Medical

image

Your Medical Coverage
 
Medical and prescription coverage is an important part of any benefit strategy. Like many employers, our Districts are working diligently to ensure our plans continue to provide affordable, convenient and comprehensive access to quality coverage.
 
Through the Allen County Schools Health Plan, we choose Medical Mutual of Ohio (MMO) for our healthcare and prescription drug benefits.
 
While MMO provides access to participating and non-participating providers, using a participating provider ensures you receive the highest levels of coverage.
 
All plans have important provisions which we encourage you to review. Each plans' details can be evaluated by selecting one of the documents below.
 
Eligible unmarried and married Dependents are covered under the plan until the end of the month of their 26th birthday.
 
Dependent Audit
To provide quality benefits while managing costs, dependent verification is important! Plansource, previously known as Next Generation, is a professional benefit-consulting group specializing in dependent eligibility verification.
 
When adding a dependent to the plan, you will receive a Dependent Eligibility Verification packet from Plansource requesting you to provide documentation such as a copy of marriage certificate or recent federal tax return and birth certificates along with a completed remittance form.
 
Access MMO's My Health Plan
  • To view or order a certificate
  • Check claim status and benefit information
  • Review explanation of benefits (EOBs)
  • Search providers
  • View your member ID card
 
What is SmartShopper?
Helps you save money on several medical procedures. Earn $$$$$ when you use the program and choose a LOW cost, HIGH quality provider for service!
 
When you need a non-emergent medical procedure, start with SmartShopper.
  • They provide you with the options you need to make good health care choices.
  • If you choose a low cost, high quality provider – you will receive a check in the mail! Yes!
  • Your Personal Assistant can also schedule your appointment.
Click this link to start shopping now MMO SmartShopper OR call your SmartShopper Personal Assistant team at 1-877-292-1541 Monday through Thursday from 8 a.m. to 8 p.m. and Friday from 8 a.m. to 6 p.m. EST.
 
Contact Information
Medical Mutual: 800.382.5729
Express Scripts: 800.417.1961