Our Difference

OhioHealthy combines OhioHealth’s 130 years of experience as an integrated healthcare delivery system with Sentara Healthcare’s 30 years of health plan expertise to offer customized health plans that deliver.

We are innovators

Because we know a one-size-fits-all model doesn’t work, we’re breaking the mold with plans designed to meet all your employees’ needs.

  • Through OhioHealthy, employees receive access to data-empowered providers, improved health and customer-service-driven member advocates
  • Our partnership with the OhioHealth Group Clinically Integrated Network provides access to game-changing patient data, reducing care fragmentation and rewarding providers for improving quality and lowering cost
  • Doctors and hospitals are rewarded through shared savings for keeping people healthy and improving the health of chronically ill patients

This innovative care model reduces costs for patients and employers, while providing necessary care.

We put members first

Unlike most traditional plans, OhioHealthy emphasizes personalized care coordination and face-to-face interactions with members, regardless of health status.

Our care management team includes registered nurse care managers, pharmacists, social workers, behaviorists, dietitians and health coaches who engage members with tools and resources to make them more active partners in their healthcare.

The team also connects members with our robust clinical care programs, which include:

  • Population Health Management: Outreach to all members to promote setting wellness goals, navigate the healthcare system and close care gaps for preventive health measures.
  • Disease Management: Provides care management services to all members to manage chronic diseases. The care management team works with each member’s medical team to develop a plan of care, support changes in lifestyle, diminish barriers and promote preventive health measures.

We advocate for our members

Dedicated, local member advocates offer concierge-like service to proactively solve our members’ biggest healthcare questions and challenges.

With OhioHealthy, you get:

  • Assistance with claims, billing and benefits
  • Cost estimates for common services
  • Same day appointments with primary care physicians and access to your care manager
  • Regularly scheduled office visits with your personal member advocate to address questions, support new hires and attend benefits fairs

Plus, this dedicated and experienced member advocate team is available whenever you need them.

  • Plan experts fully equipped to resolve routine and complex inquiries within first contact
  • New member “welcome call” outreach within 30 days of plan enrollment
  • In-call language and translation services for over 250 languages
  • Claims and billing analysis for complex requests — including offline research and personal follow-up call and resolution
  • 24/7 after hours support and Nurse Advice Line
  • Fully functional, web-based member portal for member self-service available

We strive for perfection

In addition to outstanding member satisfaction with our general customer service, 89% of OhioHealthy members surveyed would recommend the health plan to a friend or family member1.

1Based on post-call customer satisfaction survey, Q1-Q3 2018