Plan Documents
To find your plan-specific documents — Summary of Benefits, Evidence of Coverage, and Annual Notice of Changes — navigate to your service-area region (based on your county of residence) and select the name of the plan you are enrolled in. You can find your plan name on your member ID card.
Central Ohio
(If you live in Clinton, Coshocton, Delaware, Fairfield, Fayette, Franklin, Gallia, Guernsey, Harrison, Highland, Hocking, Holmes, Jackson, Knox, Licking, Logan, Madison, Meigs, Monroe, Morgan, Muskingum, Noble, Perry, Pickaway, Pike, Richland, Ross, Union, Vinton, or Washington county)
This is an employer group health plan available to eligible Mount Carmel retirees.
2026
2025
- Annual Notice of Changes
- Evidence of Coverage, updated 05/05/2025
- Summary of Benefits
- Errata: Evidence of Coverage
Northwest Ohio
(If you live in Allen, Crawford, Defiance, Fulton, Hancock, Hardin, Henry, Lucas, Mercer, Morrow, Ottawa, Paulding, Putnam, Seneca, Van Wert, Wood, or Wyandot county)
This is an employer group health plan available to eligible Mount Carmel retirees.
2026
2025
- Annual Notice of Changes
- Evidence of Coverage, updated 05/05/2025
- Summary of Benefits
- Errata: Evidence of Coverage
Southwest Ohio
(If you live in Adams, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Darke, Greene, Hamilton, Miami, Montgomery, Preble, Shelby or Warren county)
This is an employer group health plan available to eligible Mount Carmel retirees.
2026
2025
- Annual Notice of Changes
- Evidence of Coverage, updated 05/06/2025
- Summary of Benefits
- Errata: Evidence of Coverage
Other Coverage Information
Provider Directory
Mount Carmel MediGold offers a large network of high-quality providers. You can use the directories below to find network providers and pharmacies in your area. You can also search the directory on the Find a Provider page of our website.
Central Ohio Providers
Provider Directory (last updated 10/09/25)
Pharmacy Directory (last updated 10/09/25)
Northwest Ohio Providers
Provider and Pharmacy Directory (last updated 10/09/25)
Southwest Ohio Providers
Provider Directory (last updated 10/09/25)
Pharmacy Directory (last updated 10/09/25)
Dental and Vision Providers - All regions
Dental and Vision Directory (last updated 10/23/25)
At any time, you can request a printed copy of a directory by calling Member Services. Our team is also happy to answer any questions you may have about our network providers, including their qualifications and any changes in the pharmacy network.