Ohio University employees may choose to participate in the ppo medical plan.The PPO plan is a "preferred provider organization." A PPO is a program in which a network of doctors, hospitals and other healthcare providers agree to provide medical services to plan enrollees at special, negotiated rates. Each healthcare provider in the network must meet and maintain strict quality requirements.
When you use network providers for your healthcare, you may have to pay a small copayment at the time of your service. Most services are covered at 80% or 90%. You will still receive coverage when you see healthcare providers outside of the network, although you will receive a lower benefit level and you are subject to a deductible.
opt-out/ waive insurance coverage Employees with medical coverage outside of the university may complete the Ohio University Waiver of Group Health Insurance Form. Proof of alternate coverage, such as a copy of an ID card, must be submitted with this form.
pre-existing conditions There are no preexisting condition limitations for Ohio University's medical plans. You can change plans during open enrollment without concern that your present medical conditions would not be immediately covered.
pre-certification requirement Ohio University follows Anthem's standard predetermination and precertification requirements for both inpatient and outpatient procedures. Some procedures may require authorization prior to servies being rendered. Call 1-866-776-4793 or check with your provider to determine whether your procedure requires prior authorization. All inpatient hospital admissions require precertification.
Ohio University Human Resources 169 West Union Street Human Resources and Training Center Athens, OH 45701 Phone: (740) 593-1636 | Fax: (740) 593-0386
