Participating Plans 

Ohio State University Medical Center is a healthcare provider for nearly all of the health plans in central Ohio. Please review the following list to make sure OSU Medical Center is a provider on the plan you choose!

We try to keep the list current, but changes are always happening! Your primary source for whether or not a healthcare provider is a part of your health plan is the health company itself. We suggest you double check with them to make sure the hospitals and doctors you want to have care for you are a part of the coverage that the plan provides.

For your convenience, health plan providers with Web sites have their names hyperlinked to their Internet addresses. Many of these Web sites provide specific health plan information as well as a variety of health resources.

Click here to print a formatted list. Note for Microsoft Internet Explorer users: In order for this to print correctly you may need to turn on a print feature on your browser to do so. Click View --> Internet Options. Click on the Advanced tab. Scroll down to Printing and make sure that Print background colors and images is selected.

Key:
X
= Participating Plan
TS = Tertiary or Specific Services only

Note: Participation in a network by University Hospital, The James or University Hospital East does not guarantee the participation of OSU affiliated physicians. Patients should always verify hospital/physician participation with their health plan.

As a patient, you assume responsibility for paying any charges your insurance company denies or does not pay.  Payment will be due prior to services when it is known the service is out of network and or not covered.

Commercial Managed Care Plans The James University Hospital University Hospital East
Aetna X X X
Anthem Blue Cross and Blue Shield X X X
CIGNA Health Care X X X
Community Hospital of Springfield X    
DirectCare America, Inc. (Interplan Health) X X X
Emerald Health X X X
First Health Network X X X
Formost, Inc. X    
FrontPath Health Coalition TS TS TS
Great West Healthcare X X X
Medical Benefits Mutual/Administrators X X X
Medical Mutual of Ohio X X X
Meritain Health (Accountable Health Plan of Ohio) X X X
Multiplan X X X
Ohio Health Choice X X X
Ohio Health Group - HealthReach      
Ohio Health Group - HealthReach X X X
HealthReach Longaberger In-Network X X X
HealthReach Preferred Members,authorization needed for discount -- none -- -- none -- -- none --
OSU Managed Health Care Systems      
City of Bellefontaine Employee Health Plan TS TS TS
Mary Rutan Health Association TS TS TS
OSU Health Plan X X X
Prime Care X X X
OSU Regional University Prime Care X X X
Ohio Wesleyan Health Plan X X X
OSU Well Care X X X
OSU Student Health Plan X X X
Paramount Care / Preferred Options TS TS TS
Private HealthCare Systems (PHCS) X X X
Strategic Health X    
The Health Plan of the Upper Ohio Valley TS TS TS
Trinity Health X X X
Unicare -Reimbursed under Anthem Contract X X X
Unison Health Plan of Ohio X X X
United Healthcare of Ohio X X X
United Resource Networks (Oncology) X X  
 
Medicaid HMOs The James University Hospital University Hospital East
CareSource X X X
Molina X X X
 
Medicare HMOs The James University Hospital University Hospital East
The Health Plan of the Upper Ohio Valley TS TS TS
 
Medicare Select Plans The James University Hospital University Hospital East
Ameri-Plus X X X
Anthem Blue Cross & Blue Shield (not Anthem Senior Advantage) X X X
 
Behavioral Health Plans The James University Hospital University Hospital East
Delaware-Morrow Mental Health Recovery Services Board   X X
Franklin County ADAMH Board   X  
United Behavioral Health - Plan and Employer Divisions   X X
 
Specialty Transplant Networks
   Kidney   Pancreas   Simultaneous Kidney Pancreas   Liver   Heart   Lung   Heart & Lung   Bone Marrow 
Aetna     X*  X*   
Blue Cross and Blue Shield System Blue Quality Centers for Transplant                    X*
CIGNA Lifesource   
FrontPath Health Coalition
Interlink Health Services  X*  X*
Strategic Health   
The LifeTrac Network (Allianz Life)
United Resource Networks              X*      
*Plan approves transplants at OSU based on individual circumstances. If you are seeking transplant services, please contact the applicable program for further information. Even if an "X" is not indicated, OSU may still be able to be considered an in-network provider for your care.

Reference Link: www.ohioinsurance.gov

List Last Modified - 09/25/2008

List Effective Date - 09/01/2008

Plan Type Definitions

Commercial Managed Care Plans are the HMO, PPO, and POS plans that are sponsored by your employer or which you have purchased individually.
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Medicaid HMOs are state approved plans that are available to eligible Medicaid beneficiaries. Medicaid HMOs may offer greater benefits than traditional Medicaid.
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Medicare HMOs are federally approved plans that are available to Medicare beneficiaries. Medicare HMOs usually offer greater benefits than traditional Medicare.
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Medicare Select Plans offer supplemental Medicare Benefits. The benefit plans that are offered are federally regulated.
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Behavioral Health Plans may be offered in conjunction with a commercial or Medicare Managed Care Plan. Also, in this category are county funded ADAMH Boards. Such plans are specific to the provision of mental health and substance abuse services.
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Specialty Transplant Networks may be offered in conjunction with other managed care plans and are specific to the provision of solid organ and bone marrow transplant services. Due to the complex nature of transplantation, you should always contact the applicable transplant program for further information as this list is not all inclusive.
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http://medicalcenter.osu.edu/patientcare/hospitals_locations/insurance/plans/index.cfm