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Health Care Benefits

Medical Prescriptions Medicare Dental
Vision Long-Term Care Life Insurance
HPRS offers health care access to plan participants; however, health care is not a statutorily-mandated benefit. HPRS will continue to provide top-quality coverage as funds are available. Premiums are established annually by the HPRS Board of Trustees based on actuarial projections, availability of funds, and needs of the membership. The board works diligently to provide for continued solvency of the health care fund.

Coverage changes may be made during the open enrollment period during the month of November, or if a Qualifying Event occurs. For more information on Qualifying Events, please click here.

The health care information on this website is only a summary of current plans and is not a guarantee of benefits. For the details of coverage, please contact each provider below.

2023 Health Care Premiums / Plan Co-Pays

Vaccinations (including shingles)

Wellness Program:

Eligibility: Two criteria must be met to participate in the Wellness Programs: (a) Must be a retiree, spouse, or surviving spouse; (b) must be 40 years or older to participate. 

Comprehensive Wellness Examination:  Administered at OhioHealth Westerville Medical Campus, 300 Polaris Parkway, Westerville, Ohio 43082.  The CWE is covered once every two (2) years.  To schedule an appointment contact:  614.566.2222, extension 4795.

Screenings:  Screenings are performed at Central Ohio Primary Care (COPC) facilities, 625 Africa Road, Suite 140, Westerville, Ohio 43082, or 4885 Olentangy River Road, Columbus, Ohio 43214.  The screenings include: CT coronary artery calcium scoring, carotid artery ultrasound screening, abdominal aortic aneurysm ultrasound screening, CT lung screening (for current or former smokers only) and bone density screening (for members not eligible for the lung screening).  Screenings are covered once every four (4) years. To schedule an appointment, call COPC at 614.273.0411.

Process: When the retiree, spouse, or surviving spouse schedules an appointment with the healthcare provider (OhioHealth or COPC), the health care provider will contact HPRS to confirm eligibility for the member and HPRS will provide the health care provider with an authorization number. Upon the successful completion of the CWE or Screenings, HPRS will receive the invoice for payment directly from the healthcare provider and process accordingly.

Summary: There is no cost to the eligible retiree, spouse, or surviving spouse.  If the member receives a bill from either of the healthcare providers, the eligible member should contact HPRS and speak to a Benefits Specialist. 

Comprehensive Wellness Exam (CWE) is covered once every two (2) years.  Screenings are covered once every four (4) years.

Fitness Discounts:  Medical Mutual of Ohio offer various discounted fitness benefits to members.  Medical Mutual of Ohio members click here for more information.

Provider NameContact InformationGroup #
Medical Mutual of Ohio Customer Service: 1.877.520.6729
Web login support: 1.800.294.7583
229040001 (Ohio)
229040007 (all other states)
Express Scripts Prescriptions Customer Service: 1.866.472.6249
See ID card
Aetna Vision (for maximum benefits use an EyeMed Vision provider) Customer Service: 1.877.973.3238

EyeMed Customer Service: 1.866.9EYEMED www.eyemedvisioncare.com

698225 - Aetna Vision

9805797 - EyeMed Select Plan A Group

Delta Dental of Ohio PPO (Point of Service) Customer Service: 1.800.524.0149
(No ID cards issued)
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