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
Retail Health Clinic Live Health Online Routine Physical Exams (including associated diagnostic tests and X- rays)
90% after deductible
70% after deductible
$15 copay (primary) $20 copay (specialist) 100% (as recommended by the American Medical Association)
70% after deductible
100% (as recommended by the American Medical Association)
70% after deductible
70% after deductible (as recommended by the American Medical Association)
Skilled Nursing Facilities
90% after deductible
70% after deductible
90% after deductible
70% after deductible
Substance Abuse Inpatient Substance Abuse Outpatient
90% after deductible
70% after deductible
90% after deductible
70% after deductible
90% after deductible
70% after deductible
Paid on the same basis as other outpatient treatment
Paid on the same basis as other outpatient treatment
Therapy Services (e.g., Physical, Speech, Occupational) Urgent Care Center Well-Baby/ Well- Child Care (ROUTINE)
90% after deductible
70% after deductible
Outpatient: $15 copay
70% after deductible
Max 60 visits/yr all therapy types combined
Max 60 visits/yr all therapy types combined
Max 60 visits/yr all therapy types combined
Max 60 visits/yr all therapy types combined
90% after deductible
70% after deductible
$20 copay
70% after deductible
100% (as recommended by the American Academy of Pediatrics)
70% after deductible (as recommended by the American Academy of Pediatrics)
100% (as recommended by the American Academy of Pediatrics)
70% after deductible (as recommended by the American Academy of Pediatrics)
Page 4 of 7 10-2021 rev.
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