Paramount Patient Centered Medical Home
Self-Insured 90/10 Plan
Ph: (419) 887-2525
Group No. PMH048-0001
90/10 in-network level of benefits and an in network out-of-pocket maximum of $1,000 per individual or $2000 per family. You must utilize the ProMedica network. There is NO coverage for out-of-network services unless rendered on an emergency basis. Please note: Effective Jan. 1, 2022 McLaren St. Luke's Hospital is no longer part of the provider network under this plan. Employees must comply with all current PCMH requirements.
Lucas County Health Plan through the Frontpath Network
Self-Insured 80/20 Plan
Ohio Benefit Administrators (OBA)
Group No. LCF001-0001
New this year: 80/20 in-network level of benefits and 50/50 out-of-network level of benefits. The in-network annual out-of-pocket maximum will be $1,500 per individual or $3,000 per family. You can utilize both the ProMedica and Mercy networks. McLaren St. Luke's Hospital is considered in-network under this plan.
2022 Employee Requirements
EVERY employee enrolled in a medical plan must have an annual physical, including blood tests if ordered by a physician, completed Lucas County employee Partnership Agreement and a promise to refrain from tobacco or vape products or complete a smoking cessation program during the plan year. A $500 deductible will be applied to any employee who fails to meet these requirements by February 28, 2023.
$500 deductible applied to out-of-pocket maximum effective March 1, 2022 for employees who fail to show proof of COVID-19 vaccine (fully vaccinated) or provide medical/religious exemption in accordance with the CDC guidelines with the exception f the booster.
$500 deductible applied to out-of-pocket maximum, waived if employee completed Health Risk Assessment (HRA) by February 28, 2022, 2023 and 2024.