Creekside Restaurant

Table of Content

  1. Header
  2. Page
    1. Welcome to your 2024 - 2025 Creekside Restaurant Benefits
    2. How to Enroll
    3. Eligibility & Qualifying Events
    4. Medical
    5. Prescriptions
    6. Virtual Visits
    7. Understanding your Benefits
    8. Additional Resources
    9. Carrier Contacts
    10. Contact Us
  3. Footer

Welcome to your 2024 - 2025 Creekside Restaurant Benefits

To Our Employees: 

Our medical insurance renewal date is November 1st. The initial renewal with United Healthcare resulted in a very large increase. In order to maintain a good plan at a reasonable cost, we will be changing our plan to Medical Mutual of Ohio. MMO is accepted at Cleveland Clinic and University Hospitals as well as most other medical providers. 

Thank you for all that you do for us!

Prescriptions

TRADITIONAL DRUGS

TIER 1 (GENERIC) | Lowest copay: Most drugs in this category are generic drugs. Members pay the lowest copay for generics, making these drugs the most cost-effective option for treatment.

TIER 2  | Higher copay: This category includes preferred, brand name drugs that don't yet have a generic equivalent. These drugs are more expensive than generics, and a higher copay.

TIER 3  |  Highest copay: In this category are nonpreferred brand name drugs for which there is either a generic alternative or a more cost-effective preferred brand. These drugs have the highest copay. Make sure to check for mail order discounts that may be available.

SPECIALTY DRUGS

TIER 4  | Lowest Specialty Drug copay: Tier 4 specialty drugs are generally more effective and less expensive than nonpreferred specialty drugs in tier 5.

WHERE CAN I FIND A DRUG LIST?

Typically, a full listing of covered drugs is found on your provider’s website. A drug list, also called a formulary, is a list of generic and brand-name drugs covered by a health plan. Although a drug may be on the drug list, it might not be covered under every plan. Review the plan materials for details on specific benefits.

You can use drug lists to see if a medication is covered by your health insurance plan. You can also find out if the medication is available as a generic, needs prior authorization, has quantity limits and more.

On a maintenance medication, you take each month?

Use home delivery from Express Scripts PharmacySM. Your Rx is delivered to your door about eight days after your Rx is received. Delivery is free!

  • By Phone: 1-855-315-5220
  • Online: Express-Scripts.com

The differences in prescription drug costs are summarized here:



RX Summary

Managing Prescription Costs

Managing Prescription Costs

Prescription Overview

Prescription Overview

SuperMed Rx

SuperMed Rx

2024 MMO Rx Updates

2024 MMO Rx Updates

Contact Us

As you consider your benefit options, please be sure to review all available information. If you don't understand your benefits or need any assistance, please contact Human Resources.

Client Contacts

MH

Matt Harper

mharper@creeksiderestaurant.com

440-546-0555

SH

Shirley Harper

sharper@creeksiderestaurant.com

440-546-0555

Account Team Contacts

ContactImage

David Leszcz

Producer / Sales Consultant

dave.leszcz@nfp.com

216-264-2725

ContactImage

Lyndsay Shones

Account Manager

lyndsay.shones@nfp.com

216-264-2707

ContactImage

Naomi Butze

Account Executive

naomi.butze@nfp.com

216-816-0026