Accepted Insurance Plans The MetroHealth System and its physicians participate in most insurance plans; these are listed below. Please note that this list may change periodically. Please contact the Customer Service or Member Services Department of your insurance company to verify benefits and provider participation.
Download a PDF of accepted insurance plans.
Aetna – www.aetna.com Product names are: HMO/Open Access HMO, QPOS, Aetna Choice POS, USAccess, Elect Choice/Aetna Open Access Elect Choice, Managed Choice/Aetna Open Access Managed Choice, Open Choice, Traditional Choice, Aetna Choice POS II
Aetna Golden Medicare – www.aetna.com HMO plan – Aetna Golden Medicare, PPO Plan – Aetna Golden Choice
Aetna Dental – www.aetna.com
Anthem – www.anthem.com Product names are: Blue Traditional (indemnity plan), Blue Preferred Primary (HMO), Blue Preferreed Primary Plus (HMO), Blue Access (PPO)
Anthem Senior Advantage – www.anthem.com CHN-Medicare HMO, PPO
Anthem Dental – www.anthem.com
Assurant Dental – www.assurantemployeebenefits.com
Buckeye Communtity Health Plan (BCHP) – www.bchpohio.com Medicaid HMO
Buckeye Community Health Plan – Medicare HMO, Medicaid HMO – www.bchpohio.com Special Needs Program for the dual eligibles
CareSource – www.caresources-ohio.com Medicaid HMO
CareSource-Medicare – www.caresource-ohio.com Special Needs Program for the dual eligible
CCHS Employee Health Plan – www.cchs.net/wellness
Champus/Tricare – www.tricare.mil
CIGNA Behavioral Health – www.cignabehavioral.com
CIGNA HealthCare of Ohio – HMO – www.cigna.com CIGNA products include: HMO, Network, POS, Open Access
CIGNA HealthCare – PPO – www.cigna.com
Cofinity(formerly PPOM/Flora Health Network) – www.cofinity.net
Concordia Care – www.concordiacareohio.org HMO
DirectCare America/Select – www.healthsmart.com/interplan.aspx PPO product
Doral Dental – www.doralusa.com
Emerald Health Network – PPO/Select – www.emeraldhealth.com PPO products included in the agreement: EHN PPO = open access PPO; EHN PPO Select = PCP driven PPO
EverCare – www.evercareonline.com
Great-West Healthcare – www.mygreatwest.com Purchased by Cigna Health Plan. Commercial PPO, POS, HMO
Humana – Choice Care Network – www.humana.com PPO Product. Medicare PPO Product.
Kaiser Permanente – www.kaiserpermanente.org Group model HMO gatekeeper product: need PCP referral
Magellan Behavioral Health – www.magellanhealth.com
Marriott's Qualified Health Plan Workers' Compensation only
Marymount Behavioral Health Services (MBHS) – www.clevelandclinic.org/healthplan/plan-cchs-bh.htm
Medical Mutual of Ohio (MMO) – www.mmoh.com Product names include Traditional Indemnity, SuperMed HMO Commercial, HMO Health Ohio, SuperMed Plus and Classic, SuperMed Select
MMO HMO Health Ohio – www.mmoh.com
MMO SuperMed Plus and Classic – www.mmoh.com Classic: Hospital network (PPO) only, no limited physician panel
MMO Supermed Select – www.mmoh.com POS product that includes a gatekeeper provision for the highest level of benefits
MetroHealth Select – www.metrohealth.org/metrohealthselect
MultiPlan, Inc. – www.multiplan.com PPO
Ohio Health Choice – www.ohiohealthchoice.com PPO
OPN eHealth Services (formerly Ohio Preferred Network) – www.opnehealth.com PPO
ppoNEXT (HealthStar) – www.pponext.com
Primary Health Servicesm – www.chandler-group.com PPO
SummaCare – HMO – www.summacare.com HMO 1000 Series, Federal Employees Health Benefits Program. POS product. PPO product.
Three Rivers Provider Network (TRPN) fka Buckeye Preferred – www.trpnppo.com PPO agreement
UniCare Life & Health Insurance Company – www.unicare.com PPO agreement
United Health Care of Ohio – HMO and Plus – www.uhc.com HMO and POS products
United Healthcare Secure Horizons – www.securehorizons.com AARP Medicare Complete – HMO and POS product. Secure Horizons Medicare Direct.
University CompCare – www.universitycompcare.com University Hospitals Workers' Compensation product
USA Managed Care Organization (formerly USA Health Network) – www.usamco.com PPO
Value Options – www.valueoptions.com Behavioral Health Contract
Wellcare – www.wellcare.com Medicaid HMO
Wellcare Medicare – www.wellcare.com Medicare HMO. Value Plan. Access Plans.
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