Medical Insurance
SummaCare
Eligible employees may choose to enroll in employer sponsored health care by SummaCare. The plan utilizes SummaCare’s SC Premier PPO Network in Northeast Ohio’s 20 county area. Outside the 20 county area but still within the state of Ohio our network uses PHCS and outside the state of Ohio First Health is our network. Coverage levels include employee only, employee plus spouse, employee plus child(ren) and employee plus family. Different premium rates are applied based on salary tiers and applicable surcharges.
Carve-out
In 2015, NEOMED implemented a spouse carve-out plan provision.
- CARVE-OUT: If the employee’s spouse is eligible for medical coverage at his/her place of work, the spouse will need to elect his/her employer’s coverage.
- Spouse carve-out is a plan provision that restricts access to medical coverage for the spouse of an employee who is eligible for medical coverage through the spouse’s employer. Employees with a working spouse who has access to his/her own employer-sponsored medical coverage, will not be eligible to enroll his/her spouse in NEOMED’s medical coverage unless coverage is deemed unaffordable according to the ACA rules. This does not restrict access to dental or vision coverage as the spouse can still be enrolled on dental and vision with no additional charge.
Prescriptions
MedImpact will administer your prescription drugs. You will receive a single ID card for SummaCare and MedImpact prescription coverage
Cost
Employee contributions are taken on a pre-tax basis and tiered based on salary.
