Accepted Insurance
Accepted Insurance Plans
Medicaid program for complex behavioral health needs for children and youth
- 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 MetroHealth Network
- Aetna Choice POS II
Medicaid program for complex behavioral health needs for children and youth
- 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 MetroHealth Network
- Aetna Choice POS II
- HMO – Aetna Golden Medicare
- PPO Plan – Aetna Golden Choice
Aetna Assure Special Needs Plan
AmeriHealth Caritas Ohio Medicaid
- Blue Traditional
- Blue Preferred Primary (HMO)
- Blue Preferred Primary Plus (HMO)
- Blue Access (PPO)
- Anthem Pathway Marketplace
- Pathway Group
- Pathway HMO & Pathway X HMO
- Pathway Tiered Hospital & Pathway X Tiered Hospital
Anthem MediBlue Dual Advantage Special Needs Plan
- HMO
- PPO
Buckeye Ambetter Health Marketplace
Buckeye Medicare Wellcare by Allwell
- Medicare Advantage
- Dual Eligible Special Needs Plan
Carelon Behavioral Health fka Beacon Health Options
- MyCare Ohio
- Special Needs Plan
- HMO
- PPO
- Open Access
Cigna Medicare Insurance | Cigna
- True Choice Medicare (PPO)
- Cigna Preferred Medicare (HMO)
CommuniCare Advantage Special Needs Plan
- AmeriHealth Caritas Ohio Medicaid
- CareSource Medicaid, DSNP, Marketplace
- Humana Medicaid
Devoted Health Medicare Advantage
- MA HMO (including POS & SNP)
- MA PPO
- Buckeye Community Health Plan (Medicaid, Medicare, Market Exchange, MyCare Ohio)
Evernorth Behavioral Health (Cigna)
- Open Access II
- Open Access III
- PPO
Liberty Dental (Anthem Medicaid)
McGregor PACE (fka Concordia Care)
- CLE-Care HMO (Employer Group)
- CLE-Care HMO Individual (ACA Marketplace)
- SuperMed HMO
- SuperMed PPO
- SuperMed POS
- SuperMed Preferred
- Traditional
Medical Mutual of Ohio Marketplace
Medical Mutual Medicare Advantage
- MedMutual Advantage PPO
- MedMutual Advantage HMO
- Medicaid Only
- Molina HMO
- Molina Choice Care HMO
- Molina Choice Care Select HMO
- Molina Medicare Complete Care HMO D-SNP
Optum Behavioral Health (UnitedHealthcare)
- Commercial
- Dual Eligible
- Medicaid
- Medicare
PHCS (Private Health Care Systems) PPO
SKYGEN formerly Scion (CareSource, MyCare Ohio, and Molina Medicaid)
- SCPremier
- SC Premier Tiered
- SCSelect
- SCSelect Tiered
- Mercy Choice
- Mercy Choice Tiered
- Networks:
- SCMedicare
- SCSecure
- SCSupplemental Standard
- SCSupplemental Select
- Plans:
- Amber NE (HMO)
- Emerald (HMO-POS)
- Garnet (HMO)
- Jade (HMO)
- Ruby (HMO)
- Sapphire (HMO-POS)
- Topaz (HMO)
- CareSource Medicaid
UnitedHealthcare Community Plan
- Medicaid
UnitedHealthcare Dental Medicaid
- HMO
- PPO
- Charter
- Choice
- Compass
- Core
- Navigate
- Options
- Passport
- Select
- Medica Choice
UnitedHealthcare HMO (ACA Marketplace)
UnitedHealthcare Medicare Advantage
- AARP Medicare Complete
- Medicare Complete Choice (HMO, PPO, POS)
- Secure Horizons Medicare Direct
United Healthcare Special Needs Plan
- Special Needs Plan
- MyCare Ohio
USA Managed Care Organization (formerly USA Health Network)
Contact Us
Call 216-957-3250 or toll-free 877-509-0597 Monday through Thursday from 8 a.m. to 8 p.m. or Friday 8 a.m. to 5 p.m.
Email customerservice@metrohealth.org. We will respond within four business days.
Out of Network Insurance Plans
Important: Thank you for choosing The MetroHealth System for your healthcare needs. Although we welcome most insurances, there are some specific payer benefit plans that may consider certain hospitals and providers to be out of network.
Please understand that the below insurance products are currently considered Out-of-Network for MetroHealth and its Providers. If you are covered under the below benefit plans, you may have no coverage or a higher out of pocket expense if you do not receive services within your designated network.
Be sure to contact your insurance company to verify your benefits coverage and network access, because those are specific to you.
Please be aware, change sometimes occurs over time, so even if you have the same payer, you should always confirm your benefit coverage and network requirements for desired healthcare services.
We appreciate you wanting to come to MetoHealth for your care. For non-emergent services, it is important for us to make you aware of how your Out of Network plan provides coverage and what your out of pocket expenses will be.
Appointments may not be scheduled until you contact Pre-Service Department at 216-957-2325 Option #3.
Out of Network
- Anthem-HPN Blue Connection
- Anthem-University Hospital Employee Plan
- Humana-Cleveland Clinic Foundation Only
- MedFlex-University Hospital Only
- MediBlue Prime Select HMO-Cleveland Clinic Foundation Only
- Medical Mutual-Mercy Plus Plan
- Oscar-Cleveland Clinic Foundation Only
- SCConnect (Summa Health ACO)
- SummaCare Preferred Choice Network
- Tri-Care (Tier Level Out-of-Network)