Medical, Dental, Vision

Medical Plans

Here is an overview of the medical, dental, and vision plans available to full-time Tri-C employees.

Medical Plans

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

 

Medical Mutual

Telephone: 800-315-3137

Plan Group Number: 920190

Website: www.medmutual.com 

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

Dental Plan

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
Preventive Care	100%
Annual Deductible	None
Other Procedures	Covered at a fixed, preset fee
Orthodontics​	Children and Adults

Delta Dental PPO Plan Summary

PPO Plan Services	​Summary of Benefits
Preventive Care	100%
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

Vision Plan

​​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

• EyeMed Out of Network Form

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.  ​