UC Only AAUP Faculty Onboarding Binder 2022

University of Cincinnati Medical Plan Summary and Comparison AAUP - Effective January 1- December 31, 2022

Covered Service

Health Saving Account/HDHP In network

Health Saving Account/HDHP Out-of-network

PPO Traditional Plan In network

PPO Traditional Plan Out-of-network

Infertility Services Inpatient Services Maternity Care (specialist office visit copay applies)

Refer to Plan Documents 90% after deductible

No coverage

Refer to Plan Documents 90% after deductible $20 copay first visit only by participating providers at participating facilities

No coverage

70% after deductible

70% after deductible

90% after deductible

70% after deductible

70% after deductible

Mental Health Inpatient 90% after deductible

70% after deductible

90% after deductible

70% after deductible

Mental Health Outpatient (primary care office visit co-pay applies)

90% after deductible

70% after deductible

$15 copay per visit 70% without pre-authorization

70% after deductible

Office visit- primary

90% after deductible

70% after deductible

$15 copay

70% after deductible

Office visit-specialist

90% after deductible

70% after deductible

$20 copay

70% after deductible

Outpatient services (e.g., surgery, pathology, MRI, surgical supplies, etc.)

90% after deductible

70% after deductible

90% after deductible

70% after deductible

Physician Services - inpatient

90% after deductible

70% after deductible

90% after deductible

70% after deductible

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