Effective January 1, 2018, Medical Mutual of Ohio and Molina Healthcare of Ohio, Inc., a subsidiary of Molina Healthcare, Inc., will offer a variety of Marketplace products with healthcare service coverage through Licking Memorial Health Systems (LMHS) to local residents.  This partnership enables Marketplace members to receive care at Licking Memorial Hospital as well as access LMHS’ homecare services, in-patient rehabilitation unit, and Licking Memorial Health Professionals physician specialty practices.  In addition, members also will be able to utilize LMHS’ Urgent Care centers in Granville, Pataskala and Downtown Newark.  Services covered will depend on the plan you have selected.

During the past two years, many Marketplace Plan companies have revised or abandoned offerings available within Licking County and may no longer cover LMHS services.  “We are pleased that MedMutual and Molina Healthcare are contracting with LMHS, so that our community members have an option to enjoy local healthcare services,” said Rob Montagnese, LMHS President and CEO.  “In addition to providing excellent health care, we want to ensure that our community members have options to access those services within Licking County.  LMHS understands the vital importance of local healthcare coverage, and the value of access to convenient services within the Licking County community.” 

The Frequently Asked Questions below will provide answers to a variety of potential questions concerning the Marketplace offerings, including the specific plans that cover LMHS services.

Which Marketplace Plans cover Licking Memorial Health Systems?
Many companies participating in the Health Insurance Marketplace have revised or abandoned offerings available within Licking County.  As a result for 2018, Licking Memorial Health Systems is a network provider for the following plans:
•    Molina Marketplace Silver Plan
•    Molina Marketplace Options Silver Plan
•    Molina Marketplace Gold Plan
•    MedMutual Market HMO 7350 (Bronze)
•    MedMutual Market HMO 6400 HSA (Bronze)
•    MedMutual Market HMO 5250 HSA (Bronze)
•    MedMutual Market HMO 3500 (Silver)
•    MedMutual Market HMO 2000/30 (Silver)
•    MedMutual Market HMO 2400 (Silver)
•    MedMutual Market HMO 4000 HSA (Silver)
•    MedMutual Market HMO 2000/25 (Gold)

Can you change plans if you have previously enrolled in a different plan?    
Yes – If you have enrolled in a plan for 2018 and want to change it, you can do so any time before December 15, 2017.

Deadlines for changing 2018 plans
•    If you change your 2018 enrollment before December 15, 2017, your new plan will take effect January 1, 2018.
•    After December 15, you can change 2018 plans only if you qualify for a Special Enrollment Period.  (Visit HealthCare.gov for details)

What is the process for changing plans?    
•    Log in (HealthCare.gov/login), select your 2018 application, and choose “My Plans & Programs.”
•    Click on “Change Plans” to see other available plans.
•    Click “Change Health Plan” to select a new plan. Finish all steps to complete your enrollment.

Will my coverage be affected if I change plans?    
Be sure to check your coverage dates.
•    If your new plan has the same effective date as your old plan: Coverage from your old plan is cancelled when your new coverage starts.
•    If the new plan has a different effective date: You will stay covered by your old plan until the day before your new coverage starts (if you continue paying your premiums).

Licking Memorial Health Systems is the primary healthcare provider in Licking County.  The Health Systems includes Licking Memorial Hospital (a 12-time honoree of Truven Health Analytics’ national list of 100 Top Hospitals), Licking Memorial Health Professionals (an employer-based group of more than 100 providers), and Licking Memorial Health Foundation.  For more information, visit www.LMHealth.org.