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What’s New this Open Enrollment? More HMOs available
Aetna is back, Kaiser and SummaCare are gone

Plan Rates - Comparison FY 2006April 18, 2005 - Come July 1, 2005, the number of counties with only 1 HMO available to state employees will shrink from 63 to 12.

And the number of counties with no HMO will shrink from 5 to 2.

Aetna, an HMO which once had 20,000 state employees enrolled, will be available again on July 1 in 70 counties.

Meanwhile, July, Kaiser and SummaCare will no longer be offered to state employees in the NE part of the state.

All of these changes came about as a result of the HMO re-bidding process. Every two years the state, in conjunction with the Joint Health Care Committee (JHCC), issues a Request for Proposal to determine which HMOs will be offered to state employees.

Marianne Steger, OCSEA Director of Health Care Policy, advises, "This year’s bidding process saw more competition among the HMOs than previous years had seen. While this means more employees will have more HMO options, some employees who have been long-time enrollees in Kaiser will have to switch plans."

Steger co-chairs the JHCC for Labor.

Many health care open enrollment fairs are scheduled throughout the state between April 19 and 30. Such fairs provide an excellent opportunity to learn more about benefit choices from the health plans’ representatives.

A complete schedule of dates and locations was distributed with your paycheck on April 2 and published in the open enrollment edition of Pathways, which will be distributed in mid-April. In addition, please look for posters identifying the fair(s) closest to your work location.

See Related

Medco is back for Ohio Med Enrollees July 1st

Medical Mutual will keep Administering the Ohio Med PPO

Kaiser enrollees options; Chart below compares HMOs, Ohio Med PPO

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