HRDBenefits Administration Services > Comparison Chart & Guide Table of Contents >

Monthly Rates for State-Sponsored Health Plans (Revised)

These rates for health care coverage will be deducted from your paycheck from July 2005 through May 2006 (for coverage from August 2005 through June 2006). These rates are based on the 85%/15% cost share.

 

Health Plan Coverage You Pay State Pays Total Cost
Ohio Med PPO
www.medmutual.com
1-800-822-1152 Single
Family
$47.17
$128.50
$263.86
$724.73
$311.03
$853.23
Aetna HMO
www.Aetna.com
1-800-520-4785 Single
Family
$47.82
$130.28
$267.51
$734.79
$315.33
$865.07
The Health Plan HMO
www.healthplan.org
1-800-624-6961 Single
Family
$45.34
$123.43
$253.47
$695.97
$298.81
$819.40
Paramount HMO
www.paramounthealthcare.com
1-800-462-3589 Single
Family
$46.83
$127.33
$261.88
$718.07
$308.71
$845.40
QualChoice
www.qualchoice.com
1-800-260-2643 Single
Family
$42.04
$114.36
$234.79
$644.59
$276.83
$758.95
UnitedHealthcare HMO
www.unitedhealthcare.com
1-877-442-6003 Single
Family
$58.73
$166.67
$271.44
$739.19
$330.17
$905.86

 

Important Numbers and Web Sites to Know


For questions about benefit plan coverage, please contact the providers at these phone numbers or Web sites.

Plan Carrier
Phone Number
Web Address
Prescription Drugs (Ohio Med) Medco
1-800-903-8030
http://www.medco.com
Mental Health/Substance Abuse United Behavioral Health
1-800-852-1091
www.liveandworkwell.com
  Code: 00832
Vision Benefits for exempt employees Vision Service Plan
Cole Managed Vision
 
1-800-877-7195
1-800-334-7591
www.vsp.com
www.colemanagedvision.com
  Cole Plan Number: 40830
Dental Benefits for exempt employees Delta Dental
1-800-524-0149
www.deltadentaloh.com
Basic Life Insurance Benefits for exempt employees Fort Dearborn Life
1-800-544-9000
www.fdl-life.com
Supplemental Life Insurance Benefits for exempt employees Prudential
1-800-778-3827
N/A
Long-Term Care Insurance Aetna
1-800-537-8521
www.aetna.com/group/stateofohio
Ohio Med Health Management Matria
1-888-250-8854
www.matriacares.com/healthpartners
Benefits Administration Services 
in Columbus call:
 1-800-409-1205
 1-614-466-8857
www.ohio.gov/employeebenefits
Union Benefits Trust 
in Columbus call:
 1-800-228-5088
 1-614-508-2255
www.benefitstrust.org