Medical Insurance

Paramount Patient Centered Medical Home Plan
Self-Insured 90/10 Plan
Ph: (419) 887-2525
Paramount.Memberservices@ProMedica.org

Group No. PMH048-0001

Machine Readable Files
https://paramount.healthsparq.com/healthsparq/public/#/one/insurerCode=HSQD_I&brandCode=PARAMOUNT/machine-readable-transparency-in-coverage

90/10 in-network level of benefits and an in network out-of-pocket maximum of $1,000 per individual or $2,000 per family. You must utilize the ProMedica network.  There is NO coverage for out-of-network services unless rendered on an emergency basis. 

Paramount PCMH Plan Benefits
 
2023 Spouse Primary Eligibility
 
 ProMedica- Telemed/On Demand


Paramount Centers of Excellence

Glossary of Health Coverage & Medical Terms
  

Lucas County Plan through the Frontpath Network
Self-Insured 80/20 Plan
Administered by:
Ohio Benefit Administrators (OBA)
Ph: 877-622-1966
memberservices@ohiobenefitadmin.com

Group No. LCF001-0001

Machine Readable Files
https://www.ohiohealthchoice.com/FPTIC/FP_in-network-rates_4.json

80/20 in-network level of benefits and 50/50 out-of-network level of benefits.  The in-network annual out-of-pocket maximum will be $1,500 per individual or $3,000 per family. You can utilize both the ProMedica and Mercy networks.  

Lucas County Frontpath Plan Benefits

2023 Spouse Primary Eligibility
 
Telemed/On Demand

Frontpath Plan Document

Frontpath Network Provider Directory

Frontpath Centers of Excellence

Glossary of Health Coverage & Medical Terms
 
 
 
 
 

       Benefit Changes: COVID-19

The national public health emergency declared in 2020 is set to expire on May 11, 2023, which will prompt some changes to your benefits. Here's what you can expect:

  • COVID-19 tests conducted by an in-network health care professional will continue to be covered, but your copay will now be applied. This had been a $0 cost to you during the public health emergency.

  • Monoclonal antibody treatments or antivirals for COVID-19 also will continue to be covered, but your copay will now be applied. This also had been a $0 cost to you during the public health emergency.

  • Over-the-counter tests for COVID-19 will no longer be covered.

  • You will be charged copay or coinsurance, per your benefits, for services related to a COVID-19 diagnosis. This had been suspended in some cases during the public health emergency.

  • COVID vaccines and booster shots will continue to be covered at no cost.

  • Telehealth visits for a variety of conditions also will continue to be covered.