that has already ended. It's not uncommon to see large providers move in and out of network with Medicare Advantage plans. 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_ Review cookie settings, If you have a disability and experience difficulty accessing this content, please contact, 2023 The Ohio State University - Student Health Insurance, How to SELECT WilceCare & WAIVE Student Health Benefits Plan (2053 Kb PDF), How to SELECT WilceCare & WAIVE Student Health Benefits Plan, How to WAIVE Student Health Benefits Plan (2005 Kb PDF), How to WAIVE Student Health Benefits Plan, Frequently Asked Questions for International Students, you receive an error message in your student center, OR. Insurance plan acceptance is subject to change. Out-of-network services are not covered under this plan, except for emergencies. Contact Optum to determine coverage. 2022-23 Benefit Details : Student Health Insurance 0000045508 00000 n Student Health Insurance When can I change from one medical plan to another? Turn on dark mode Maintains the formulary a list of drugs covered by our plan. This Task has been designed for use by all roles. The checklistcan help you choose a plan that is affordable, follows you where you travel and covers Ohio State doctors. If you lose job-based insurance, COBRA provides continuation coverage. For a full reference guide of all covered drugs, contact HealthSmartRX directly at1-800-681-6912. Coverage for your selections will begin January 1, 2023. 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. We encourage you to contact us with any questions or comments. Your prescription benefit follows a formulary. Select or waive Student Health Insurance coverage. 0000006233 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 Turn on dark mode STANDARD Various community providers. 0000006318 00000 n 0000008107 00000 n We continually strive to make the insurance experience better for our internal and external customers and look forward to assisting you should a need arise. Predeterminations typically take 6-12 weeks and are not a guarantee of payment. Present your medical card to the provider at the time of service. Student Health Insurance. Accepted Insurance | OhioHealth Central Ohio Hospitals Clemens, MI 48046. 6 Includes acupuncture, chiropractic, occupational therapy, speech therapy and physical therapy. Currently, Student Life Student Health Services (SLSHS) is contracted with: Even if insured by one of the above carriers, SLSHS may be consideredout-of-network, as there are many plans within a carrier. This plan is available only to faculty and staff who meet specific income qualifications and requirements. Additionally, any unpaid charges are ultimately the responsibility of the patient. Plans that include Ohio State are subject to change. ? B%(ge zw^?i["{ L0j9-e/k(fbn|[^"=DQ1N =8T1!0\RjyAWxiA^d/AI\vRw%\lMUt{x0&3#M4` yoXTn+ EDa_BC"5{dRiTySP FEKeC1ny3%l&yTdkZ(?v4s YzFHhdL" KAp~}B8Xf82}=P_ZmRW5R"[ The hours are: Monday through Friday-9 a.m. to 6 p.m. and Saturday-9 a.m. to 1 p.m. . 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. East Hospital: 614-257-2310. Lower case medications are Generic. Call UnitedHealthcare Global to arrange services you need to ensure you receive these benefits. From the availableplan options, you choose which medical coverage and benefit levels best match the needs of you and your family. This plan is intended to help reduce the financial barriers to obtaining health care. As a new open enrollment period draws near, we encourage you to review your plan and its providers. Member ID Cards : Student Health Insurance Outside the U.S. call collect 1-410-453-6330. Patient & Visitor Guide | Ohio State Medical Center 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 Residing outside the network area for 30 consecutive days or more: Access to care when residing outside the network area for an extended time is available to individuals enrolled in Prime Care Advantage, Prime Care Choice or Prime Care Connect through special enrollment in the Out-of-Area Plan. 0000003757 00000 n Check out the OSU Insurance Office website as well. Review eligibility by zip code. The Department of Insurance | Financial Services 0000025311 00000 n To enroll, complete anOut-of-Area Benefit Election Form (seePlan Eligibility by Zip Code). 0000060085 00000 n Your provider may require you to pay for services in full and you will be reimbursed from Trustmark by filing a claim. Where can I check to see if my doctor is part of Ohio State's statewide network? More about Student Health Insurance. NOTE: This comparison chart should be used as a general guide only. When services are received in the network, your deductible and coinsurance amount are lower than when you obtain services outside of the network. Medical claims should be submitted to Trustmark at: Trustmark hrconnection@osu.edu, Office: 8 a.m. to 5 p.m. SLSHS is out-of-network for all HMO plans. Be ready to enter the policy group number, policyholders name and ID number, and insurance contact information. If you have trouble accessing this page and need to request an alternate format, contact u@osu.edu. 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 Health Savings Accounts, Flexible Spending benefit cards or checks and Care Credit are also acceptable. Insurance We recommend adequate health insurance coverage. As a patient, it is your responsibility to ensure you are covered for any services you receive. To whom does the requirement apply? We know that when our faculty and staff are healthy, everyone wins. MinuteClinic - CVS 0000011312 00000 n 0000005137 00000 n Student Health Insurance (Select or waive coverage) | buckeyelink 0000030604 00000 n Patients not covered under SHI are encouraged to contact their insurance company before appointments to review benefits available for services provided. 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. With these plans, required co-pays are due at the time of service and payment in full for non-covered services. Dental Benefits - Human Resources at Ohio State Your medical benefits provide comprehensive coverage for planned and emergency care. We also accept the following state-sponsored insurance plans: Medicaid, CareSource, Molina, United Healthcare Community Plan, My Care Aetna, and Paramount. After completing your registration, youll choose your provider based on your preferences and needs. The pharmacy offers several types of vaccinations for Ohio State students and their dependents, faculty and staff. Administers the medical, mental health and vision benefits of our plan. In This Article By Carrie. Specialty medications have a separate formulary and must be filled by Accredo Specialty Pharmacy. For adult dental, your network locations are Delta Dental PPO/Delta Dental Premier Networks. The biggest change for 2021 is Ohio State University will no longer be in network for Medical Mutual Medicare Advantage plans. The OSU Health Plan provider network is currently closed with the exception of mental/behavioral health providers. Any individual enrolled in one of the universitys faculty and staff medical plans automatically has access to Ohio State Travel Assistance services. Students at all campuses of The Ohio State University are required to have health insurance if they are enrolled at least half-time and in a degree program of study. Processes insurance claims for services submitted on your behalf by your provider. The plan is administered by OSU Human Resources, 401 General Academic Building, 405-744-5449. Insurances We Accept | Ohio State Medical Center Billing Information and Financial Services | OSUCCC - James 2020 independent market research study . 317 53 End of COVID-19 Emergency The content of this site contains information pertaining to The Ohio State . The following marketplace/exchange plans will cover care at Ohio State: Open Enrollment for Medicare Advantage plans will be held Oct. 15 - Dec. 7. Is there a fee to use MyChart? (614) 247-myHR (6947) 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. UHCSR provides primary coverage for members under 19 years of age, and Delta Dental of Ohio provides secondary coverage. 0000055566 00000 n Health Savings Accounts (HSA) and Flexible Spending (FSA) benefit cards and checks are also accepted. Aetna Better Health aka Aetna MyCare. Access to non-emergency care for individuals living outside the network area (seePlan Eligibility by Zip Code) for more than 30 consecutive days is available through special enrollment in the Out-of-Area Plan by completing the Out-of-Area Benefit Election Form. Gj 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. Inside the U.S. call 877-461-2273. Student Health Services - Office of Student LifeWilce Student Health Center, 1875 Millikin Road, Columbus, OH 43210, Privacy Statement Open Enrollment for Marketplace/Exchange plans will be held Nov. 1 - Dec. 15. If you wish to be treated by a provider for a specific insurance plan, please be sure to verify that your . 0000015810 00000 n (seePrime Care Connect Summary of Benefits and Coverage (SBC)), The Out-of-Area plan is available only to individuals who live in areas without adequate network access (seePlan Eligibility by Zip Code). Review the Welcome page to get started. 0000005314 00000 n OSU's James Cancer Hospital out of network for many Obamacare exchange Source: Urgent Care Association, "2018 Benchmark Report." Save up to 85% at MinuteClinic vs. the ER for comparable services. Cash, check (established patients only), Visa, MasterCard, American Express and Discover (including Flexible Spending credit cards). 0000006121 00000 n ^~ The Student Health Benefits Plan includes medical, mental health, prescription drug, dental and vision benefits. 0000015423 00000 n Health Insurance Requirement at Ohio State Learn about your bill, accepted insurance plans and how to receive financial assistance here. 0000026126 00000 n Insurances We Accept | Ohio State Medical Center Billing and Insurance | Health Care | OHSU If you wish to select the WilceCare Supplement in addition to a waiver, visit theSelection Procedurespage. Box 2310 Enter your name, date of birth, and Ohio State student ID number. 0000411078 00000 n . Insurance | HW Practicum Guidebook 2022-2023 Patient Resources - OSU Medicine To make a payment online visit go.osu.edu/SHSPayment. You will be given the option of obtaining a U.S. social security number when you check in at the Office of International Affairs. Accepted Insurance Mount Carmel Medical Group is a preferred provider for a variety of insurance companies in our area. Links and all references to outside content do not constitute (i) incorporation by reference of information contained on or in such outside content and such information should not be considered part of U.OSU.EDU or (ii) endorsement of such content by The Ohio State University. 0000009648 00000 n 0000029178 00000 n The following Medicare Advantage plans cover care at Ohio State: Subscribe. Turn on dark mode 0000004169 00000 n a paycheck), Foreign Check: acheck written on a foreign bank not specifically prepared as US currency. How can I obtain medical care outside of Ohio? *after deductible, unless noted otherwise. The health insurance must meet OSU standards and be fully Affordable Care Act Compliant. Insurance Carriers - Columbus OBGYN OSU Health Plan Providers | Resources for Our Network Providers Underwrites the medical, mental health, pharmacy and vision benefits of our plan as well as providing additional travel benefits. Insurances Accepted - Scioto Urgent Care Pharmacy : Student Health Services This information will assist in providing correct benefit information. hrconnection.osu.edu, Fingerprinting by appointment only Patients with other insurance carriers who have out-of-network benefits will pay in full, and we will submit a claim to your carrier asking them to reimburse you. Respective University constituents are responsible for reviewing and maintaining up to date information. While members can choose providers from either network at any time, those utilizing Premier Network providers will receive a higher level of benefit coverage. Your plan includesUnitedHealthcare Globalcoverage for travel and medical assistance, evacuation and repatriation when you are 100+ miles from home, as well as other benefits. JavaScript is required for this site to function. 1 With application, an individual may qualify to enrolled in Out-of-Area non-network benefits. We support students to make informed health insurance choices so they can help protect their academic progress from disruptive health care costs. Show it to providers when you use services. HealthSmart Rx. You can search for network plan providers atOSU Health Plan Member Searchor by calling OSU Health Plan at (800) 678-6269. The Ohio State Dental Faculty Practice accepts many health insurance programs. gy%yfjR\!P "Bc mGwm'7spg th7p SLSHS is out-of-network for all HMO plans. The SLSHS Pharmacyis contracted withthe following: *SLSHS Pharmacy is not contracted with all Optum plans. If the information provided in this summary chart differs from the online document, the online document will govern. SLSHS is out-of-network for all other insurance carriers, all HMO plans, Medicare, and Medicaid, except for CareSource Medicaid of Ohio. 0000025154 00000 n (866) 442-8257 Financial Assistance | Ohio State Medical Center We work diligently to appropriately transfer risk, primarily through the purchase of insurance products or through contractual risk transfer. 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. 0000019576 00000 n mytrustmarkbenefits.com, HR Connection The end of the COVID-19 National and Public Health Emergencies impacts Ohio State benefits and deadlines. All Prime Care plan options have two available networks: Premier Network and Standard Network. Pc SHS offers student health insurance for students that may not have had access previously. We apologize for the inconvenience. To request additional identification cards, go to theTrustmark Self Service siteor callTrustmarkat (866) 442-8257. Mansfield, OH, 44906, 419-526-8111. The following health insurance providers are accepted at OhioHealth Riverside Methodist Hospital, OhioHealth Grant Medical Center, OhioHealth Doctors Hospital and OhioHealth Dublin Methodist Hospital. 24/7 access to licensed medical and mental health doctors and providers regarding diagnosis and treatment of many illnesses. (seePrime Care Choice Summary of Benefits and Coverage (SBC)), Prime Care Connect is available for individuals with limited household income. Waiver Procedures : Student Health Insurance 0000025557 00000 n Check your Statement of Account each semester to make sure it reflects the appropriate health insurance selection or waiver, regardless of who is paying your bill and/or your academic programs involvement in your registration. Ohio State Health Plan Benefits | OSU Health Plan OSU's James Cancer Hospital, which moves to this new tower next year, is in-network for three of the 12 individual plans on the federal Health Insurance Marketplace. You may ask questions and receive answers from Trustmark through the message center. Please contact the insurance company for more information. Cash, check, debit cards, Visa, MasterCard, American Express and Discover are all accepted methods of payment. Contact Buckeye Link & FAQs. You should expect to receive your card approximately two weeks after you enroll. 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. Tip: Have your insurance card or policy materials on hand before you begin! Phone:(614) 247-myHR (6947) | Student Health Services | Oregon State University