Provider Manual. This manual is to help you learn more about The Ohio State University s medical plans, administered by OSU Health Plan Inc.

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1 2014 Provider Manual This manual is to help you learn more about The Ohio State University s medical plans, administered by OSU Health Plan Inc. We hope you find this information and the enclosed documents useful to your office operation and in serving your patients our members. OSU Health Plan Inc. Provider Relations Department 700 Ackerman Road, Suite 440 Columbus, OH (614) (800) Fax: (614)

2 OVERVIEW What is OSU Health Plan? Administrator of the medical plans for faculty and staff of The Ohio State University (OSU) and their dependents. Self-funded through OSU, not a health insurance corporation Provide network for approximately 60,000 members on health plans Campuses in Columbus, Marion, Newark, Lima, Mansfield and Wooster Coverage for members in all 88 counties Main Office Location OSU Health Plan Inc. 700 Ackerman Road, Suite 440 Columbus, OH (614) (800) Fax: (614) (Provider Relations), Fax: (614) (Medical Management) Office hours: 7:30AM 5:00PM, Monday-Friday Website: Our website provides the online convenience of a provider directory for referral ease, educational links, a preferred drug list, and information on OSU Health Plan programs. Provider Relations Department Overseer of provider network, contracting, credentialing, servicing and educating providers. Contact our department in the following instances: If office has changes regarding Tax Identification Number, address, phone number, etc. If additional providers join practice or if providers leave Questions on fees, contracts or credentialing Any other questions from staff or physicians Provider Updates OSU Health Plan requires all changes or updates to your practice to be put in writing at the time of the change. Please mail or fax updates to the above address, Attention: Provider Relations Tax Identification Numbers (TIN) If you have started a new practice or changed Tax Identification Numbers (TIN), OSU Health Plan will need the update within 30 days of the change. In-network providers will need to reapply for participation with OSU Health Plan if notification has not been received within 30 days of the change. (Applies to changing practices or TIN changes). 2

3 MEDICAL PLANS OSU Medical Plans Prime Care Advantage No out of network benefits Largest medical plan for OSU Health Plan, majority of members on PCA Care coordinated through PCP Members utilizing services in Franklin County will use the OSU Health Plan network. Members utilizing services outside Franklin County will use the Ohio PPO Connect Network. PCP No office co-payment; majority of specialists $35 co-payment Chiropractic, Medical Massage Therapy, Acupuncture - $20 co-payment Occupational Therapy, Physical Therapy, and Speech Therapy - $20 co-payment Obstetrics & Gynecology - $20 co-payment Behavioral Health 10% Co-insurance Deductible of $100 individual/$300 family (co-pays are not subject to deductible) 10% co-insurance for most services that do not have a co-payment Prime Care Choice In and out of network coverage Deductible of $400 individual/$1,200 family (network) Co-insurance plan pays 80% for most services Prime Care Connect No out-of-network benefits Care coordinated through PCP Members utilizing services in Franklin County will use the OSU Health Plan network Members utilizing services outside Franklin County will use the Ohio PPO Connect Network. PCP & OB/GYN No office co-payment; Majority of specialists $10 co-payment Chiropractic, Medical Massage Therapy, Acupuncture - $10 co-payment Occupational Therapy, Physical Therapy, and Speech Therapy - $10 co-payment Behavioral Health - $10 co-payment, Urgent Care - $10 o Co-payment listed on Member ID Card Basic PPO Plan In and out-of-network coverage Deductible of $500 individual/$1,500 per family (network) Co-insurance plan pays 80% for most services *There is a $35 co-payment for urgent care for majority of medical plans. There is a $20 co-payment for convenient care for majority of medical plans. 3

4 BILLING NGS CoreSource is the Third Party Administrator that processes and pays claims for all OSU Health Plan medical plans. For questions on EOB, call NGS CoreSource, (866) If no resolution is received by NGS CoreSource, call Provider Relations at OSU Health Plan at (614) or (800) OSU Health Plan still has responsibility for performing utilization management for all plans. NGS CoreSource accept claims on a CMS 1500 claim form or electronically. If submitting electronically, call NGS CoreSource 15 month filing limit (from date of service) Bill with Tax Identification Number, no suffix NGS CoreSource Claims/Eligibility: (866) Fax number: (586) Claims Mailing Address: NGS CoreSource P.O. Box 2310 Mt. Clemens, MI Outside Franklin County Members who seek care from providers outside of Franklin County will use the Ohio PPO Connect Network. 4

5 Affiliate Plans OSU Student Health Plan The plan administrator and TPA is Aetna Student Health, underwritten by Aetna Life Insurance Company (ALIC) and administered by Chickering Claims Administrators. OSU Health Plan provides the network for the Student Health Plan, approximately 15,000 students but does not administer benefits or claims. To verify eligibility/benefits for Student Health Plan only, contact: Aetna Student Health/OSU at (855) Submit claims for Student Health insurance to: Electronic claims: EDI Payer ID Send paper claims to: Aetna, P.O. Box , El Paso, TX Medical Prior Authorization (PA): Aetna Student Health, phone number (855) Behavioral Health Prior Authorization phone number (855) Services Rendered Inside Franklin County OSU Students who seek care from providers inside Franklin County will use the OSU Health Plan network. Services Rendered Outside Franklin County OSU Students who seek care from providers outside Franklin County will use the Aetna network or the OSU Health Plan network. If services are not available through an in-network OSU provider, students will use the Aetna network. Community Mercy Health Partners, Catholic Health Partners, Mercy Health Southwest Ohio Employees and dependents of Community Mercy Health Partners, Catholic Health Partners, and MercyHealth Southwest Ohio have access to OSU Health Plan network in Franklin County. Claims/Eligibility, call NGS CoreSource at (866) Submit claims for: Community Mercy Health Partners Catholic Health Partners Mercy Health Southwest Ohio To: NGS CoreSource P.O. Box 2310 Mt. Clemens, MI

6 Affiliate Plans (continued) Ohio PPO Connect Ohio PPO Connect is a provider-owned, Ohio-based network with a local and regional approach to health care delivery. It brings together the experience and expertise of the following networks to provide state wide coverage: HealthSpan Ohio Health Choice Quality Care Partners The OSU Health Plan Ohio PPO Connect covers over 100,000 lives with exceptional retention rates. Members whose employers have chosen this network will have the Ohio PPO Connect logo on their ID card. Benefits, eligibility, and claims will still flow in the same manner as dictated by each employer or plan sponsor. Contact an OSU Health Plan provider relations representative at (614) if you have additional questions. The Ohio State University Health Plan Inc is an affiliate corporation of The Ohio State University Medical Center, 700 Ackerman Road, Suite 440, Columbus, OH or

7 Member ID Cards Member is responsible for presenting ID card at time of visit. Responsible for co-payment at time of visit. Not a guarantee of payment, must contact NGS American for eligibility. Important information on ID card regarding coverage (see example of ID card). Sample Medical ID Cards Samples of the Ohio State University medical plan insurance: 7

8 8

9 Sample Medical ID Cards Samples of the student health insurance cards: 9

10 Sample Medical ID Cards Samples of the Community Mercy Health Partners insurance cards: 10

11 Sample Medical ID Cards Samples of the Catholic Health Partners insurance cards: 11

12 Sample Medical ID Cards Samples of the Mercy Health Southwest Ohio insurance cards: 12

13 PROVIDERS Referrals Prime Care Advantage and Prime Care Connect members need to be referred to participating providers. (IN FRANKLIN COUNTY), the network hospitals are OSU Wexner Medical Center, OSU Hospital East, James Cancer Hospital, Ross Heart Hospital and Nationwide Children s Hospital. Please see OSU Health Plan website, for listing of all participating hospitals. If Prime Care Advantage / Prime Care Connect members are referred to or self-refer to non-participating hospitals, there is no coverage. The only exception is emergency services. If service cannot be provided in-network, service must be prior authorized through Medical Case Management at OSU Health Plan. Access Standards OSU Health Plan has adopted access guidelines by specialty type. All participating Primary Care Physicians (PCP) and Specialists are expected to adhere to these access standards for appointment scheduling: New Patient Appointment PCP Specialist PCP Physical Examinations Routine Follow-Up Appointment PCP Specialist GYN Annual Visit Urgent Care Emergent Care Within 4 weeks Within 4 weeks Within 4 weeks Within 2-3 weeks Within 4 weeks Within 8-12 weeks Within 24 hours immediately Provider Credentialing To comply with the guidelines established by the National Committee for Quality Assurance (NCQA), providers must be fully credentialed before our members can see them. We ask that providers who are in the credentialing process refrain from seeing OSU Health Plan members until they are notified of their effective date for OSU Health Plan network participation. Be assured that once we have received all appropriate documentation from the applicant, the credentialing process is typically completed in 45 days or less. 13

14 Provider Appeals Process A participating provider may submit an appeal to NGS CoreSource for reconsideration of a claim denial for covered services. This appeal should be submitted on behalf of an OSU Health Plan Inc. (OSU Health Plan) member. A written letter of appeal, along with supporting documentation, should be sent to NGS CoreSource, Attn: Appeals Department, P.O. Box 2310, Mt. Clemens, MI Appeals that are submitted to NGS CoreSource must be received within 180 days of the provider receiving the Explanation of Benefits (EOB). Appeals will either be reviewed by NGS CoreSource or sent to OSU Health Plan for review as claims fiduciary, depending on the nature of the appeal. Review of the appeal will be completed by NGS CoreSource or OSU Health Plan within 60 days of receipt. Under special circumstances, an extension may be granted for further review, but not for longer than 60 additional days. If such an extension is necessary, the provider/member will be given notice of the extension before the first 60-day period expires. If reviewed by NGS CoreSource and the denial is overturned, the claim will be reprocessed. If the denial is upheld, a letter will be sent to the provider, and if applicable to the member, upholding the initial denial. The letter will also state that the provider/member can appeal directly to OSU Health Plan for further consideration. If the provider appeals to OSU Health Plan, it will be reviewed by the Medical Director. If the previous denial is overturned, the provider will be notified of the decision in writing within 21 business days. If the Medical Director upholds the denial, the provider may submit an appeal to the Benefits Appeals Committee at OSU Health Plan. The provider should receive a decision 45 days after receipt of the submitted information. If the Benefits Appeals Committee upholds the denial, the provider may submit an appeal to the Ohio Department of Insurance. **Appeals time frame is 180 days. 14

15 MEDICAL GUIDELINES OSU Health Plan Prior Authorization Participating physicians and participating facilities must prior authorize specified outpatient procedures and all inpatient admissions. If the physician or the facility fails to prior authorize elective inpatient or specified outpatient services, the claims will be denied. Participating facilities need to notify the Medical Management Department at OSU Health Plan within 48 hours of an emergency admission. Providers need to notify OSU Health Plan at least five (5) business days prior to a specified outpatient or elective inpatient procedure. Providers can prior authorize services by calling the Medical Management Department at (614) Claims that are denied for lack of prior authorization may be reconsidered for payment, less a 20 percent (20%) penalty. This penalty will be applied to the physician and the facility. If the provider wants the claims reconsidered for payment with the 20 percent (20%) penalty, the Medical Management Department will need notes or the requested records from the provider. Providers with reconsideration requests should call the Medical Management Department at (614) **Please refer to the list of procedures requiring prior authorization at When obtaining written authorization, send to OSU Health Plan, not NGS CoreSource. Prior authorization requests can be faxed to If calling for prior authorization, call OSU Health Plan at (614) or (800)

16 SERVICES REQUIRING MEDICAL NECESSITY REVIEW AND/OR PRIOR AUTHORIZATION Medical Necessity: To be medically necessary, covered services must: Be rendered in connection with an injury or sickness; Be consistent with the diagnosis and treatment of your condition; Be in accordance with the standards of good medical practice; Not be for your convenience or your physician's convenience and Not be considered experimental or investigative; Prior Authorization: Notification requesting coverage is required before receipt of certain designated services, elective admission to a hospital or facility, or specific medications prescribed for certain uses. Participating facilities need to notify the Medical Management Department at OSU Health Plan within 48 hours of an urgent/emergent admission. Providers need to notify OSU Health Plan five business days prior to a specified outpatient or elective inpatient procedure. Failure to obtain prior authorization for these designated services can result in penalty or denial of benefits.¹ Please refer to the latest Specific Plan Details Document found at for specific information. Providers must contact OSU Health Plan Medical Management department prior to services being provided at (614) or (800) , within 48 hours for urgent/emergent and 5 business days for elective admissions. Claims submitted with unlisted procedure and unlisted medication codes will require documentation to identify what procedure/medication is being billed and require medical necessity review. Please note that this list is not all-inclusive. We receive requests for coverage for new technologies, equipment, supplies, tests and procedures daily. All facility-based behavioral health services: Inpatient Outpatient - includes partial hospitalization and intensive outpatient treatment Substance Abuse treatment All inpatient admissions include: Elective admissions (see list of inpatient/outpatient procedures below) Extended care facilities Hospice care Medical Rehabilitation Surgical Urgent/emergent admissions 16

17 Inpatient and Outpatient Services/procedures/treatment which require medical necessity review FIVE (5) business days prior to receipt of treatment include but are not limited to: Abdominoplasty/panniculectomy Abortion Autologous Chondrocyte Implantation Back Pain Invasive Procedures Blepharoplasty/ptosis repair Bone Growth Stimulators Breast reconstruction/repair Breast reduction surgery Chemical peels/dermabrasion Coronary CT Durable Medical Equipment over $2,000 Frenectomy Genetic testing Gynecomastia Surgery Hernia Repair Home health care/services Hospice services Infertility treatment Medical Supplies over $2,000 Orthognathic surgery Orthotics over $2,000 Outpatient radiology: MRIs, CTs, PETs Procedures for Obstructive Sleep Apnea (e.g., UPPP) Prolotherapy Prosthetics over $2,000 Rhinoplasty Skin phototherapy/laser procedures Temporary Codes Unlisted Codes Varicose Vein procedures Weight loss surgery/procedures Weight management programs Wound Vac All experimental and investigational services and cosmetic services are specifically excluded under the OSU Medical Plans. Utilization Review is required for all inpatient admissions following notification. Medications The following medications require medical necessity authorization for coverage under the MEDICAL benefit. Botulinum Toxins Hemophilia outpatient medications/infusions Remicade / Orencia / Actemra * Services that require medical necessity review 5 days prior to receipt of services. ¹ Prior authorization (see osuhealthplan.com/providers, Prior Authorization) of certain designated services is required to determine medical necessity. If prior authorization, where indicated, is not obtained from OSU Health Plan, claims for these services may be denied or a penalty applied consisting of 20% of the fee, up to$1,000 per admission of service. Prior authorization penalties do not apply toward the annual deductible or annual out-of-pocket limit. 17

18 Observation Policy The OSU Health Plan Observation policy is to ensure that medically necessary care is provided in the most appropriate setting. OSU Health Plan considers observation services to be 23 hours or less. If an observation stay exceeds 23 hours, OSU Health Plan will reimburse the provider for up to 23 hours only, and the remaining portion of the facility charge for observation will be denied as provider responsibility. If observation services extend beyond 23 hours, the patient should be admitted as an inpatient hospital admission or discharged to a lower level of care. All inpatient admissions must be authorized by our Medical Management Department at (614) The claim should be billed as an inpatient hospital stay/admission. 18

19 Quality Improvement To ensure that all service complaints are monitored and addressed in a timely manner, all member and provider complaints will be forwarded to the Quality Improvement (QI) Director for research and review. Complaints may involve internal service issues or service by an OSU Health Plan third party administrator (TPA). All complaints should be in writing on a Member Concern Record, which can found on our website or through Customer Service and will be handled by the Quality Improvement Department. Service complaints received from a member will have a Thirty (30) day turnaround time frame from receipt. Service complaints will be acknowledged in five (5) business days of receipt. 19

20 PHARMACY SERVICES Express Scripts, Inc. (ESI) is the Pharmacy Benefit Manager (PBM) for the OSU medical plans. The Ohio State University Express Scripts, Inc. Contact List Member Help - ESI Home Delivery Opt Out only for NON care coordination members Provider Help - ESI Accredo OR (provide members this number) (provider general line, also includes prior authorization) (direct for prior authorization only) Phone: Must wait for prompt and then choose New Patient Option 1 Existing Patient Option 2 Provider Help Option 3 20

21 Prescription Drug Program 2014 Prior Authorization Guide The drugs included in this guide are associated with prior authorization requirements. For the following medications, plan members must qualify for a prior authorization prior to coverage through the prescription drug benefit. Each prior authorization is approved for a limited duration. Once a prior authorization expires, your health care provider must request a renewal if continuing coverage is desired. Your health care provider must contact Express Scripts, Inc. to obtain a prior authorization (exceptions noted). PROVIDERS ONLY may contact Express Scripts, Inc. at This list does not dictate or control decisions regarding appropriate care. As always, you and your health care provider make the final decision on which medication(s) is/are right for you. This list is subject to change with or without notice. Members can contact Express Scripts, Inc. at , for the most up-to-date information regarding specific prior authorization requirements. BLOOD CELL DEFICIENCY ARANESP NEULASTA NEUPOGEN NPLATE 1 PROCRIT PROMACTA 1 Non- EPOGEN BOTULINUM TOXINS 1 Non- BOTOX 1 DYSPORT 1 MYOBLOC 1 XEOMIN 1 DERMATOLOGIC CONDITIONS ( 35 years) topical tazoretene products topical tretinoin products ENDOCRINE DISORDERS EGRIFTA KUVAN 1 SOMAVERT GROWTH DEFICIENCY GENOTROPIN HUMATROPE INCRELEX NORDITROPIN SEROSTIM Non- NUTROPIN/AQ OMNITROPE SAIZEN TEV-TROPIN ZORBTIVE HEPATITIS C PEGASYS Non- PEG-INTRON IMMUNE DEFICIENCY GAMUNEX-C HIZENTRA Non- GAMMAKED VIVAGLOBIN INFERTILITY 1 CETROTIDE 1 CHORIONIC GONADOTROPIN 1 GANIRELIX ACETATE 1 GONAL-F/RFF 1 MENOPUR 1 NOVAREL 1 progesterone 1 Non- BRAVELLE 1 FOLLISTIM AQ 1 LUVERIS 1 OVIDREL 1 PREGNYL 1 REPRONEX 1 INFLAMMATORY CONDITIONS AMEVIVE 1 ENBREL HUMIRA KRYSTEXXA 1 ORENCIA REMICADE Non- ACTEMRA CIMZIA KINERET SIMPONI STELARA XELJANZ MISC. SPECIALTY CONDITIONS ARCALYST 1 CHENODAL 1 CINRYZE 1 FIRAZYR 1 ILARIS 1 JUXTAPID 1 KALBITOR 1 REGRANEX SAMSCA 1 XENAZINE 1 Non- BELVIQ 1 BERINERT 1 KYNAMRO 1 MAKENA 1 QSYMIA 1 MULTIPLE SCLEROSIS AMPYRA 1 AVONEX COPAXONE EXTAVIA GILENYA NUEDEXTA REBIF TECFIDERA Non- AUBAGIO BETASERON OSTEOPOROSIS FORTEO PULMONARY HYPERTENSION ADCIRCA LETAIRIS REMODULIN sildenafil TRACLEER TYVASO VENTAVIS RESPIRATORY CONDITIONS ARALAST NP GLASSIA KALYDECO 1 PROLASTIN XOLAIR ZEMAIRA RSV PREVENTION SYNAGIS 1 Your health care provider must contact OSU Health Plan at or to obtain a prior authorization. Additionally, any intravenously-administered medication not specifically listed here requires pre-certification by OSU Health Plan. 21

22 The Ohio State University Transitional Work Program The Ohio State University Office of Human Resources, Benefits-Integrated Disability has a Transitional Work Program to allow employees who have an occupational or non-occupational injury/illness with temporary physical and/or psychological restrictions to continue to work throughout their recovery as they rehabilitate to their full capacity. As a provider, you may be contacted by OSU about this program on behalf of your patient. The Transitional Work Policy benefits your patient/osu employee in several ways including: 1. Earning full pay and benefits 2. Keeping fit and healthy, both physically and mentally 3. Providing exposure to different job tasks supporting professional development For questions regarding this program, contact: Robyn Caples, Manager of Integrated Disability at (614) Cortney Silva, Team Lead for Transitional Work at (614)

23 Your Plan for Health (YP4H) is The Ohio State University s approach to fostering a culture of well-being and optimal performance. YP4H provides programs and resources to empower benefits-eligible faculty, staff, or family members to pursue a life of health and wellness. The focus of the initiative is to help members reach the healthiest state possible by offering programs and incentives for identifying and acting on health conditions, promoting smart, cost-efficient choices based on individual needs, and taking control of health-care spending. The cornerstone of this initiative is the Personalized Health Assessment (PHA), a questionnaire that, coupled with a biometric health screening numbers, establishes a health baseline and sets a direction for employees to pursue health, wellness and disease management. Additional services include: educational programming, health fairs, flu vaccinations, personal health coaching and care coordination. Biometric health screenings: Screenings are provided by registered nurses on site at The Ohio State University. Members may also obtain their values from the primary care provider. Measurements include blood pressure, A1C, body mass index, HDL and total cholesterol. The member will receive a copy of their values and are counseled on ways to improve their numbers via nutrition, and physical activity. Members are encouraged to share this information with their PCP and are connected to various services available to them at OSU, such as health coaching and fitness center discounts. Personal Health and Well-Being Assessment: Members complete an assessment to help identify personalized health and wellness goals based on the information they submit. Team and individual challenges are available to help members track their progress toward those goals and have fun while doing it from weight loss to increased daily water consumption. Mobile device integration are also available to track healthy behaviors on-the-go even easier! Members will be able to connect apps like FitBit Tracker or Swimsense to their YP4H account to track challenges and incentives through their smartphone or tablet. Educational Programming: Each semester, a variety of educational programs are offered to members. A wide range of topics are presented within the areas of stress management, physical activity, nutrition, and related areas. Presenters offer valuable health and wellness information via webinars and face-to-face classes. Members can access this information via the osuhealthplan.com website, where they also have access to the archived webinars. Rally 4 Wellness Health Fair: There are many health fairs available to OSU employees throughout the year. The largest fair is the annual Rally 4 Wellness Health Fair. Every year about 70 exhibitors attend the Fair to provide participants the opportunity to connect with many OSU and local community wellness resources available to them. Participants can also take advantage of several other services, including: biometric health screenings, chair massages, and cooking and exercise demos. Flu immunizations The OSU Wexner Medical Center provides non discretionary flu vaccinations to their employees. The OSU Health Plan offers flu vaccinations at no cost at various sites throughout campus. Members on the OSU Health Plan can also receive their flu vaccination at no cost from an in network pharmacy. Chair Massage Therapy Several Massage Therapists are contracted to provide chair massages to employees on both the main and regional campuses. Chair massages are designed to relieve stress, tension, and alleviate neck and shoulder pain. The purpose of this service is to promote the massage therapy benefit available to all members through The OSU Health Plan. 23

24 Personal Health Coaching Services: OSU Health Plan offers Personal Health Coaching for Ohio State benefits eligible faculty, staff and their adult dependents as a complimentary service for Your Plan for Health. This confidential and voluntary service is designed to assist members in achieving personal wellness. With the support of a Personal Health Coach, members can work on their personal health and wellness goals such as weight loss, nutrition, exercise, tobacco cessation and stress management. We have coaches with a range of clinical and behavioral backgrounds, including exercise physiologists, social workers, health educators, tobacco cessation specialists and dietitians. Each coach is trained in all areas to promote a holistic approach to meeting personal health needs. Program participants appreciate the support, awareness and accountability with their personal health coach which helps keep them on track for reaching their optimal health. The OSU health coaches also link members to resources on campus and in the local community for added support. Care Coordination: These programs as part of Your Plan for Health are built around a philosophy of health management and provide a longterm plan of health awareness that approaches each person as an individual. 24-Hour Nurse Line All benefit-eligible faculty, staff and dependents can call anytime to speak with a nurse for helpful medical information. Call (800) and press option 1 for 24/7 nurseline. Disease Management/Care Coordination Those who live with asthma, diabetes, heart disease and chronic obstructive pulmonary disease can gain support from a team of health professionals (including pharmacists, nurses, health coaches and mental health professionals) to help with management of their condition and lifestyle changes. Care Coordinators provide education, guidance and resources available to support their personal health and wellness goals. Care Coordination is available to faculty and staff and their dependents who are enrolled in an Ohio State medical plan and are identified for one of these programs based on an analysis of medical and prescription drug claims. Your Plan for Health programs are voluntary. No referral is required from provider for patients to participate. Providers can refer patients into appropriate programs or members can self refer to programs by calling or (800) Website: 24

25 Ohio State Employee Assistance Program (OSU EAP) The program is part of the Your Plan for Health and is designed to provide rapid access to a variety of support and information regarding stressful life situations for employees and their dependents/family. In addition to rapid access to face to face counseling, the OSU EAP also can help with a variety of other issues that affect everyone daily. All services are provided without cost in a confidential environment. They are in coordination with the rest of the Your Plan for Health services. Counselors are available in almost all Ohio Counties. 24-hour EAP Phone Line All benefit-eligible faculty, staff and their dependents and family members can call anytime and speak with a licensed mental health counselor for quick assistance with personal or work/life related problems. Eligible dependents include parents, parents-in-law and anyone living within the faculty or staff member s household. Call (800) for help. Robust Web Based Information, Self-Assessment and Resources The OSU EAP webpage (www,osuhealthplan.com/ohiostateeap) contains a large selection of informative articles, resource lists or search assistance for services and a variety of tools to do self-assessments. This can be accessed in total confidentiality. Employees and their families can use the EAP for help with: Childcare and Eldercare Resources Depression Family Conflict Financial Consultation Grief and Loss Identify Theft Support Legal Consultation Stress and Anxiety Substance Abuse Work Challenges 25

Provider Manual. This manual is to help you learn more about The Ohio State University s medical plans, administered by OSU Health Plan Inc.

Provider Manual. This manual is to help you learn more about The Ohio State University s medical plans, administered by OSU Health Plan Inc. 2016 Provider Manual This manual is to help you learn more about The Ohio State University s medical plans, administered by OSU Health Plan Inc. We hope you find this information and the enclosed documents

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