As we announced earlier this year, the Fund will transition from Medical Mutual of Ohio (MMO) to a new medical carrier, Aetna, effective January 1, 2021. Effective January 1, 2021, your medical out-of-pocket maximum will be $4,000 for single coverage and $8,000 for both single-plus-one coverage and family coverage. Your annual deductible will remain the same and will continue to count toward your maximum out-of-pocket amount. In addition, your prescription drug benefit through Sav-Rx will remain the same.

Manage Your Health Online You will have 24-hour access to Aetna’s web and mobile experience.

Visit aetna.com. Click on Login and then Register.

The website is your online resource for personalized health and financial information.

  • Find a doctor, hospital, or urgent care facility.
  • Check on a claims status.
  • Compare provider costs, and read reviews.
  • View your health history.
  • Take a health assessment, and participate in online wellness programs.

The free app lets you and your family members find the information you need wherever you are.

Text AETNA to 90156 for a link to download the app (message and data rates apply). *

  • View a map of your provider’s office or facility, and call with the tap of a finger.
  • Manage prescriptions.
  • Access ID card information

WE ARE HERE TO HELP

Review the chart below to learn where you should start—depending on your question.

If you have questions about… Contact Phone Website
• Eligibility
• Who you are covering
• General benefits questions
Fund Office (740) 282-1251 n/a
• Your medical and dental benefits
• Finding a doctor, dentist, or provider in−network
• Checking on the status of a claim
Aetna (800) 772-4683 aetna.com
• Your prescription drug benefits Sav−Rx 866-233-4239 savrx.com

 

Summary Plan Description
Summary of Benefits and Coverage for: EE Only; EE+ Family | Plan Type: POS
Summary of Benefits and Coverage for: EE+ 1 | Plan Type: POS
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PLEASE FILL OUT THE FOLLOWING DEPENDANT FORM









    Dependent #1


    If under age 26 and employed Did employer offer insurance?
    Is dependent covered by other insurance?



    Dependent #2


    If under age 26 and employed Did employer offer insurance?
    Is dependent covered by other insurance?



    Dependent #3


    If under age 26 and employed Did employer offer insurance?
    Is dependent covered by other insurance?



    Dependent #4


    If under age 26 and employed Did employer offer insurance?
    Is dependent covered by other insurance?



    Dependent #5


    If under age 26 and employed Did employer offer insurance?


    Is dependent covered by other insurance?

    If a dependent is under age 26 and is employed and is OFFERED health insurance through that employer, than that dependent is not eligible for coverage under the Steubenville Electrical Welfare Fund.

    PLEASE NOTE: It is VERY IMPORTANT that you notify the Fund of any change in dependents or change in address. Failure to do so will cause delay in payment of your insurance claims.

    If any answer to “Is dependent covered by other insurance?” is yes, then please fill out the next form (Other Insurance Form) and submit it.

    WARNING: Any person who, with intent to defraud of knowing that he/she is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. (Ohio Revised Code Section 3999.21)

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    OTHER INSURANCE CARRIER INFORMATION









      If other insurance is family coverage, please list names, birthdates and relationship of those covered under this policy and submit the form. If there is a court order designating responsibility for a child’s health care, please attach a digital copy to this form.



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      MEDICARE INFORMATION

      If Medicare covers you or a member of your family, please complete this section.


        The following information can be found on your Health Insurance card from Medicare: