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 –
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 –
HMO – Aetna Golden Medicare, PPO Plan-Aetna Golden Choice

Aetna MetroHealth Network –

Aetna Dental –

Anthem –
Product names are: 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 – Allwell
Medicare Advantage

Buckeye Community Health Plan (BCHP) –
Medicaid HMO

Buckeye Community Health Plan – Health Exchange –

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

CareSource Health Exchange –

CareSource MyCare Ohio –

CCHS Employee Health Plan


CIGNA Behavioral Health –

CIGNA HealthCare of Ohio –
CIGNA products include: HMO, PPO, Open Access

Clarity Health Network


Cofinity (formerly PPOM/Flora Health Network) –

Delta Dental –

DenteMax –

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

EyeMed –
Gateway –
Medicare Assured

HealthSmart –
HealthSmart Preferred Care (Accel product)

HealthLink –
HealthLink Open Access II, HealthLink Open Access III, HealthLink PPO


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) –

Medical Mutual of Ohio (MMO) –
Product names include: 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 –

Molina Health Exchange –

Molina Healthcare –
Medicaid Managed Care

Molina Dental –
Coverage through Scion

MultiPlan, Inc. –

Ohio Health Choice –

OPN eHealth Services (formerly Ohio Preferred Network) –

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 –

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) –

Veterans Choice Program