MEDICAL
Resources
PCC Airfoils offers employees a choice of 3 medical plans to choose from.
- PPO-MMO-1000
- PPO-MMO-500
- HDHP 3200
Both PPO plans have copays for office visits, urgent care, and the ER.
The following is a summary of your medical benefits. For a more detailed explanation of benefits, please refer to your Summary Plan Description (SPD), certificate of coverage or SBC. You may access a list of participating providers through the carrier’s website.
Monthly Premium Incentives
PCC offers you the ability to reduce your monthly medical premiums if the Covered Employee and Covered Spouse complete the following:
- Incentive 1: Tobacco-Free status with signed affidavit (employee & spouse, if covered)
- Incentive 2: Preventative Care Compliance – Physician sign-off (employee & spouse, if covered)
- Incentive 3: Biometric Health Screening (employee & spouse, if covered)
For 2024, the wellness incentives are NOT results-based. To receive the wellness discount, you will need to complete all wellness forms (with employee and physician signatures on applicable documents) and return to HR by 12/1/23.
*All incentive documentation should be sent to HR within 30 days of benefit eligibility to receive a reduced premium share. If it is medically inadvisable due to a medical condition for the participant to achieve the standards for the reward under this program, the participant may contact HR within 30 days of eligibility and we will work with the participant to develop an alternative program.
Diabetic Supplies
All members who are enrolled on any of the Medical Mutual medical plans, are eligible to receive diabetic supplies at $0 member cost. In order to qualify for these no cost supplies, members must enroll in the Chronic Condition Management Program for Diabetes. For more information on this program and how to enroll, visit the Wellness Page.
Additional MMO Programs
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Medical Mutual of Ohio PPO-MMO-1000
HOW THE PLAN WORKS
Preventive Care: The plan pays 100% for in-network eligible preventive care.
Annual Deductible: For non-preventive care there is an annual deductible that must be met. The annual deductible is $1,000 for Individual coverage and $2,000 for Family Coverage when you use in-network providers.
Out-of-Pocket Maximum: This is the most that you will have to pay for covered services in a plan year. All medical and prescription drug deductible, copayments and coinsurance apply toward the out-of-pocket maximum. Once you meet the out-of-pocket maximum, the plan pays 100% of your eligible expenses, including the cost of all office visits and prescription drugs, for the remainder of the year.
Medical Mutual of Ohio PPO-MMO-500
HOW THE PLAN WORKS
Preventive Care: The plan pays 100% for in-network eligible preventive care.
Annual Deductible: For non-preventive care there is an annual deductible that must be met. The annual deductible is $500 for Individual coverage and $1,000 for Family Coverage when you use in-network providers.
Out-of-Pocket Maximum: This is the most that you will have to pay for covered services in a plan year. All medical and prescription drug deductible, copayments and coinsurance apply toward the out-of-pocket maximum. Once you meet the out-of-pocket maximum, the plan pays 100% of your eligible expenses, including the cost of all office visits and prescription drugs, for the remainder of the year.
Medical Mutual of Ohio HDHP 3200
HOW THE PLAN WORKS
Preventive Care: The plan pays 100% for in-network preventive care.
What is a High Deductible Health Plan? A high-deductible health plan, also called a consumer-driven health plan, is health coverage with lower premiums but higher out-of pocket cost when you need care. HDHPs are designed to safeguard against catastrophic out-of-pocket cost for covered treatments and services. HDHPs do not have copays instead you pay for any services until you reach your deductible. Once your deductible is met your coinsurance kicks in and you pay a portion of the allowed charges until you reach your out-of-pocket maximum.
Annual Deductible: For non-preventive care there is an annual deductible that must be met. The annual deductible is $3,200 for Individual coverage and $6,400 for Family Coverage when you use in-network providers.
Out-of-Pocket Maximum: This is the most that you will have to pay for covered services in a plan year. All medical and prescription drug deductible, copayments and coinsurance apply toward the out-of-pocket maximum. Once you meet the out-of-pocket maximum, the plan pays 100% of your eligible expenses, including the cost of all office visits and prescription drugs, for the remainder of the year.
