Lake Health enters the insurance market with Medical Mutual

CLEVELAND, Ohio – Lake Health entered the insurance market this month through a partnership with Medical Mutual.

Effective July 1, Lake Health began offering the Lake Health Chamber Network’s HMO product to small businesses in Lake County and members of the Mentor Zone and Eastern Lake County Chambers of Commerce.

The plans are open to large businesses – those with 51 or more employees – that belong to the Eastern Lake County Mentorship Zone or Chambers of Commerce, as well as to small businesses – those with 50 or fewer employees – that are headquartered in Lake County, according to a press release.

“The Lake Health Chamber Network strengthens our mission to improve the health and well-being of our community, including the local workforce,” said Cynthia Moore-Hardy, President and CEO of Lake Health , in a press release. “By improving access to high-quality primary care, this partnership will help Lake County employees actively manage their health with the goal of achieving exceptional patient experiences and exceptional clinical outcomes. “

What sets the Lake Health Chamber Network HMO product apart from other business plans is that it offers access to an integrated network, said Dino DiSanto, vice president of marketing and government affairs for Lake Health.

“It’s an open access product, which means that while you have to choose a primary care provider from Lake Health, you don’t necessarily need a referral to see a specialist,” DiSanto said.

“This high level of coordinated care translates into better health outcomes, while reducing premiums for employers and out-of-pocket expenses for employees,” said Richard Wallack, regional vice president of Northeast for Medical Mutual, in a prepared press release.

The arrival of Lake Health in the insurance market adds another supplier to the handful of insurance products on offer. The Cleveland Clinic in 2017 Entered the Individual Insurance Market Through a Joint Venture with Oscar Insurance Corp., a New York-based health insurance technology startup called Cleveland Clinic | Oscar Health. And Summa Health has operated an insurance business, SummaCare, since the 1990s.

DiSanto said Lake Health has been ready to offer an insurance product for some time, but is waiting for demand from the business world.

“We were waiting for the market to be ready for this,” DiSanto said.

About the diet

With the Lake Health Chamber Network HMO, small businesses can choose from eight ACA-compliant benefit plans; large companies have access to a number of standard plans; and businesses with 100 or more employees can have custom plans developed. Lake Health Chamber Network HMO may also be offered alongside Medical Mutual SuperMed PPO plans, the release said.

Companies that sign up will have access to more than 375 practitioners at Lake Health, the 11 facilities in the system, including the new Beachwood Medical Center, and three emergency care centers, as well as teaching hospitals and the UH Rainbow Babies & Children’s Hospital for tertiary care. and services not available at Lake Health, the statement said. The plans cover emergency services in any hospital, even if it is outside the network.

Other characteristics:

Quick online maintenance: Members can access Lake Health providers online for non-emergency services from 7 a.m. to 11 p.m. daily.

LiveHealthy Membership: Members receive 40% off registration fees at LiveHealthy, the Lake Health medical fitness center at Brunner Sanden Deitrick Wellness Campus in Mentor.

Occupational health services: Employers benefit from a 10% discount on the fee for service of occupational health services, excluding compensation for industrial accidents.

Outpatient integrative medicine services: Members receive 10% off Lake Health integrative medicine outpatient services, including massage therapy, Reiki, reflexology, nutritional counseling, wellness coaching, and acupuncture services.