The State of Ohio provides you with quality, affordable and competitive medical benefits as a part of your total compensation package.
Each state employee who chooses medical coverage will be enrolled in the Ohio Med PPO plan. The plan is managed by two third-party administrators (TPAs), Medical Mutual of Ohio (MMO) and UnitedHealthcare (UHC). Each TPA serves specific regions in Ohio based upon home ZIP codes. The administrator you are assigned is based on the first three digits of your home ZIP code.
Transition/Continuation Of Care
Transition of care or continuation of care allows you or a family member to remain under the care of a non-network provider who is treating you prior to July 1, 2016. You or your family member may be eligible to continue care with the current non-network provider (at the in-network level) for a defined period of time until it is determined to be medically appropriate for the member to transfer their care to a network provider.
Not all conditions are eligible for this benefit -- some examples are:
• Pregnancy (in third trimester);
• Physical therapy, speech therapy, occupational therapy, and rehabilitation therapy;
• Recent medical hospitalization;
• Chemotherapy and radiation therapy; and
• Organ transplant.
Click the link below for your medical third-party administrator’s form:
Aetna Transition of Care Form
Anthem Continuation of Care Form
Medical Third-Party Administrators beginning July 1
Beginning July 1, 2016, the medical third-party administrators for the Ohio Med PPO – the state’s preferred provider organization – will be: Aetna, Anthem and Medical Mutual of Ohio.
Finding your doctor is as easy as 1-2-3
Whether you are looking for your doctor or checking if a provider (doctor, hospital, urgent care, etc.) will be in your network as of July 1, 2016, follow these steps:
Go to das.ohio.gov/medicalTPA:
1. Identify your medical third-party administrator (Aetna, Anthem or Medical Mutual) by locating the first three digits of your home ZIP code on the chart.
2. Click the provider guide link for your medical third-party administrator.
3. Follow the instructions to access the provider information you need.