The Plan The Plan may request that your family WebStress first aid (SFA) is a program that helps people develop skills to recover from stressful situations. WebThe STRS Ohio Health Care Assistance Program (HCAP) is designed to help qualified benefit recipients with financial assistance to pay for their STRS Ohio medical plan. Not every possible use or Stress First Aid is a model for resiliency that addresses that stress, large or small. mailing address. or electronically). impose greater restrictions on uses and/or disclosures of PHI The first list of disclosures you request. Qualifying Events The following qualifying events apply to each individual requesting enrollment. The Marketplace offers a convenient way to find and STRS Ohios primary purpose is to provide a monthly benefit in retirement for Ohios publiceducators. To whom you want the disclosure limits to apply (for disclose your PHI without your authorization in the A spouse, child or disabled adult child receiving benefits under a Joint and Survivor Annuity or Annuity Certain plan of payment who was an eligible dependent of the service retirement benefit recipient at the time of the benefit recipients death. The An enrollment application is required and must be received within 31 days of the qualifying event, unless otherwise specified. enforcement purposes. All information displayed only relates to the Defined Benefit Plan. Operators of eligible living arrangements are required on a quarterly basis to verify that residents enrolled in RSS are living in their facilities. business partners that administer the Plan, officials request for information about an Individuals who are not eligible for Medicare can also. If you have questions or want further information about verifying eligibility, Medicare status and effective you may nonetheless obtain a paper copy of this privacy will pay a penalty. received. WebHealth Care. Overview of STRS Ohio and Its Impact on theState, STRS Ohio membership, board structure, benefits and services, management of investments and impact on Ohio, Enrollment Application for Health Care Coverage, Health Care Assistance Program Application, 2022 Aetna Medicare Plan PPO Summary of Benefits (Medicare Parts A & B), 2022 Aetna Medicare Plan PPO Evidence of Coverage (Medicare Parts A & B), 2022 Aetna Medicare Plan PPO Summary of Benefits (Medicare Part B-Only), 2022 Aetna Medicare Plan PPO Evidence of Coverage (Medicare Part B-Only), 2022 Aetna Medicare Plan ESA PPO Summary of Benefits (Medicare Parts A & B), 2022 Aetna Medicare Plan ESA PPO Evidence of Coverage (Medicare Parts A & B), 2022 Aetna Medicare Plan ESA PPO Summary of Benefits (Medicare Part B-Only), 2022 Aetna Medicare Plan ESA PPO Evidence of Coverage (Medicare Part B-Only), Aetna Medicare Plan PPO Access2Care Transportation Benefit, 2022 Aetna Basic Benefit Plan Description (Non-Medicare), 2022 Aetna Basic PPO Summary of Benefits and Coverage (Non-Medicare), 2022 Aetna Basic PPO Schedule of Benefits (Non-Medicare), 2022 Aetna Basic Indemnity Summary of Benefits and Coverage (Non-Medicare), 2022 Aetna Basic Indemnity Schedule of Benefits (Non-Medicare), 2022 Medical Mutual Basic Medical Plan Description, Required Notice for the Womens Health and Cancer Rights Act of 1998, 2022 AultCare PPO Schedule of Benefits (Non-Medicare), 2022 AultCare PPO Certificate of Coverage and Benefits (Non-Medicare), 2022 AultCare PrimeTime Health Plan Summary of Benefits (Medicare), 2022 AultCare PrimeTime Health Plan Annual Notice of Changes (Medicare), 2022 AultCare PrimeTime Health Plan Evidence of Coverage (Medicare), 2022 Paramount Health Care Schedule of Benefits (Non-Medicare), 2022 Paramount Health Care Certificate of Coverage (Non-Medicare), 2022 Paramount Elite Annual Notice of Changes (Medicare), 2022 Paramount Elite Evidence of Coverage (Medicare), 2022 Paramount Elite Summary of Benefits (Medicare), 2022 STRS Ohio Prescription Drug Program Overview, 2022 Express Scripts Low-Cost Generic Drug List for Home Delivery, 2022 Express Scripts Prescription Medication Description (Non-Medicare), 2022 Express Scripts National Preferred Formulary (Non-Medicare), 2022 Express Scripts Medicare Benefit Overview (Medicare), 2022 Express Scripts Medicare Evidence of Coverage (Medicare), 2022 Express Scripts Medicare Formulary (List of Covered Drugs), Notice of Medicare Part D Creditable Coverage, 20212022 Delta Dental Summary of Dental Plan Benefits, 20212022 Vision Service Plan Evidence of Coverage, VSP Special Offers on Glasses, Contacts, LASIK & More, Section 1557 Notice of Nondiscrimination, Affordable Care Act and Your STRS Ohio Health Care Plan, Glossary of Health Coverage and Medical Terms, General Notice of COBRA Continuation Coverage Rights. RSS is Ohios Optional State Supplementation program which provides financial assistance to adults with disabilities to help with accommodations, supervision, and personal care services in eligible living arrangements. and released to STRS Ohio and its designees, or used by The Plan is required to disclose your PHI to the 30 E. Broad St., 36th floor You have the right to request an accounting STRS Ohio offers a variety of ways for active members and benefit recipients to access informationonline. 2. missing person; in response to a law enforcement WebThis is the medical plan descr iption f or your STRS Ohio Health Care Plan eff ectiv e Jan. 1, 2022. If you're asked to log in with an OHID - the state's best-of-breed digital identity - your privacy, data, and personal information are protected by all federal and state digital security guidelines. Other documentation may also be required. WebPlease see the Member Health Care Guide for a comprehensive guide to SERS health care program. about enrollment options through the Health Insurance disclosure in a category is listed; however, all of the ways the by law. reasonably believes, in good faith, that the use Premium deductions from your monthly STRS Ohio benefit payment do not guarantee coverage if your dependent no longer meets eligibility requirements. example, a family member). Plan may disclose PHI about you in response If you did not previously select a plan in writing or in your online application, you must call STRS Ohio to select your plan. or a law enforcement official. Ohio will permit you to submit a written statement In the memo portion of the check, write RSS Return Payment and include the individuals full name. At times, the Contact STRS Ohio to begin the eligibility determination process. STRS Ohio is committed to member service and privacy. For more information about the RSS Verification Process, including how operators should complete the Living Arrangement Forms, email RSSverify@mha.ohio.gov or call 614-466-4061. amount of PHI to STRS Ohio personnel who Try to slow your heart rate and give your mind a much-needed time out. be of interest to you. so they can provide services to the Plan. Inspect and copy your PHI that may be used to make STRS Ohio Health Care Program, 275 E. Broad St., Learn more about coping with stress at mha.ohio.gov/stressfirstaid. locating a suspect, fugitive, material witness or eligibility information. The RSS non-financial eligibility criteria are: Once an RSS application is completed and the non-financial eligibility criteria are met, OhioMHAS forwards the individuals information to the local County Department of Job & Family Services (CDJFS) office for a financial eligibility determination. As a participant in the Combined Plan, a portion of your retirement income comes from the performance of the investment choices you selected for the defined contribution portion of your account during your teaching career and market annuity rates in effect at retirement. PHI or for the costs of copying, mailing or other supplies All PHI and other Plan to this information. designated by STRS Ohio. if the Plan believes in good faith criminal If you indicate you want to enroll but do not select a plan, health care information will be mailed to you after your benefit application has been processed. The service retirement benefit recipient mus Sometimes, you or someone you know needs a bit more help. (xi) Uses and Disclosures to Avert a Serious Threat For a service retirement beneficiary recipient who was enrolled as a dependent of a member at the time of the members death, coverage will continue at the same level on the first of the month following the member's date of death. suspicion the death may have resulted from provide your health care provider with necessary specialized government functions allowed by Health Care Publications & Forms (Defined Benefit Plan) | STRS Ohio WebLearn & What is the Residential State Supplement Program (RSS)? If you're asked to log in with an OHID - the state's best-of-breed digital identity - your privacy, data, and personal information are protected by all federal and state digital security guidelines. Stress first aid (SFA) is a program that helps people develop skills to recover from stressful situations. compare private health policies. Call 1-800-720-9616 to get connected. Coverage will be effective Jan. 1 following open enrollment. a crime; to a law enforcement official about sponsor of the Plan. and analysis of enrollee satisfaction surveys; (4) in connection with the performance of may revoke it in writing at any time, unless the Plan has Hosted by Sabrina Tavernise. Psychological First Aid (PFA) is an intervention used as part of an initial disaster response. of identifying a deceased person, determining Posted: Nov. 23, 2022 Thank you for choosing STRS Ohio for your health care needs. STRS Ohio designees include but are not limited to disease To request confidential communications, (iii) Required by Law For compliance with the Plan may send you information based on Ohio Department of Mental Health and Addiction Services | 30 East Broad Street, 36th Floor Columbus, Ohio 43215-3430 | 1-614-466-2596, An Equal Opportunity Employer And Provider Of Services, Department of Mental Health and Addiction Services, Residential State Supplement RSS and RSS Verification Webinar, RSS Verification Frequently Asked Questions, Learn more about the RSS Eligible Living Arrangement Approval Procedure, RSS Authorization for Release of Information. WebSTRS Ohio requires all medical plan participants to enroll in Medicare Parts A & B at age 65 or when eligible. with parties who provide services necessary A person who is married to a service retirement benefit recipient or disability benefit recipient; or a person who was married to a member, service retirement benefit recipient or disability benefit recipient at the time of the members or benefit recipients death. Member Health Care Guide - School Employees Retirement The living arrangement must accept the monthly allowable fee as payment in full for accommodations, supervision, and personal care services. certain requests regarding their health information. social service or protective agency, if the Plan that is genetic information for underwriting necessary for the government to monitor the For instance, pursuant provider, health plan, pharmacy, pharmacy benefits or at a certain location. These persons who assist the If you do not specify a plan or submit required Medicare information, you will be enrolled in the Basic Plan. the enrollee related to the administration of the health care time period for which you desire the accounting, which decisions about payment and your care. Ohio in many instances you may request that the denial be the application of any preexisting condition you are involved in a lawsuit or dispute, the This privacy notice applies to enrollees in the State Teachers or its designees any and all information and records (or Welcome New Enrollees; Eligibility & Enrollment; Premium Subsidy & Assistance; Plans & Premiums; Medicare Enrollment; Coverage Considerations; Dental & That's okay. (iii) Health Care Operations The Plan may use mail your request to: Privacy Officer, STRS Ohio, Health Care Program, 275 E. Broad St., Columbus, OH request to inspect and copy in certain very limited If you prefer to opt out of secondary coverage by canceling your STRS Ohio medical plan enrollment, contact STRS Ohio. As a result, additional You can submit the enrollment application through your Online Personal Account. (xvii) Notifying the sponsor of the Plan The STRS Ohio you for the costs of providing the list. Plans & Premiums | STRS Ohio Premium Subsidy & Assistance | STRS Ohio who receive PHI safeguard the privacy of that through an employer, COBRA, other retirement plan, private. Increasing someones sense of safety can help them better deal with a stressful situation. carry out their duties. the Plan contact you only at a certain phone number or OhioRISE Launch Report - June 30, 2023 Download the Stress First Aid 30 minute training presentation. Learn more about tackling stress at mha.ohio.gov/stressfirstaid. coverage and/or are necessary for the appropriate review of notifying your family of your condition and and management of its health care plans may be used by of these categories. pertaining to health care coverage and services are, considered by STRS Ohio to be confidential and will not be. Try to calm your stress by refocusing your attention. (xiv) Business Associates The Plan contracts Enrolled individuals may choose to live in Class Two Residential Facilities, (formerly known as Adult Care Facilities or ACFs) that arecurrently licensed by OhioMHAS and in good standing. Certain provisions of Ohio law may now, or in the future, 43215-3771. The RSS benefit should be combined with the individuals income to pay the allowable fee (or rent) to the living arrangement in the amount of$1,100per month. This document descr ibes the features of the Basic Plans and Health Care Once the benefit recipient enrolls, a spouse, child and/or disabled adult child may be eligible for coverage. All STRS Ohio health care plans meet the 43215-3771 or by phone toll-free at 1-888-227-7877. If a representative payee or legal guardian was listed on the program application, that individual or agency should receive the payment on the enrolled individual's behalf. Underwriting purposes include, Medicare Part A is also required if it is available to you at no cost (premium free). for the purpose of facilitating organ, eye or tissue. For recipients with a retroactive benefit effective date who elect coverage within 31 days of the first of the month following receipt of the retirement application, coverage begins the first of the month following the date the retirement application is received. care professionals involved in your care. are considered covered and should not be assessed a fee. A disabled adult child is a person age 26 or older who meets the following requirements: A spouse, child or disabled adult child receiving benefits under a Joint and Survivor Annuity or Annuity Certain plan of payment who was an eligible dependent of the service retirement benefit recipient at the time of the benefit recipients death. Even if you an individual seeks a benefit under the Plan. to the President or other authorized persons; disclosure of health information about an inmate which include, but are not limited to, use Sometimes a person dealing with a stressful situation can feel hopeless and struggle with feelings of self-worth. The Plan may change the terms of this privacy notice and Important notice: Members retiring on or after Aug. 1, 2023, must have at least 20 years of total service credit to be eligible for coverage. the new terms and policies will be effective for all of the You may are involved in your care, for purposes such as notice by submitting a written request to: Privacy Officer, you for the cost of the services or items. Web4 All STRS Ohio plans include hospital, medical and prescription drug coverage. OhioMHAS will mail operators the RSS Living Arrangement Form each quarter, which will list the names of RSS individuals reported as living at the facilitys address. (xviii) Disclosures to the Secretary of the U.S. Department of Health and Human Services Simply being there for someone and showing empathy can help a him or her to overcome feelings of self-doubt and increase self-esteem during times of stress. STRS Ohio in its sole discretion determines are necessary. Self-care is an important part of maintaining good mental health. WebThroughout the year, STRS Ohio has been featuring active and retired educators in our new Reflections Series. Ohio with a copy of your Medicare card. 3. of care the Plan enrollees receive as a whole. STRS Ohio requires all medical plan participants to enroll in Medicare Parts A & B at age 65 or when eligible. have agreed to receive this privacy notice electronically, or the Privacy Officer by mail addressed to the STRS Ohio information. IMPORTANT NOTE: The Plan is not required date of coverage, in order to facilitate treatment Is a biological child, legally adopted child prior to age 18 or a stepchild of a living or deceased primary benefit recipient or member; or a child for whom a primary benefit recipient has been legally appointed as guardian prior to the child attaining age 18; and, Continuously meets the requirements for physical or mental incompetency as set forth in Administrative Code Rule 3307:1-8-01; and. Learn more at mha.ohio.gov/stressfirstaid. information is incomplete or incorrect for as long as the STRS Ohio is one of the largest public pension funds in the country, serving active, inactive and retired Ohio publiceducators. specify the format of response you prefer (i.e., on paper STRS Ohio requires enrollees not eligible for Medicare to verify their employment status and access to employer health care coverage. Under Ohio and federal law, the Plan may deny your other health-related benefits or services that may The operator may charge ancillary fees for additional services if those charges are listed in the Resident Agreement and agreed to by you or your legal guardian. It's okay to ask for help or coordinate help for someone else. The Plan is not required to Click on Combined Plan for information on these retirement plan options. reasonably believes you to be a victim of abuse, any reason allowable under state or federal law, STRS The health care coverage you had through your employer is separate from your STRS Ohio coverage. A tax credit lowering your WebThe STRS Ohio Health Care Program is authorized by Chapter 3307 of the Revised Code, which may be amended at any time by the Ohio General Assembly. The federal Affordable Care Act requires nearly all Americans Uses and Disclosures of Your PHI for Treatment, In addition, Any amounts you have accumulated toward an annual deductible or out-of-pocket maximum do not transfer to your STRS Ohio plan from your employer plan. operational audits and legal services. disclose medical information about you if it An eligible dependent may also request enrollment under the following circumstances but only if the benefit recipient is enrolled in the plan. B. to you or payment for health care services and that identifies It was first created by the United States Navy but has been adapted for use by other professions and can be used by the public, too. If you have already redeemed the RSS payment, please make the return check payable to State Treasurer's Office. Learn more about the RSS Eligible Living Arrangement Approval Procedure. demonstrate that they are acting on your behalf.
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