Worthington School Benefits
Medical Insurance - Medical Mutual of Ohio
Worthington Schools offer a High Deductible Health Care Plan with Medical Mutual of Ohio. See benefit summary for details of the plan. Medical Mutual will send new identification cards to all employees via mail within 7-10 business days of January 1, 2022. If you don't get your card by January 1, 2022, and need to see a doctor or pick up a prescription, you can email Beth Hohenstein to obtain a temporary ID card. Employees should create a user name and password on the MMO website to be able to track your deductible amounts met, find network physicians, compare costs of services, view Explanations of Benefits and access the Wellness Portal. The Wellness Portal allows an employee to see how many points they have earned toward their Board HSA funding for the following year.
Once you have met your annual deductible, all medical/prescriptions are covered at 100% if using a network provider. However, the copay for an emergency room visit is $250 per visit. The copay will be waived if admitted. The out of pocket maximum is increased over the deductible by $750 for single/$1500 for family for these purposes.
The monthly premium for health care coverage is split and withheld on the first and second pay of each month.
2022 Medical Insurance Premiums:
Annual Network Deductibles:
- Single Deductible: $1,750
- Family Deductible: $3,500
Annual Out-of-Network Deductibles:
- Single Deductible: $3,500
- Family Deductible: $7,000
The Certificate of Coverage is a description of benefits and coverage under the plan.
High Deductible Health Plans provide the opportunity for you to open a Health Savings Account to help you to save to pay for eligible medical, dental, vision and prescription drug expenses if you meet eligibility requirements. The Board of Education provides a flat dollar amount funding to an HSA opened by you through CME Federal Credit Union. See additional information under Health Savings Accounts.
Dependent Eligibility: Dependent children can be covered under the plan up to age 26 regardless of financial dependence, student status, residence or marital status. Dependents are automatically dropped from health insurance coverage at the end of the month in which the dependent turns 26.
New enrollees in the Medical Plan are required to send the following documentation to enroll spouse and dependents:
- Birth Certificates (Children)
- Marriage Certificate (Spouse)
Please send to WEC, Attn: Beth Hohenstein before December 31, 2022
Retail Pharmacy Network
Effective January 1, 2022, CVS will once again be a network pharmacy. However, long-term maintenance medications must be obtained through Express Scripts Pharmacy (mail order). Medications that treat ongoing conditions such as high blood pressure, high cholesterol, birth control, and asthma are usually considered long-term maintenance medications. Acute medications such as antibiotics and restricted medications such as ADHD medications, which require a 30 day supply, will be available at the retail pharmacy.