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2015 Plans, Provider Network, Pharmacy Network, and Formulary Search


Before you can make a purchasing decision, you need to know about the specifics of what we offer. In the links below, you can see a side-by-side comparison of the benefits of each of our plans, search our Provider Network to make sure that your doctor is in our network, find In-Network pharmacies close to your home, see if your medications are included on our formulary, and learn additional information about our products contained in our brochure.


  • Benefit Sheets for 2015 Individual/Family Plans

  • Benefit Sheets for 2015 Small Group Plans

  • New in 2015 based on Member and Community Input
    • 2+2 Program: Beyond free preventive services, 2 free visits to PCP and 2 free visits to Behavioral Health Specialist                
    • Acupuncture: Up to $40/visit; $1,000/year (not available on Catastrophic Plans)
    • High Deductible HSA plans (to see if an HSA Plan is right for you, click here)
    • Members who complete and return our HealthSmart Check List—a simple 12-question health risk assessment—during their first sixty (60) days of coverage are eligible for a one-time reduction of $250.00 off of their Plan Year 2015 annual deductible. Families are eligible for a maximum reduction of $500.00.

  • About our Provider Network and link to Provider Network Search
    • InHealth Mutual’s Provider Network is provided by Ohio PPO Connect (OPPOC). OPPOC consists of four regional health systems: Ohio Health Choice, Healthspan, Quality Care Partners, and Ohio State University Health Plan. This statewide network consists of over 220 hospitals, over 23, 000 physicians, and nearly 4,000 ancillary providers covering all 88 Ohio counties. To see if your doctor is part of our Provider Network, click here

  • About our Pharmacy Network, link to Pharmacy Network Search and link to Formulary Search
    • We know how important medications are to your health and wellbeing. That is why prescription drug benefits are included with every plan we offer. We partner with ProCareRx, our pharmacy benefits manager, to offer solutions that ensure you receive the care and attention you deserve. At InHealth, we:
      • Coordinate and integrate care with other clinical areas
      • Encourage the use of formulary drugs (a formulary is a list of preferred brand-name and generic medications for which members pay a lower out-of-pocket charge)
      • Provide members with prescription drug benefit consultations
      • Enable members to view both medical and prescription drug claims online
      • Ensure that high-cost specialty drugs are managed consistently and cost effectively, whether they are administered as part of medical services or through a prescription

      We believe that effectively integrating prescription drug benefits with InHealth plans helps enhance your member experience and improve overall health. Our focus is on delivering a prescription drug benefit that balances quality care with total costs, which is especially important when managing chronic and/or complex conditions.

      With ProcareRX, you can fill your prescriptions at over 1500 locations statewide and mailorder delivery. To find ProCareRX Network Pharmacies in your area, click here

      Our formulary includes over 5400 medications. To search our formulary for your medications, click here

  • View a downloadable PDF of our Individual/Family Plan Brochure for 2015

  • View a downloadable PDF of our Small Groups Plan Brochure for 2015

  • View a downloadable PDF of our Plan Brochure for 2015

  • HSA FAQ's

2015 Plans, Provider Network, Pharmacy Network, and Formulary Search


Before you can make a purchasing decision, you need to know about the specifics of what we offer. In the links below, you can see a side-by-side comparison of the benefits of each of our plans, search our Provider Network to make sure that your doctor is in our network, find In-Network pharmacies close to your home, see if your medications are included on our formulary, and learn additional information about our products contained in our brochure.


  • Benefit Sheets for 2015 Individual/Family Plans

  • Benefit Sheets for 2015 Small Group Plans

  • New in 2015 based on Member and Community Input
    • 2+2 Program: Beyond free preventive services, 2 free visits to PCP and 2 free visits to Behavioral Health Specialist                
    • Acupuncture: Up to $40/visit; $1,000/year (not available on Catastrophic Plans)
    • High Deductible HSA plans (to see if an HSA Plan is right for you, click here)
    • Members who complete and return our HealthSmart Check List—a simple 12-question health risk assessment—during their first sixty (60) days of coverage are eligible for a one-time reduction of $250.00 off of their Plan Year 2015 annual deductible. Families are eligible for a maximum reduction of $500.00.

  • About our Provider Network and link to Provider Network Search
    • InHealth Mutual’s Provider Network is provided by Ohio PPO Connect (OPPOC). OPPOC consists of four regional health systems: Ohio Health Choice, Healthspan, Quality Care Partners, and Ohio State University Health Plan. This statewide network consists of over 220 hospitals, over 23, 000 physicians, and nearly 4,000 ancillary providers covering all 88 Ohio counties. To see if your doctor is part of our Provider Network, click here

  • About our Pharmacy Network, link to Pharmacy Network Search and link to Formulary Search
    • We know how important medications are to your health and wellbeing. That is why prescription drug benefits are included with every plan we offer. We partner with ProCareRx, our pharmacy benefits manager, to offer solutions that ensure you receive the care and attention you deserve. At InHealth, we:
      • Coordinate and integrate care with other clinical areas
      • Encourage the use of formulary drugs (a formulary is a list of preferred brand-name and generic medications for which members pay a lower out-of-pocket charge)
      • Provide members with prescription drug benefit consultations
      • Enable members to view both medical and prescription drug claims online
      • Ensure that high-cost specialty drugs are managed consistently and cost effectively, whether they are administered as part of medical services or through a prescription

      We believe that effectively integrating prescription drug benefits with InHealth plans helps enhance your member experience and improve overall health. Our focus is on delivering a prescription drug benefit that balances quality care with total costs, which is especially important when managing chronic and/or complex conditions.

      With ProcareRX, you can fill your prescriptions at over 1500 locations statewide and mailorder delivery. To find ProCareRX Network Pharmacies in your area, click here

      Our formulary includes over 5400 medications. To search our formulary for your medications, click here

  • View a downloadable PDF of our Individual/Family Plan Brochure for 2015

  • View a downloadable PDF of our Small Groups Plan Brochure for 2015

  • View a downloadable PDF of our Plan Brochure for 2015

  • HSA FAQ's