Worried About Health Care Costs?
You may qualify for Prime Care Connect!
What is Prime Care Connect?
Prime Care Connect (PCC) is Ohio State’s medical plan for those with a limited household income — created to help you! Prime Care Connect helps Ohio State faculty and staff reduce the amount they pay out of pocket for health care.
Who is Eligible?
In order to apply for Prime Care Connect, you must be a full-time Ohio State employee and your taxable household income (based on 2019 tax return) must be less than 225% of the federal poverty level.
| Persons in Family | Maximum Household Income |
|---|---|
| 1 | $28,710 |
| 2 | $38,790 |
| 3 | $48,870 |
| 4 | $58,950 |
| 5 | $69,030 |
| 6 | $79,100 |
| 7 | $89,190 |
| 8 | $99,270 |
| 9 and Up | add $10,080 per additional person |
How Do I Apply?
- You must be a full-time Ohio State faculty or staff employee.
- Your taxable household income (based on 2019 tax return) must be less than 225% of the federal poverty level.
- Complete an application during Open Enrollment (you can also apply for Prime Care Connect if you have a specific qualifying event).
- Note: COTC, OSUP, graduate associates, temporary employees and affiliated groups are not eligible for this plan.
Ready to Apply?
For more information, or to get your application, contact the OSU Health Plan at 614-292-4700 or OSUHealthplanCS@osumc.edu.
| Benefit Component | NETWORK | |
|---|---|---|
| Premier | Standard | |
| Annual Deductible¹ | Individual: $150; Family: $300 | |
| Coinsurance | You Pay 15% | You Pay 25% |
| Annual Out-of-Pocket Maximum | Individual: $1,500; Family: $3,000 | |
| Preventive Care | Plan pays 100% | |
| Office Visit: Primary Care Provider (PCP)² | You pay $0 copay | You pay $20 copay |
| Office Visit: Specialist | You pay $20 copay | You pay $30 copay |
| Urgent Care | You pay $35 copay | |
| Emergency Room (waived if admitted) | You pay $100 copay | |
| Inpatient Hospitalization | You pay $200 copay | You pay $300 copay |
| Outpatient Surgery | You pay $100 copay | You pay $150 copay |
¹A separate deductible applies for infertility treatment. ²A PCP is a generalist physician designated as a family medicine, general internal medicine, geriatric medicine or general pediatrics provider. Primary care services can also be provided by a primary care nurse practitioner who practices with a PCP. This benefit also applies to University Health Connect, Convenient Care, and The Little Clinic visits.
Health Care Doesn't Have to Be Expensive.
Call 614-292-4700 or email us at OSUHealthplanCS@osumc.edu.
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