2020 Medical & Prescription Drugs
The Christ Hospital now offers six comprehensive medical plan options all of which:
- Cover in-network preventive care at 100 percent
- Include prescription drug coverage
- Provide coverage for eligible spouses/domestic partners, and eligible dependent children through the month in which they turn age 26. Children that are permanently disabled may remain on the plan after age 26 with proof of disability
The Christ Hospital medical plans and pharmacy benefits are administered by Heath Design Plus and OptumRx, respectively.
Medical Plan Options
New for 2020! Featuring lower premiums with exceptional care we are excited to announce The Christ Hospital (TCH) Primary Care Provider (PCP) Network Medical Plan. Use Christ Hospital Health Network Primary Care Providers for your preventative and general care and you'll see the difference: award-winning care at lower premiums. Simply select the new TCH PCP Network Medical plan option when you enroll in your benefits. Employees and their adult dependents on the medical plan who commit to obtaining preventative and general care exclusively from TCH PCPs will pay a reduced medical premium each paycheck. The medical plan benefits for all specialty care will remain unchanged, so you can continue to have access to your choice of providers to meet the needs of you and your family. Find a handy Frequently Asked Questions (FAQ).
Visit www.thechristhospital.com/employees to find a Primary Care Provider (PCP) with The Christ Hospital (TCH). For a list of current TCH PCPs accepting new patients, please click on the neighborhood you wish to search. If a provider does not offer online scheduling, you may call the office directly using the phone number listed for each provider. Or, if you need additional assistance finding a PCP, you may call 513-585-3000.
High Deductible Health Plan (HDHP): The HDHP options provide a higher deductible than the PPO Plan but have lower premiums which means you pay more when you need care (up to the deductible) and less out of your paycheck. Both plans are compatible with a Health Savings Account (HSA), which allows you to save for medical expenses by making voluntary tax-free contributions through payroll deductions. Want to learn more about HSA? Click to read the HSA FAQ.
Preferred Provider Organization (PPO) Plan: The PPO plan options provide a lower deductible than the HDHPs but have higher premiums which means you pay less when you need care and more out of your paycheck. If you enroll in the PPO Plan, you are not eligible to participate in an HSA.
Medical Plan Networks: Each time you need medical care, you may choose the provider and facility that best meets your needs. Each provider and facility is part of a network, which determines the cost you and The Christ Hospital pay. The medical plan networks are The Christ Hospital Health Network and the Anthem Network (excludes TCH PCP Medical Plan Network). Using an out-of-network provider will result in the greatest out-of-pocket expenses.
Summary of Benefits & Coverage (SBC) & Summary Plan Description (SPD)
- Basic HDHP SBC
- Standard HDHP SBC
- Core PPO Plan SBC
- TCH PCP Basic HDHP SBC
- TCH PCP Standard HDHP SBC
- TCH PCP Core PPO SBC
- All Medical and Prescription Drug Plans SPD
- Section 1557 Non-Discrimination Notice
Prescription Drug Coverage
- View the 2020 formulary effective 1/1/2020
- View the 2020 formulary exclusions list effective 1/1/2020
- View the 2020 Pharmacy Benefit Preventive Care Medications Coverage list and FAQ
- Step-by-step example of how to use the drug pricing tool, if you are a registered user of the member portal.
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