MedFlex EPO

You must receive your healthcare from one of the many in-network facilities and providers. The providers include University Hospital system, LakeHealth and Summa. The Cleveland Clinic is not in the network.

Compared to the MMO PPO plan this plan has Lower Deductibles, Lower Out-of-Pocket Maximums and Lower Copays. Please refer to the chart below for details on specific benefits and how they compare to the SkyCare EPO plan.

MedFlex EPO plan also has lower premiums than the MMO PPO: for single coverage you save $216 a year and for family coverage you save $780 a year.

But remember, and this is VERY IMPORTANT, you must get healthcare from one of the many in-network facilities and providers. The providers include University Hospital system, LakeHealth and Summa. The Cleveland Clinic is not in the network.

To find a provider, go to https://providersearch.medmutual.com and click 2020 Plans under Just Looking Around? Next, select group under What Type of Insurance are you Looking for?, then select Next. Finally Select MedFlex and Enter Provider Information and click, “Search Providers.”

A list of hospitals can be found HERE.

What’s an EPO Plan?

An Exclusive Provider Organization plan (EPO plan), is a health plan that offers a local network of providers. However, if you choose to get care outside of the plan’s network, the cost will not be covered except in an emergency. The Diocese offers two EPO choices, both of which have lower costs and lower out-of-pocket expenses than the MMO PPO plan.