Medical, Dental, Vision
Here is an overview of the medical, dental, and vision plans available to full-time Tri-C employees.
Tri-C provides employees and their covered dependents access to high-quality, affordable health care.
The Medical Mutual Preferred Choice PPO Plan offers highly competitive hospital and physician discounts. Elect the coverage level you need--employee only, employee +1, or employee + 2 or more dependents.
If enrolled in the Medical Mutual Plan, you will be covered under the prescription drug program administered by CVS Caremark. The program provides both a retail card for purchasing acute (immediate prescriptions) and a mail order program for longer term maintenance drugs.
Definition of a Dependent
Plan Group Number: 920190
Medical Mutual Preferred Choice Plan
Summary of Benefits and Coverage
Healthy Saver Plan
Summary of Benefits and Coverage
The Healthy Saver Plan utilizes the Medical Mutual Super Med Plus PPO Network. This medical plan offers lower biweekly premiums and higher annual deductibles. Your preventive care benefits will continue to be covered at 100% and will not be subject to the deductible.
One significant advantage of enrolling in the Healthy Saver Plan is the opportunity to contribute to a Health Savings Account (HSA)
|In-network deductible||$3,000 single / $6,000 family|
|In-network out-of-pocket maximum (coinsurance and deductible)||$5,000 single / $10,000 family|
|Preventive care visit||$0|
|Primary care visit||You pay the Medical Mutual discounted cost until your deductible is met. After your deductible is met you pay 10% |
|Specialist office visit||You pay the Medical Mutual discounted cost until your deductible is met. After your deductible is met you pay 10% |
|Coinsurance for services||90% for most covered services after deductible|
|Primary care physician (PCP||Not Required|
Delta Dental of Ohio 1-800-524-0149
The Delta Dental of Ohio plan allows for flexibility and choice.
The plan offers two options:
- Delta Dental EPO (Exclusive Provider Organization)
- Delta Dental PPO (Point of Service)
Delta Dental EPO Plan Summary
|DHMO Plan Services||Summary of Benefits|
|Other Procedures||Covered at a fixed, preset fee|
|Orthodontics||Children and Adults|
Delta Dental PPO Plan Summary
|PPO Plan Services||Summary of Benefits|
|Annual Deductible||$50/ Individual $150/Family|
|Basic and Major Services||50% after deductible|
|Annual Benefit Maximum*||$1,000/person|
|Orthodontics||Children under 19 only|
|Orthodontic Lifetime Maximum||$1,000/person|
Medical Mutual Vision Plans
EyeMed INSIGHT Network
Administered by Medical Mutual
Medical Mutual Customer Service: 1-800-315-3137
EyeMed Customer Service: 1-877-226-1115
The Medical Mutual Vision Plan offers two plan designs to meet the eye care needs of you and your covered dependents.
- Vision Plan Comparison - Side by side comparison of the Essential and Enhanced vision plans
The Essential Plan is a basic eye care plan that covers the basics of healthy vision. The plan includes a comprehensive eye exam and benefits for prescription glasses (and lenses) or contact lenses.
The Enhanced Plan includes all the benefits of the Essential Plan plus it offers higher allowances to cover the costs of your frames and lenses or contact lenses.
Both plans offer services at retail and independent optometrists near you. Some retail providers include Lens Crafters, Pearle Vision, Sears Optical and Target Optical. Out of network services are available; however, you will receive the best benefit if you stay within the EyeMed Insight Network of providers.