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 – 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 Medicare Advantage – www.aetna.com
HMO – Aetna Golden Medicare, PPO Plan-Aetna Golden Choice

Aetna MetroHealth Network – www.aetna.com

Aetna Dental – www.aetna.com

Anthem – www.anthem.com
Product names are: Blue Traditional (indemnity plan), Blue Preferred Primary (HMO), Blue Preferred Primary Plus (HMO), Blue Access (PPO)

Anthem Medicare Advantage – www.anthem.com
Medicare HMO, PPO

Anthem Pathway Group – www.anthem.com

Anthem Dental – www.anthem.com

Beacon Health fka ValueOptions – www.valueoptions.com
Behavioral Health Contract

Buckeye Community Health Plan – Allwell
Medicare Advantage

Buckeye Community Health Plan (BCHP) – www.bchpohio.com
Medicaid HMO

Buckeye Community Health Plan – Health Exchange – www.bchpohio.com
Ambetter

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

Buckeye Community Health Plan- MyCare Ohio – www.bchpohio.com

CareSource – www.caresource.com
Medicaid HMO
Medicare Advantage

CareSource Health Exchange – www.caresource.com
Marketplace

CareSource MyCare Ohio – www.caresource.com

CCHS Employee Health Plan

Champus www.tricare.mil

CIGNA Behavioral Health – www.cignabehavioral.com

CIGNA HealthCare of Ohio – www.cigna.com
CIGNA products include: HMO, PPO, Open Access

Clarity Health Network

CLE Care HMO: https://www.medmutual.com/Campaign-Pages/CLE-Care-HMO.aspx

Cofinity (formerly PPOM/Flora Health Network) – www.cofinity.net

Delta Dental – www.deltadentaloh.com

DenteMax – www.dentemax.com

DentaQuest (fka Doral Dental) – www.dentaquest.com
Envolve Vision fka OptiCare Vision – www.opticare.com
Buckeye Community Health Plan

EyeMed – www.eyemed.com
Gateway – www.gatewayhealthplan.com
Medicare Assured

HealthSmart – www.healthsmart.com
HealthSmart Preferred Care (Accel product)

HealthLink – www.healthlink.com
HealthLink Open Access II, HealthLink Open Access III, HealthLink PPO

HMA

Humana – Choice Care Network – www.humana.com
Commercial PPO Product
Medicare HMO Product
Medicare PPO Product

InterPlan Health Group (formerly DirectCare of America & Primary Health Services) – www.healthsmart.com
PPO Network

Key Benefit Administrators

Magellan Behavioral Health – www.magellanhealth.com

McGregor PACE (fka Concordia Care) – www.mcgregorpace.org
HMO

Medical Mutual of Ohio (MMO) – www.medmutual.com
CLE Care HMO: https://www.medmutual.com/Campaign-Pages/CLE-Care-HMO.aspx
Product names include: SuperMed HMO SuperMed PPO, SuperMed POS, SuperMed Preferred, HMO Health Ohio

Medical Mutual of Ohio Health Exchange – www.medmutual.com

Medical Mutual of Ohio Medicare Advantage – www.medmutual.com
MedMutual Advantage PPO & HMO

MetroHealth Select – www.metrohealth.org/select

Molina Health Exchange – www.molinahealthcare.com

Molina Healthcare – www.molinahealthcare.com
Medicaid Managed Care

Molina Dental – www.molinahealthcare.com
Coverage through Scion

MultiPlan, Inc. – www.multiplan.com
PPO

Ohio Health Choice – www.ohiohealthchoice.com
PPO

OPN eHealth Services (formerly Ohio Preferred Network) – www.opnehealth.com
PPO

Optum Behavioral Health (UnitedHealthcare) – www.uhc.com
Commercial, Medicare, Medicaid, Medicare-Medicaid Dual Eligible

Paramount Advantage – www.paramounthealthcare.com
Medicaid Managed Care

PHCS (Private HealthCare Systems)

SummaCare – HMO – www.summacare.com
HMO 1000 Series, Federal Employees Health Benefits Program
POS product
PPO product

Superior Vision fka Block Vision – www.blockvisiononline.com
Medicaid

Three Rivers Provider Network (TRPN) – www.threeriversprovidernetwork.org
PPO agreement

TriCare – www.tricare.mil
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 – www.unicare.com
PPO agreement

UnitedHealthcare Community Plan – www.uhccommunityplan.com
Medicaid Managed Care, MyCare Ohio

UnitedHealthcare Commercial Managed Care – www.uhc.com
HMO, PPO, Charter, Choice, Compass, Core, Navigate, Options, Passport, Select, Medica Choice

UnitedHealthcare Dual Complete Special Needs Plan (SNP) – www.uhc.com

UnitedHealthcare EverCare


UnitedHealthcare Medicare Advantage –www.uhc.com
AARP Medicare Complete, Medicare Complete Choice, (HMO, PPO, POS)
Secure Horizons Medicare Direct

University CompCare – www.uhhospitals.org/compcare
University Hospitals Workers’ Compensation product

USA Managed Care Organization (formerly USA Health Network) – www.usamco.com
PPO

Veterans Choice Program