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
Anthem
Blue Traditional (indemnity plan)
Blue Preferred Primary (HMO)
Blue Preferred Primary Plus (HMO)
Blue Access (PPO)
Anthem Medicare Advantage
Medicare HMO
PPO
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
CCHS Employee Health Plan
CIGNA HealthCare of Ohio
HMO
PPO
Open Access
Clarity Health Network
Cofinity (formerly PPOM/Flora Health Network)
DentaQuest (fka Doral Dental)
Envolve Vision fka OptiCare Vision
Buckeye Community Health Plan
Gateway
Special Needs Plan
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
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
Molina Healthcare
Medicaid Managed Care
Molina Dental
Coverage through Scion
MultiPlan, Inc.
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
