Medical Mutual of Ohio (MMO) administers our medical plan.

CVS Caremark manages our prescription benefits.

The Supreme Court made a ruling that employers and universities can deny contraceptive coverage to their employees and students based on religious objections. Oberlin is making no changes to the health plan coverage regarding reproductive health or rights.

To participate in a health plan, benefits-eligible employees may enroll within 31 days from date of hire, qualifying event, or during our annual Open Enrollment period.

To change or cancel enrollment outside of our annual Open Enrollment period, a qualifying event, such as loss of coverage, marriage, birth/adoption, divorce, legal separation or annulment, or death must take place. Changes may be made within 31 days from the date of the qualifying event.

Our provider network is called SuperMed PPO. For providers located outside of Ohio, members have access to the Aetna® Open Choice® PPO Network. To search for a medical facility, physician or specialty physician online, go to Medical Mutual's website.

ID Cards: If you enroll in a medical plan, your ID card from MMO will include pharmacy benefit information.

Download the Mobile App for free now from the Apple App Store or Google Play by searching for MedMutual

Visit My Health Plan to register for a secure member website. Find doctors in your network, estimate costs, check claims, receive your Explanation of Benefits (EOB), and more!

A spouse or same gender domestic partner of an Oberlin College employee is required to participate in his/her employer sponsored health care plan if: he/she has access to continuous group health coverage through his/her employment, and the employer contributes at least 50 percent of the premium. If these conditions are met, the spouse/domestic partner must enroll in his/her employer’s health care plan. If your spouse or same gender domestic partner is eligible to participate in our health plan and you cover him/her, a Spousal Coordination of Benefits form must be completed and updated annually (during open enrollment).

2020 Health Plan Comparison Documents:

Benefits Enrollment Form

Cancellation Form

 

 

Unionized employee groups have the option to enroll in an Incentive or Standard plan. 

Incentive PPO Plan

The Incentive PPO Plan is available to those who voluntarily take the Biometric Screening and online Health Assessment. The Biometric Screening and online health assessment must be taken within 31 days from an employee's date of hire.

Each year during the annual Open Enrollment period, employees will voluntarily have the option to re-enroll in the Incentive PPO Plan by scheduling a Biometric Screening on campus or through a physician and completing the online assessment. PLEASE NOTE: If an employee's Spouse or Domestic Partner has primary coverage, they must also comply with the Biometric Screening and online HRA requirements. Children are not required to participate in the Biometric Screening and online HRA.  

Standard PPO Plan

The Standard PPO Plan is available to those who do not take the Biometric Screening and online Health Risk Assessment (HRA).

OCOPE members have the option to enroll in a Consumer-Driven Health Plan (CDHP) with a Health Savings Account (HSA) or PPO OBIR, (incentive), or PPO OBSR (standard) medical plan.

2020 Summary Plan Description (SPD)

2020 Summary of Benefits and Coverage (SBC)

Unionized employee groups have the option to enroll in an Incentive or Standard plan. 

Traditional PPO Standard Plan - NBSR

The Incentive PPO Plan is available to those who voluntarily take the Biometric Screening and online Health Assessment. The Biometric Screening and online health assessment must be taken within 31 days from an employee's date of hire.

Each year during the annual Open Enrollment period, employees will voluntarily have the option to re-enroll in the Incentive PPO Plan by scheduling a Biometric Screening on campus or through a physician and completing the online assessment. PLEASE NOTE: If an employee's Spouse or Domestic Partner has primary coverage, they must also comply with the Biometric Screening and online HRA requirements. Children are not required to participate in the Biometric Screening and online HRA.  

Standard PPO Plan

The Standard PPO Plan is available to those who do not take the Biometric Screening and online Health Risk Assessment (HRA).

UAW members have the option to enroll in a Consumer-Driven Health Plan (CDHP) with a Health Savings Account (HSA) or PPO NBIR, (incentive), or PPO NBSR (standard) medical plan.

Unionized employee groups have the option to enroll in an Incentive or Standard plan. 

Traditional PPO (Incentive) Plan - SBIR

The Incentive PPO Plan is available to those who voluntarily take the Biometric Screening and online Health Assessment. The Biometric Screening and online health assessment must be taken within 31 days from an employee's date of hire.

Each year during the annual Open Enrollment period, employees will voluntarily have the option to re-enroll in the Incentive PPO Plan by scheduling a Biometric Screening on campus or through a physician and completing the online assessment. PLEASE NOTE: If an employee's Spouse or Domestic Partner has primary coverage, they must also comply with the Biometric Screening and online HRA requirements. Children are not required to participate in the Biometric Screening and online HRA.  

  • 2020 Summary of Benefits and Coverage
  • 2020 Summary Plan Description (SPD)
  • 2019 Summary Plan Description (SPD) - OBIR

Standard PPO Plan

The Standard PPO Plan is available to those who do not take the Biometric Screening and online Health Risk Assessment (HRA).

OCSA members have the option to enroll in a Consumer-Driven Health Plan (CDHP) with a Health Savings Account (HSA) or PPO SBIR, (incentive), or PPO SBSR (standard) medical plan.

Retirees enrolled on the Comp plan are not required to adhere to in and out of network requirements. If you are 65 or older and enrolled in Medicare part B, your medical coverage with Medicare will remain primary for medical claims and the Medical Mutual coverage will be secondary. This is referred to as a Coordination of Benefits (COB). You may receive a letter from Medical Mutual verifying your Medicare coverage. Please be certain to respond to the COB letter when you receive it in the mail. Your response will only take a few moments to complete.

Our prescription drug benefit is administered by CVS Caremark.

CVS Caremark’s national network includes more than 68,000 pharmacies including retail chains. Plan participants are not required to manage their prescription drug needs at a local CVS pharmacy. Find a network pharmacy.

To make accessing your prescription benefits easier and more convenient register your account at Caremark.com. Many tools and resources are available. Find more Caremark tools

CVS Caremark also offers a convenient home delivery and 90-day retail option for maintenance medication refills.   

If you enroll in a medical plan, your ID card from Medical Mutual (MMO) will include pharmacy benefits. 

Additional Information:

HIPAA Privacy Practices - This notice describes how medical information about you may be used and disclosed.

HIPAA Special Enrollment Rights - This notice provides information about your rights and protections as participants in group health plans.

Summary Annual Reports - This gives notice of the annual report summarizing each benefit plan subject to ERISA.

Women's Health and Cancer Rights Act - This notice describes your rights after a mastectomy.

Creditable Coverage Disclosure Notice - This notice is about your prescription drug coverage and Medicare.

USERRA - This notice describes your rights under The Uniformed Services Employment and Reemployment Rights Act.

Drug-Free Workplace Act - This notice informs you about the college policy to maintain a drug-free workplace.