2019 BENEFIT PLANS PDF Print E-mail

MEDICAL PLANS

Summit County offers three health plans that are designed to meet your individual needs. Visit the “My Health Plan” section of the Medical Mutual website to set up a personal secure password and order a new ID card, check the status of your claims or print a claim form, reprint an Explanation of Benefits (EOB), view a member handbook or E-mail customer service. Through this site you can also locate a SuperMed Plus hospital or physicians close to where you live and access your prescription information.

Summary of Benefits and Coverage

Advantage Plan Guide
MedFlex Plan Guide
MedFlex Member Brochure
Maximum Value/HSA Plan Guide
Minimum Value Plan Guide

Summary of Benefits and Coverage-Advantage Plan
Summary of Benefits and Coverage-MedFlex Plan
Summary of Benefits and Coverage-Maximum Value/HSA Plan
Summary of Benefits and Coverage-Minimum Value Plan

MMO Claim Form
MMO Provider Search
First Stop Health Telemedicine

Domestic Partner Affidavit
Domestic Partner Frequently Asked Questions (FAQ)

Learn more about continuing coverage through COBRA - contact Kym Komaschka, (330) 643-2621, kkomaschka@summitoh.net.

HEALTH SAVINGS ACCOUNT (HSA)

The County’s Maximum Value Plan also offers a Health Savings Account (HSA). An HSA is a personal savings account you can use to pay for qualified out-of-pocket medical expenses with pretax dollars. Both you (through pretax funds from your paycheck) and the county (through Virgin Pulse wellness dollars) are able to make contributions to your account, but you own and control the account.

Contributions are not taxed, and you can invest the balance in a variety of options. Your account (including interest and investment earnings) grows tax-free and as long as the funds are used to pay for qualified medical expenses, they are spent tax-free.

You can use the money in your HSA to pay for qualified medical expenses now or in the future. Your HSA can be used for your expenses and those of your spouse/domestic partner and dependents even if they are not covered on the HDHP.

You are eligible to open and fund an HSA if you:

  • Are enrolled in an HSA-Eligible HDHP
  • Are not covered by other non-high deductible health plans, such as your spouse’s health plan, Health Care Flexible spending Account, or Health Reimbursement Account
  • Are not eligible to be claimed as a dependent on someone else’s tax return
  • Are not enrolled in Medicare
  • Have not received Veterans Administration benefits

Employee HSA Enrollment “My Health Plan” link: https://member.medmutual.com/user/login.aspx.

If you have questions or concerns about your account, please contact Medical Mutual Employee Enrollment and Customer Service: (800) 522-2037 or MySpendingAccounts@MedMutual.com.

HSA Qualified Medical Expenses
HSA, HRA, FSA Comparison
HSA Mobile App
2019 HSA Contribution Limits

PRESCRIPTION PLANS

Summit County's prescription provider is Express Scripts (administered by Medical Mutual of Ohio). Your ID card includes both medical and prescription plan information. Once you receive your ID card you can access your prescription information via the Medical Mutual website to locate an in-network pharmacy, review prescription history, view claims, price medications, refill mail orders, check mail order status and update mail order payment information.

Advantage and MedFlex Plans Rx Summary
Preferred Prescription List

Mail Order Form
Zero Copay Program
SMART 90 Pharmacy Ohio Directory
Presecription Drug Formulary

DENTAL PLANS

Summit County offers you and your eligible dependents a dental program that gives you the choice of two plan options. The PPO plan offers out-of-network benefits and the Value Plan includes increased in-network benefits. Both plans offer Rollover Options. See link below or click on Guardian Dental to register and obtain additional plan information.

Guardian Dental-PPO PLAN
With the PPO Plan, you can visit any dentist; but you pay less out-of-pocket when you choose a in-network PPO dentist.

Guardian Dental-VALUE PLAN
With the Value Plan, you can visit any dentist; but you pay less out-of-pocket when you choose a in-network PPO dentist. Out-of-network benefits are limited to Guardian's fee schedule and subject to balance billing.

Dental PPO and Value Plan Comparison
Dental PPO and Value Plan Benefit Summary
Dental Claim Form
Dental Provider Search
Guardian College Tuition Benefit

VISION PLANS

Summit County provides you and your eligible dependents a Vision Care Program through Davis Vision. Click on Davis Vision to access network providers.

Davis Vision Benefits Summary
Davis Vision ID Card
Davis Vision Contact Lens Collection (Premium)
Davis Vision Out-of-Network Claim Form

LIFE INSURANCE

The County of Summit provides Life Insurance and Accidental Death and Dismemberment coverage for full time employees. Additional Voluntary Life and AD&D may be purchased in amounts from $10,000 to $300,000 in increments of $10,000 at the employees own expense through payroll deductions.

Lincoln Financial Voluntary Life Summary
Lincoln Financial Life Voluntary AD&D Summary
Evidence of Insurability Form
Lincoln Financial LifeKeys
Lincoln Financial Travel Connect

You can update your beneficiary during open enrollment, or anytime during the year using the beneficiary forms posted below.  Completed forms should be submitted to Kym Komaschka, Employee Benefits in the Russell M. Pry Building, Suite 378 or email kkomaschka@summitoh.net.

County Provided Life Beneficiary Form
Voluntary Life Beneficiary Form

FLEXIBLE SPENDING AND HEALTH REIMBURSEMENT ACCOUNTS

Summit County offers employees a Flexible Spending Account (FSA) program. These accounts set aside funds, on a pre-tax basis, through payroll deduction, to pay eligible out-of-pocket medical, dental, and dependent care costs. Participating employees are issued a debit card to make payments for eligible items or employees can file paper claims.

The Flexible Spending Account program is administered by Optum.

HSA, HRA, FSA Comparison
Managing Your Account Online

Mobile App
Using Your Optum MasterCard
FSA Dependent Care
FSA-Planning For Your Health Care Expenses
2019 FSA/HRA Qualified Expenses
Optum Claim Form

For more information on Flexible Spending Accounts Call Customer Service: 1 (800) 243-5543 or log on to Optumhealthfinancial.com

SUMMARY PLAN DESCRIPTION AND CERTIFICATES

Medical/Prescription Plans

County of Summit Medical/Prescription Summary - Advantage Plan
County of Summit Medical/Prescription Summary - Plus Plan
County of Summit Medical/Prescription Summary - Minimum Value Plan
Summit County Children Services Board - Medical/Prescription Summary - Advantage Plan
Summit County Children Services Board - Medical/Prescription Summary - Plus Plan
Summit County Children Services Board - Medical/Prescription - Minimum Value Plan
Summit County Public Health - Medical/Prescription Summary - Advantage Plan
Summit County Public Health - Medical/Prescription Summary - Plus Plan
Summit County Public Health - Medical/Prescription Summary - Minimum Value Plan

Dental Plans

Dental Certificate PPO
Dental Certificate Value Plan

Vision Plans

Vision Certificate

Life Insurance

The County of Summit provides Life Insurance and Accidental Death and Dismemberment coverage for certain full time employees.  If you would like a copy of this policy, please email you request to kkomaschka@summitoh.net.

Flexible Spending and Health Reimbursement Accounts

Flexible Spending Account Summary Plan Description
Health Reimbursement Account Summary Plan Description

 

 

 

 
 
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