Key:
X = Participating Plan
TS = Tertiary or Specific Services only
Note: Participation in a network by University Hospitals, James Cancer Hospital, or University Hospitals East does not guarantee the participation of OSU affiliated physicians. Patients should always verify hospital/physician participation with their health plan.
| Commercial Managed Care Plans | The James | University Hospital | University Hospital East | ||||||
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| Aetna | X | X | X | ||||||
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| Anthem Blue Cross and Blue Shield | X | X | X | ||||||
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| CIGNA Health Care | X | X | X | ||||||
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| Community Hospital of Springfield | X | ||||||||
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| DirectCare America, Inc. (Interplan Health) | X | X | X | ||||||
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| Emerald Health | X | X | X | ||||||
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| First Health Network | X | X | X | ||||||
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| Formost, Inc. | X | ||||||||
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| FrontPath Health Coalition | TS | TS | TS | ||||||
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| Great West Healthcare | X | X | X | ||||||
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| Medical Benefits Mutual/Administrators | X | X | X | ||||||
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| Medical Mutual of Ohio | X | X | X | ||||||
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| Meritain Health (Accountable Health Plan of Ohio) | X | X | X | ||||||
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| Multiplan | X | X | X | ||||||
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| Ohio Health Choice | X | X | X | ||||||
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| Ohio Health Group - HealthReach | |||||||||
| Ohio Health Group - HealthReach | X | X | X | ||||||
| HealthReach Longaberger In-Network | X | X | X | ||||||
| HealthReach Preferred Members,authorization needed for discount | -- none -- | -- none -- | -- none -- | ||||||
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| OSU Managed Health Care Systems | |||||||||
| City of Bellefontaine Employee Health Plan | TS | TS | TS | ||||||
| Mary Rutan Health Association | TS | TS | TS | ||||||
| OSU Health Plan | X | X | X | ||||||
| Prime Care | X | X | X | ||||||
| OSU Regional University Prime Care | X | X | X | ||||||
| Ohio Wesleyan Health Plan | X | X | X | ||||||
| OSU Well Care | X | X | X | ||||||
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| OSU Student Health Plan | X | X | X | ||||||
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| Paramount Care / Preferred Options | TS | TS | TS | ||||||
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| Private HealthCare Systems (PHCS) | X | X | X | ||||||
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| Strategic Health | X | ||||||||
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| The Health Plan of the Upper Ohio Valley | TS | TS | TS | ||||||
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| The Physicians' Assurance Corporation (TPAC) | X | X | X | ||||||
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| Trinity Health | X | X | X | ||||||
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| Unicare -Reimbursed under Anthem Contract | X | X | X | ||||||
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| Unison Health Plan of Ohio | X | X | X | ||||||
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| United Healthcare of Ohio | X | X | X | ||||||
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| Medicaid HMOs | The James | University Hospital | University Hospital East | ||||||
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| CareSource | X | X | X | ||||||
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| Molina | X | X | X | ||||||
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| Medicare HMOs | The James | University Hospital | University Hospital East | ||||||
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| The Health Plan of the Upper Ohio Valley | TS | TS | TS | ||||||
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| Medicare Select Plans | The James | University Hospital | University Hospital East | ||||||
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| Ameri-Plus | X | X | X | ||||||
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| Anthem Blue Cross & Blue Shield (not Anthem Senior Advantage) | X | X | X | ||||||
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| Behavioral Health Plans | The James | University Hospital | University Hospital East | ||||||
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| Delaware-Morrow Mental Health Recovery Services Board | X | X | |||||||
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| Franklin County ADAMH Board | X | ||||||||
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| United Behavioral Health - Plan and Employer Divisions | X | X | |||||||
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Commercial Managed Care Plans are the HMO, PPO, and POS plans that are sponsored by your employer or which you have purchased individually.
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Medicaid HMOs are state approved plans that are available to eligible Medicaid beneficiaries. Medicaid HMOs may offer greater benefits than traditional Medicaid.
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Medicare HMOs are federally approved plans that are available to Medicare beneficiaries. Medicare HMOs usually offer greater benefits than traditional Medicare.
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Medicare Select Plans offer supplemental Medicare Benefits. The benefit plans that are offered are federally regulated.
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Behavioral Health Plans may be offered in conjunction with a commercial or Medicare Managed Care Plan. Also, in this category are county funded ADAMH Boards. Such plans are specific to the provision of mental health and substance abuse services.
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Specialty Transplant Networks may be offered in conjunction with other managed care plans and are specific to the provision of solid organ and bone marrow transplant services. Due to the complex nature of transplantation, you should always contact the applicable transplant program for further information as this list is not all inclusive.
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