University of Cincinnati Medical Plan Summary and Comparison Non AAUP - Effective January 1- December 31, 2021
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)
80% after deductible
65% after deductible
$30 copay (primary) $50 (specialist)
65% after deductible
100% (as recommended by the American Medical Association)
65% after deductible
100% (as recommended by the American Medical Association)
65% after deductible (as recommended by the American Medical Association)
Skilled Nursing Facilities
80% after deductible
65% after deductible
80% after deductible
65% after deductible
Substance Abuse Inpatient Substance Abuse Outpatient
80% after deductible
65% after deductible
80% after deductible
65% after deductible
80% after deductible
65% 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)
80% after deductible
65% after deductible
Outpatient: $30 copay
65% 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
Urgent Care Center
80% after deductible
65% after deductible
$50 copay
65% after deductible
Well-Baby/ Well- Child Care (ROUTINE)
100% (as recommended by the American Academy of Pediatrics)
65% after deductible (as recommended by the American Academy of Pediatrics)
100% (as recommended by the American Academy of Pediatrics)
65% after deductible (as recommended by the American Academy of Pediatrics)
Page 4 of 7 Rev. 10/2020
Medical Insurance 9
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