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Domestic Partner Coverage: Removed effective January 1, 2022.
New Drug Formulary: Summit County has moved to a new formulary called the National Preferred Formulary effective January 1, 2022.
ImpaxRX
ImpaxRX is a concierge pharmacy program specifically targeting high-cost drugs by taking advantage of alternate distribution programs.
Income-eligible individuals will qualify to receive their prescriptions at NO COST.
For more information on ImpaxRX, contact your Human Resources department, or call 844-467-2979 (option 1) for ImpaxRX.
Medical Mutual: will continue as your Medical carrier
Express Scripts: will continue as your Prescription Drug carrier
Guardian: will continue as your Dental, Vision, Life and Short Term Disability carrier
First Stop Health: will continue as your telemedicine and virtual health carrier
EASE@Work: will continue as your employee assistance program vendor
Please contact The Village of Mogadore business office with any questions.
Christine Wheeler: 330-628-4896
Full-Time Employees (30 hours/week minimum)
**New employees are eligible for benefits the first of the month following date of hire.
EMPLOYEE ELIGIBILITY: If you do not enroll during the Open Enrollment period, you must wait until the next Open Enrollment period unless you experience a Qualifying Life Event. If you experience a Qualifying Life Event (i.e., birth or adoption of a child, marriage, divorce, loss of other coverage, etc.) you must enroll within 30 days of the Qualifying Event.
DEPENDENT ELIGIBILITY: You may also enroll eligible dependents for benefits coverage. A ‘dependent’ is defined as the legal spouse and/or ‘dependent child(ren)’ of the plan participant or the spouse.
** Domestic partner coverage removed 1/1/22**
What is a Qualifying Life Event?
If you have a Qualifying Life Event and want to request a mid-year change, you must notify Human Resources and complete your election changes within 30 days following the event. Be prepared to provide documentation to support the Qualifying Life Event.
What is Acceptable Documentation?
Medical Mutual: will continue as your Medical carrier
1. Option 1: HSA
2. Option 2: PPO
Express Scripts: will continue as your Prescription Drug carrier
**As of 1/1/2022, Summit County has moved to a new formulary called the National Preferred Formulary. This allows for higher rebates and program savings.
ImpaxRX may be able to help you receive high cost prescriptions at NO COST. ImpaxRX will reach out to you directly if you are taking an approved high cost drug and are income eligible.
When you utilize providers that are in MMO’s network you receive higher benefits. Employees who seek care from a provider that is not in MMO’s network, will be responsible for higher costs.
Routine Preventive Services
All routine preventive services are covered at 100%, no coinsurance, no deductible as long as the claim is submitted as “routine or preventive” and the services performed falls within the approved list of preventive services. If your visit is submitted with a diagnosis, the wellness visit will not be paid at 100%, but instead, will be subject to deductible and coinsurance.
Examples of Preventive Services include;
Access the Medical Mutual Member Portal online or on the mobile app.
A Health Savings Account (HSA) is a tax-free savings account is owned by you, is 100% vested from day one, and let’s you build up savings for future needs. The funds may be used to pay for qualifying healthcare expenses not covered by insurance or any other plan for yourself, your spouse, or tax dependents. You decide how much you would like to contribute, when and how to spend the money on eligible expenses, and how to invest the balance.
To have an HSA and make contributions to the account you must meet several basic qualifications.
2022 HSA Funding Limits
Guardian remains the carrier for your life and short term disability benefits.
Life insurance helps protect your families finances by providing a cash benefit if you pass away. AD&D insurance is equal to your life benefit in the event that your death is the result of an accident.
Your Basic Life Benefit
Disability Insurance covers part of your income, so you can pay bills in the event you become injured or sick and can't work.
Your STD Coverage
No crowded waiting rooms. No driving. See a doctor when you need a doctor. Talk to a doctor 24/7.
When can I use First Stop Health?
How does it work?
Ease@work
A program provided by your organization that is available to you, your household members and dependents. 24/7/365 support.
EASE@Work can help you reduce stress, improve mental health, and make life easier by connecting you to the right information and resources.
Medical Plan - Medical Mutual
Medical Plan Customer Service: 877-730-2221
Website: www.medmutual.com/member
Prescription Plan - Express Scripts
Customer Service: 800-282-2881
Website: www.express-scripts.com
Dental - Guardian
Customer Service: 1-888-482-7342
Website: www.guardiandirect.com/find-a-dentist
Vision - Guardian
Customer Service: 1-888-482-7342
Website: www.guardianlife.com
Basic Life - Guardian
Customer Service: 1-800-525-4542
Website: www.guardianlife.com
Short Term Disability
Customer Service: 1-800-268-2525
Website: www.guradianlife.com
Telemedicine - First Stop Health
Customer Service: 888-691-7867
Website: www.fshealth.com
Employee Assistance - Ease@Work
Customer Service: 800-521-3272
Website: www.easeatwork.com
Christine Wheeler
clerktreasurer@mogadorevillage.org
(330) 628-4896