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.

Aetna
HMO/Open Access HMO
QPOS
Aetna Choice PO
USAccess
Elect Choice/Aetna Open Access Elect Choice
Managed Choice/Aetna Open Access Managed Choice
Open Choice
Traditional Choice
Aetna Choice POS II

Aetna Medicare Advantage
HMO – Aetna Golden Medicare
PPO Plan – Aetna Golden Choice

Aetna MetroHealth Network

Aetna Dental

Anthem
Blue Traditional (indemnity plan)
Blue Preferred Primary (HMO)
Blue Preferred Primary Plus (HMO)
Blue Access (PPO)

Anthem Medicare Advantage
Medicare HMO
PPO

Anthem Pathway Group

Anthem Dental

Beacon Health fka ValueOptions
Behavioral Health Contract

Buckeye Community Health Plan
Medicare Advantage

Buckeye Community Health Plan (BCHP)
Medicaid HMO

Buckeye Community Health Plan – Health Exchange
Ambetter

Buckeye Community Health Plan – Medicare HMO, Medicaid HMO
Special Needs Program for the dual eligible

Buckeye Community Health Plan- MyCare Ohio

CareSource
Medicaid HMO
Medicare Advantage
Special Needs Plan

CareSource Health Exchange
Marketplace

CareSource MyCare Ohio

CCHS Employee Health Plan

Champus

CIGNA Behavioral Health

CIGNA HealthCare of Ohio
HMO
PPO
Open Access

Clarity Health Network

CLE Care HMO

Cofinity (formerly PPOM/Flora Health Network)

Delta Dental

DenteMax

DentaQuest (fka Doral Dental)
Envolve Vision fka OptiCare Vision
Buckeye Community Health Plan

EyeMed

Gateway
Special Needs Plan

 

HealthSmart
HealthSmart Preferred Care (Accel product)

HealthLink
HealthLink Open Access II
HealthLink Open Access III
HealthLink PPO

HMA

Humana – Choice Care Network
Commercial PPO Product
Medicare HMO Product
Medicare PPO Product

InterPlan Health Group (formerly DirectCare of America & Primary Health Services)
PPO Network

Key Benefit Administrators

Magellan Behavioral Health

McGregor PACE (fka Concordia Care)
HMO

Medical Mutual of Ohio (MMO)
SuperMed HMO
SuperMed PPO
SuperMed POS
SuperMed Preferred
HMO Health Ohio

Medical Mutual of Ohio Health Exchange

Medical Mutual of Ohio Medicare Advantage
MedMutual Advantage PPO & HMO

MetroHealth Select/Skyway

Molina Health Exchange

Molina Healthcare
Medicaid Managed Care

Molina Dental
Coverage through Scion

MultiPlan, Inc.
PPO

Ohio Health Choice
PPO

OPN eHealth Services (formerly Ohio Preferred Network)
PPO

Optum Behavioral Health (UnitedHealthcare)
Commercial
Medicare
Medicaid
Medicare-Medicaid Dual Eligible

Paramount Advantage
Medicaid Managed Care

PHCS (Private HealthCare Systems)

SummaCare – HMO
HMO 1000 Series, Federal Employees Health Benefits Program
POS product
PPO product

Superior Vision fka Block Vision
Medicaid

Three Rivers Provider Network (TRPN)
PPO agreement

TriCare
MetroHealth is an authorized non-network provider for Tri-Care Select. Patients can come here; however, out of pocket expenses may be higher. We are not in-network for Prime.

UniCare Life & Health Insurance Company
PPO agreement

UnitedHealthcare Community Plan
Medicaid Managed Care, MyCare Ohio

UnitedHealthcare Commercial Managed Care
HMO
PPO
Charter
Choice
Compass
Core
Navigate
Options
Passport
Select
Medica Choice

UnitedHealthcare Dual Complete Special Needs Plan (SNP)

UnitedHealthcare EverCare

UnitedHealthcare Medicare Advantage
AARP Medicare Complete
Medicare Complete Choice (HMO, PPO, POS)
Secure Horizons Medicare Direct

University CompCare
University Hospitals Workers’ Compensation product

USA Managed Care Organization (formerly USA Health Network)
PPO

Veterans Choice Program