MEDICAL OPTIONS
The Diocese of Cleveland Employee Benefits Office is committed to providing you with quality health care benefits and with the information you need to make wise choices and get the most from your health care dollar. The Catholic Diocese of Cleveland currently sponsors three (3) basic medical plans — one which covers Clergy Members, one which covers members of Religious Orders and one which covers Lay Employees (together they are referred to as the “Medical Plans,” the “Health Care Plans,” or the “Plans”).
The Medical Plans offered are regularly reviewed to insure that they provide comprehensive coverage and remain cost-effective. On this website and in the Health Care Handbook you will find useful information about plan provisions, along with answers to your most commonly asked questions.
While the Health Care Plans have some similarities, there are some important differences among them. These differences involve benefit levels and costs – all of which you should carefully consider.
The Diocese offers four Health Care Plan options for your physician and hospital coverage:
- The Medical Mutual PPO (MMO PPO);
- The Medical Mutual PPO/Health Savings Account (MMO PPO/HSA);
- The SkyCare EPO plan (formerly named MetroSelect EPO) plan; and,
- The NEW Medical Mutual MedFlex EPO plan.
MEDICAL PLANS
ENROLLED IN THE MMO PPO OR MMO PPO/HSA PLAN?
Choice Matters
Healthcare costs can vary widely depending on where you go and whom you see. Hospitals, clinics and doctor’s offices charge different amounts for the same services. That’s why Medical Mutual created by My Care Compare, an online tool that allows members to compare costs before they get care.
Save money – Know where to receive the best care at the best cost by using My Care Compare. Log into your My Health Plan account at https://member.medmutual.com/user/login.aspx and click My Care Compare to start saving today.
IMPORTANT INFORMATION THAT APPLIES TO THE MMO PPO AND PPO/HSA PLANS
Effective July 1, 2018 a cost-reduction program limits payment for non-emergency lab services to a Maximum Allowable Cost. These maximums are needed to avoid being charged high rates for lab services when there is no difference in the quality of the service. Any amounts in excess of this maximum amount will be the full responsibility of the patient.
The list of labs that provide services at or below the Maximum Allowable Cost can be found HERE.
The list of lab services and the Maximum Allowable Cost for each service can be found HERE.