Yes None None None Free Yes Over age 14. Yes Yes Sliding fee with income eligibility CS M CS M
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1 Name Address/Phone # Hours MEDICAL SERVICES FOR THE UNINSURED/UNDERINSURED Good Neighbor House Medical 844 S. Patterson Tu, Th 5:30-8:30 Services For UNINSURED PERSONS UNDER 200% POVERTY LEVEL, (Must be working) (Preble County residents are welcome) Dayton, OH p.m. By Appt. (Call after 10 a.m. for appt.) New Patients Provisions for Uninsured & Underinsured Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH None None None Free Over age 14 N/A N/A N/A Hospital Followup Family Health Services of Darke County, Inc. (Preble County residents are welcome) 820 Central Ave. Greenville, OH M-F 8-5 AG CS M Sliding fee with income eligibility From newborns Wayne Hospital Bever Community Health Center Dr. Chaillett Dr. Armetrout Dr. Ramirez (Preble Co. residents welcome) 210 S. 2nd St. Hamilton, OH M-F 8-5 By appointment AG CS M Sliding fee No Mercy, Fort Hamilton Middletown Community 930 9th Ave. Health Center Middletown, OH Dr. Malloy Dr. Khan (Preble Co. residents welcome) M, W, Th, F 8-5 Tu 10-7 By appointment AG CS M Sliding fee No The Atrium
2 Name Address/Phone # Hours Oxford/College Corner Clinic Serviced by volunteer doctors and nurses Serves: Uninsured/Underinsured or adults WITH NO PRIMARY DOCTOR (Caters especially to persons with chronic illnesses) 5151 Morning Sun Rd. Suite D Oxford, OH OR First United Presbeterian Church 112 State Line Rd. College Corner, OH Contact person: Sharon Klein p.m. Oxford: 1st W of mo. College Corner: 3rd W of mo. (16 clients seen per night on a first come, first serve basis) New Patients Provisions for Uninsured & Underinsured Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH AG No CS Age 18 and M older Free Medical Care Provides free medications or establishes with various pharmacy programs; No free medications to clientsmust utilize the benefit Hospital Followup N/A N/A N/A Refer as needed to local Emergency Rooms
3 Name Address/Phone # Hours Victor Cassano Health Clinic Served by Medical Residents of Grandview and Southview Hospitals; Offers Family Practice and Specialty Clinics in Neurology, Nephrology, OB/GYN, Orthopedics, Internal Medicine, General Surgery, Bipass Surgery, and Vascular Health ( Family Practice is open to anyone without referral, but the specialty clinics are utilized only by referrals for the family practice clinic, physicians in the Grandview/Southview network, or ER of Grandview/Southview Hospitals) 165 Edwin C Moses Blvd Dayton, OH M-Th 8-4:30 F 8-12 By appointment only New Patients Provisions for Uninsured & Underinsured Hospital Followup Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH CS Sliding fee No But must be M Grandview, approved by Traditional Southview the Director (It will be at least 2 weeks for approval and the waiting time for an appointment can be long) OTHER MEDICAL SERVICES FOR UNINSURED/UNDERINSURED ADULTS AND CHILDREN Diabetes Association of the Dayton Area Must come to Kettering to Can give test strips, lancets, get the supplies. CALL syringes for Diabetics FIRST Free
4 Name Address/Phone # Hours United Health Solutions under United Way May be able to give one time help with purchase of insulin for Diabetics Miami University Speech and Hearing Clinic Diagnostic and treatment services provided by graduate student clinicians under supervision of licensed and certified speech-language Miami University Bachelor Hall Oxford, OH (Parking is behind building off of Western Drive) M-F 8-5 By Appointment pathologists and audiologists (Services include speech, earingclinic language, and voice evaluations and therapy, feeding and swallowing evaluations and therapy, hearing testing and hearing aid dispensing, testing of attentiona and) memory deficits New Patients Provisions for Uninsured & Underinsured Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH CS Traditional Services available to anyone; Discounts for the uninsured and underinsured Medicare accepted Hospital Followup N/A N/A N/A DENTAL SERVICE FOR THE UNINSURED/UNDERINSURED
5 Name Address/Phone # Hours Good Neighbor House ( For non, working families under 200% poverty level) 844 S. Patterson Blvd. Dayton, OH Tu and Th evening 5:30-8:30 p.m. by appt. for cleaning, fillings, extractions New Patients Provisions for Uninsured & Underinsured Hospital Followup Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH None No No $10 per visit for N/A N/A No N/A Non-, Age 3 and up Uninsured, Working Families under Poverty Level (200%) Middletown Community Dental Center Dr. Robert C. Merkel, DDS 930 9th Ave. Middletown, OH M 8-5 Tu 8-7 W, Th 8-5 F 8-2 No Sat/Sun Closed 12-1 for lunch AG CS M Sliding fee, based on income Minumum $35 charge N/A N/A N/A N/A Sinclair Community College Dental Hygiene Clinic (Cleanings only; dental problems referred elsewhere) 444 W. 3rd St. Dayton, OH M-W-F Appt. at 8:30a.m. or 1 p.m. - done by students and takes 2 1/2 to 3 hours None No No $10 for checkup and cleaning for anyone (No insurance accepted) N/A N/A No N/A Small Smiles of Dayton LLC 4257 W. 3rd St. Dayton, OH Fax# M-F 8-5 Walk in or appointment AG CS M Payment at time of service; Discounts for low income Infant to age 21 N/A N/A No N/A
6 Name Address/Phone # Hours Dental OPTIONS (Ohio Partnership To Improve Oral health through access to Needed Services) Eligible clients are matched with volunteer OPTIONS dentists To speak with a Referral Coordinator Depending on dentist utilized New Patients Provisions for Uninsured & Underinsured Hospital Followup Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH N/A N/A N/A Reduced fees N/A N/A N/A N/A EYE CARE FOR THE UNINSURED/UNDERINSURED Bloom Family Eye Surgeons Dr. Robert Bloom Dr. Michael Bloom One Childrens Plaza Dayton, OH Fax: M-F 8-5 AG CS M Buckeye Discounts All ages N/A N/A (but not glasses/ frames) N/A Greenville Eye Center 6050 State Route 571 Greenville, OH Fax: M-F 8-5 CS M No Payment plans Ages 5 and older N/A N/A No N/A Hamilton Eyecare Center Dr. M. Moorehead, DO Dr. A. Moorehead, DO 1360 Eaton Ave. Hamilton, OH fax: M 10-6:30 Tu-F 9-5 AG CS (M-for exam, not glasses) Discounts All ages N/A N/A No N/A
7 Name Address/Phone # Hours Northside Optical Dr. Bradley Gridley, OD Nye Family Vision Center Dr. T. Nye, DO 140 N. Barron St. Eaton, OH Fax same as phone 712 Dayton St. Hamilton, OH Fax: M-F 9-6 Office Open Sat 9-12 Dr. in: Tu 1-5 Th 1-6 Later hours on limited basis by appointment M, W, Th, F 8-5 Tu 9-8 Sat 8-12 New Patients Provisions for Uninsured & Underinsured Hospital Followup Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH CS Discount for N/A N/A N/A Traditional uninsured From infants CS Limited # each month Coverage varies by card type Coverage varies by card type Discount for pay at time of service All ages N/A N/A No N/A Oakwood Eye Clinic Dr. P. Studebaker, DO 2525 Far Hills Ave. Dayton, OH Fax: M-F 8:30-5:30 Sat 9-1 No No No Discount for uninsured All ages N/A N/A No N/A Pearle Vision Center 3373 Princeton Rd. Ste 141 Hamilton, OH M, Tu, W, F 9:30-5:30 Sat 9:30-4:30 Th, Sun closed CS AG M for glasses only, not exam Discounts available Ages 6 and older N/A N/A No N/A
8 Preble County Eye Care Dr. James Bierly, OD Name Address/Phone # Hours 1340 N. Barron St. (Northedge Shopping Center) Eaton, OH Phone: Fax: Office open M, T, Th 10-5 (closed for lunch) Drs. In: W 9-6:30, F 10-1 New Patients Provisions for Uninsured & Underinsured Hospital Followup Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH CS Discount for N/A N/A No N/A AG uninsured From infants Vision Value 7990 Springboro Pike Miamisburg, OH Fax: M-Sat 9-7 Sun 10-5 No No No Discounts available Age 6 and older N/A N/A No N/A Warwar Eye Group Wing Eyecare Dr. J. Hartman, DO 3100 Governors Place Blvd. Dayton, OH Fax: Yankee Rd. Middletown, OH Fax: M-F 8-5 CS for exam only M 9:30-8 Tu 9-6 W 9-8 Th, F 9-6 Sat 9-3 All ages No No No Discount for uninsured Ages 3 and older N/A N/A No N/A N/A N/A No N/A Woody Williams Vision Center Dr. Kleemann, DO 3600 Town Blvd. Middletown, OH Fax: M-F 9-5 Sat 9-1 CS AG M Discount for uninsured N/A N/A No N/A
9 Name Address/Phone # Hours Eye Care America: Eye Care for Seniors, Diabetes, Senior (includes cataracts) and AMD(Macular Degeneration) Diabetes: For US citizens over age 65: ADM: No HMO or VA benefits: no ophthalmologist care in 3 or more yrs. Will be connected to participating doctors New Patients Provisions for Uninsured & Underinsured Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH No out of No pocket expense; Insurance and Medicare payment accepted Hospital Followup Eye Care America: Eye care for Glaucoma US citizens or legal residents, no eye exam in past 12 mo, at risk of glaucoma, No HMO or VA benfits. Will be connected with participating doctors. Age not restricted Uninsured receive exam free Insured are responsible for co-pay or cost of exam No eyeglasses or medication coverage All ages
10 Name Address/Phone # Hours Sight For Students Program for children under 18, who are not on or vision insurance, under 200% of poverty level, child of US citizen or legal resident, and has not used the probran in last 12 mo. Contact a partner for a certificate, and then will be given list of local, participating optometrist (several in Eaton and Richmond) Partners in Preble Co. are Scope/Head Start and Preble Shawnee school New Patients Provisions for Uninsured & Underinsured Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH Free for those that qualify Under 18 Hospital Followup Vision USA VISION USA Eye care for adults and 243 North Linbergh Blvd. children that meet criteria: St. Louis, MO Have a job or in a house hold with a wage earner (but SS, Fax: disablility, and unemployment visionusa@aoa.org benefits count as income), No vision insurance, Income below Call, write, , or go an established level, and no eye online for application exam within 2 year. Program will connect participant to a participating doctor Free or small fee/donation for those that qualify All ages WOMEN'S HEALTH: PAP TESTS/MAMOGRAMS/PREGNANCY TESTING/ BIRTH CONTROL/ STD CARE
11 Name Address/Phone # Hours Birthright Pregnancy tests, baby clothes, formula, diapers, supplies 212 E High St. Eaton, OH Emergencies: Regular business hours New Patients Provisions for Uninsured & Underinsured Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH Free Hospital Followup Preble county General Health District Pregnancy tests and prenatal care Birth Control for post prenatal clients only Community Pregnancy Place 615 Hillcrest Drive Eaton, OH Central Ave. Middletown, OH Walk in or call for hours Free Planned Parenthood Maternal Child Health Center; Atrium Medical Center Prenatal care 3537 Roosevelt Blvd Middletown, OH Dayton: Hamilton: Richmond, IN: Middletown, OH M,Tu, Th, F 8-5 W 1-5 Call for appointment Fees based on income
12 Name Address/Phone # Hours Breast and Cervical Cancer Project (Pap tests, office visits, clinical breast exams, colposcopies, breast ultrasounds, mammograms) Eligibility: Income under 200 % poverty level; Uninsured; Age 40 to receive Pap tests and clinical breast exams; Age 50 to receive mammograms Cincinnati area: Dayton area: New Patients Provisions for Uninsured & Underinsured Children /No Plans New Estab. YES/NO IMMUN HLTH CK BCMH Hospital Followup
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Frequently Asked Questions for Raytheon Employees
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$10,000 Family. $7,000 Individual $14,000 Family
PLAN DESIGN AND BENEFITS - NV Silver AWH Las Vegas HMO 5000 $30 (2018) NV Group Business 1-50 Employees PLAN FEATURES NETWORK CARE OUT-OF-NETWORK CARE Primary Care Physician Selection Required Not applicable
Your Summary of Benefits PPO GenRx Plans
Your Summary of Benefits PPO GenRx Plans Small Group PPO $25 Copay GenRx Plan Effective 10/2010 In addition to dollar and percentage copays, insureds are responsible for deductibles, as described below.
Health First Gold HMO Coverage Period: On or after 01/01/2018
Health First Gold HMO 80 1770 Coverage Period: On or after 01/01/2018 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage for: Individual Only Plan Type:
Upper Arlington City School District: Lumenos Health Savings Accounts Coverage Period: 01/01/ /31/2016
Upper Arlington City School District: Lumenos Health Savings Accounts Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2016-12/31/2016 Coverage for: Individual/Family
Choice Easy Tier PPO Plus %/35% Coverage Period: On or after 1/1/2019. You don t have to meet deductibles for specific services.
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about
Retirees with Medicare (RETIREMENT DATE ON or AFTER March 1, 2015) Benefits Comparison Benefits effective January 1, December 31, 2017
Pelican HRA1000 Magnolia Local Plus Network Blue Cross and Blue Shield of Louisiana Preferred Care Providers & Blue Cross National Providers Blue Cross and Blue Shield of Louisiana Preferred Care Providers
Important Questions Answers Why this Matters:
Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual Plan Type: Premium Plan This is only a summary. If you want more detail about your coverage and costs, you
$0 individual/$0 family network. $250 individual/$500 family out-ofnetwork.
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018-12/31/2018 Highmark Blue Shield: PPO Coverage for: Individual/Family Plan Type: PPO
Maine's Choice HSA HMO 5000 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services
Maine Maine's Choice HSA HMO 5000 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018 12/31/2018 Coverage for: Individual + Family Plan
$6,000 Individual $12,000 Family
PLAN DESIGN AND BENEFITS - CA Gold MC 0 80/50 (2018) (2018) CA Group Business 1-100 Employees PLAN FEATURES NETWORK CARE OUT-OF-NETWORK CARE Primary Care Physician Selection Not required Not required Deductible
$14,000 Family. $7,000 Individual. $14,000 Family
PLAN DESIGN AND BENEFITS - NV Bronze PPO 7000 100/70 (2017) NV Group Business 1-50 Employees PLAN FEATURES NETWORK CARE OUT-OF-NETWORK CARE Primary Care Physician Selection Not applicable Not applicable
$8,000 Family. $6,600 Individual $13,200 Family
PLAN DESIGN AND BENEFITS - GA OAMC 4000 100/70 (2018) GA Group Business 51-100 Employees PLAN FEATURES NETWORK CARE OUT-OF-NETWORK CARE Primary Care Physician Selection Not Required Not Required Deductible
Coverage Period: Beginning on or after 01/01/2019 Coverage for: Individual or Family Plan Type: EPO
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services BlueCross and BlueShield of Nebraska : Sarpy County
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services BlueCross and BlueShield of Nebraska : Coverage for: Individual/Family Plan Type: PPO The Summary of Benefits
SUMMARY OF BENEFITS Availability of services at SHC locations vary, please verify location when making appointments.
SUMMARY OF BENEFITS Availability of services at SHC locations vary, please verify location when making appointments. Policy Year Maximum Out-of-Pocket Limit OUTPATIENT BENEFITS Doctor s Visits Lab and
The Empire Plan is a comprehensive health insurance program, consisting of four main parts:
Note that all benefits described herein are benefits that are currently in effect. These benefits are all subject to change, including termination thereof, at any time in the sole discretion of the MTA.
AFFORDABLE CARE ACT FAQ
AFFORDABLE CARE ACT FAQ What is the Healthcare Insurance Marketplace? The Marketplace is a new way to find quality health coverage. It can help if you don t have coverage now or if you have it but want
$4,000 Family. $6,350 Individual $12,700 Family
PLAN DESIGN AND BENEFITS - PA Silver PPO 2000 100/50 (2015) PA Group Business 1-50 Employees PLAN FEATURES NETWORK CARE OUT-OF-NETWORK CARE Primary Care Physician Selection Not applicable Not applicable
PLAN DESIGN AND BENEFITS - CA
PLAN DESIGN AND BENEFITS - CA Gold PPO 750 80/50 (01/17) (2017) CA Group Business 1-100 Employees PLAN FEATURES NETWORK CARE OUT-OF-NETWORK CARE Primary Care Physician Selection Not applicable Not applicable
Anthem Blue Cross Your Plan: Premier HMO 10/100% - MUST Trust Your Network: California Care HMO
Anthem Blue Cross Your Plan: Premier HMO 10/100% - MUST Trust Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process.
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/ /31/2018
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018 12/31/2018 UFCW Self-Funded Comprehensive Medical Plan Two Coverage for: Participant
Covered 100%; deductible waived 40%; after deductible
PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $500 Individual $1,000 Individual $1,500 Family $3,000 Family All covered expenses accumulate simultaneously toward both the preferred
Colorado Health Plan Description Form Anthem Blue Cross and Blue Shield BluePreferred for Individuals Plans
Colorado Health Plan Description Form Anthem Blue Cross and Blue Shield BluePreferred for Individuals Plans PART A: TYPE OF COVERAGE 1. TYPE OF PLAN Preferred provider plan 2. OUT-OF-NETWORK CARE COVERED?
: Federal Employees Standard Option Coverage for: Self Only, Self Plus One or Self and Family Plan Type: HMO
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2018-12/31/2018 : Federal Employees Standard Option Coverage for: Self Only, Self Plus
State of Florida Health Investor HMO Plan Coverage Period: 1/1/ /31/2014
Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual & Family Plan Type: HMO This is only a summary. If you want more detail about your coverage and costs, you
Coverage Period: on or after 01/01/2018 Advantage Blue Deductible
Summary of Benefits and Coverage: What This Plan Covers & What You Pay for Covered Services Coverage Period: on or after 01/01/2018 Advantage Blue Deductible Teradyne, Inc. - EPO Plan Coverage for: Individual
VEHI Health Plans EFFECTIVE 1/1/2018
VEHI Health Plans EFFECTIVE 1/1/2018 Overview New VEHI Health Plans All four plans: Cover the same benefit services Use the same national BCBS network Are supported by the VEHI wellness program (PATH)
Coverage for: Individual/Family Plan Type: PPO
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about
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PLAN FEATURES NETWORK CARE OUT-OF-NETWORK CARE Primary Care Physician Selection Not required Not required Deductible (per calendar year) $1,500 Individual $3,000 Family $3,000 Individual $9,000 Family
Covered 100%; deductible waived 30%; after deductible
PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $500 Individual $500 Individual $1,000 Family $1,000 Family All covered expenses accumulate separately toward the preferred or non-preferred
Schedule of Benefits
Schedule of Benefits NHP Prime HMO plan for GIC members Exclusively for members of the Group Insurance Commission health plan meets Minimum Creditable Coverage standards and will satisfy the individual