OhioHealthy Employer FAQ

Employer FAQ

  • Plans for Large Groups offering flexible plan designs and funding arrangements that may be customized depending on the size, needs and resources of the group. 
  • OhioHealthy Small Group ACA (Fully Insured) plans are for companies with 50 or fewer full-time equivalent employees. 

  • An online member portal to access personalized plan information, claims and coverage details. 
  • Member Advocates. These professionals support OhioHealthy members throughout their care journey when they need it most, such as: 
    • Scheduling appointments 
    • Understanding claims, billing, and benefits 
    • Requesting cost estimates for common services 
  • Our Nurse Advice Line offers free, 24/7 access to a licensed nurse by phone to ask healthcare questions and determine next steps for care. 
  • Telemedicine. Members can visit with their provider from the comfort of their own home by phone or video using their smartphone, tablet, or computer.  
  • Our Treatment Cost Calculator helps members estimate any out-of-pocket costs for routine visits, medical tests, and non-emergency care. 

OhioHealthy offers comprehensive health condition and care management programs. The OhioHealthy care management team is comprised of registered nurse care managers, pharmacists, social workers, behaviorists, dietitians, and health coaches. Members of this team proactively engage your employees with valuable tools and resources to help promote better health and healthcare. 

The OhioHealthy Network provides exceptional care, when and where it's needed.  

  • OhioHealthy plan includes coverage for emergency services when outside the service area.  
  • Our network is a collective of OhioHealth Physician Group and independent providers, hospitals and facilities working together to transform healthcare in Ohio. The network includes over 70 hospitals and more than 14,000 Ohio providers including the OhioHealth Clinically Integrated Network (CIN), Central Ohio Primary Care (COPC), Nationwide Children’s Hospital and the Cleveland Clinic. 
  • Members who experience an unexpected illness or injury when outside of the service area, also have access to telemedicine options including a 24/7 Nurse Advice Line and virtual care from their computer or mobile device. 

For small business inquires, fill out our online form or send an email to SgSales@OhioHealthyPlans.com. 

For large business inquires, send an email to LgSales@OhioHealthyPlans.com 

General Questions: Inquiry@OhioHealthyPlans.com

Compliance: ComplianceAlert@OhioHealthyPlans.com