Health Insurance Directory

This list contains Payors that are contracted with University Hospitals Ahuja Medical Center. Where possible, the product-specific participation is included. Please verify the participation status with the Payor prior to patient referral. Most plans require prior authorization for elective admissions and outpatient hospital procedures. This participation grid does not replace the preauthorization requirements.

A

• Aetna – Elect Choice (EPO)
• Aetna – HMO (HMO)
• Aetna – Managed Choice (POS)
• Aetna – National Advantage Program (Indemnity)
• Aetna – Open Access Aetna Select (POS)
• Aetna – Open Choice (PPO)
• Aetna – QPOS (POS)
• Aetna – Traditional Choice (Indemnity)
• Aetna Affordable Health (Indemnity)
• Aetna Affordable Health Choices (PPO)
• Aetna Choice POS (POS)
• Aetna Choice POS II (POS)
• Aetna Golden Choice Plan PPO (Medicare Advantage)
• Aetna Golden Medicare Open Access HMO Plan (Medicare Advantage)
• Aetna Golden Medicare Plan HMO (Medicare Advantage)
• Aetna Health Network Only (HMO)
• Aetna Health Network Option (POS)
• Aetna Medicare Open Plan (Medicare PFFS Plan)
• Aetna Open Access Elect Choice (EPO)
• Aetna Open Access HMO (HMO)
• Aetna Open Access Managed Choice (POS)
• Aetna Select (HMO)
• American Community Mutual – Commercial (PPO)
• Anthem Blue Cross & Blue Shield – Anthem Essential (PPO)
• Anthem Blue Cross & Blue Shield – Anthem Senior Advantage (Medicare)
• Anthem Blue Cross & Blue Shield – Blue Access (PPO)
• Anthem Blue Cross & Blue Shield – Blue Access Value (PPO)
• Anthem Blue Cross & Blue Shield – Blue Medicare Access (Medicare)
• Anthem Blue Cross & Blue Shield – Blue Preferred Plus POS (POS)
• Anthem Blue Cross & Blue Shield – Blue Preferred/ Blue Preferred Primary (HMO)
• Anthem Blue Cross & Blue Shield – Blue Short-Term (PPO)
• Anthem Blue Cross & Blue Shield – Blue Traditional (Traditional)
• Anthem Blue Cross & Blue Shield – BlueWorldwide Expat (PPO)
• Anthem Blue Cross & Blue Shield – Medicare Preferred (Medicare)
• Anthem Blue Cross & Blue Shield – Premier (PPO)
• Anthem Blue Cross & Blue Shield – SmartSense (PPO)
• Anthem Blue Cross & Blue Shield – SmartValue (Medicare PFFS Plan)

B

• Beech Street – Beechstreet (PPO)
• Buckeye Community Health Plan – ABD (Medicaid)
• Buckeye Community Health Plan – CFC (Medicaid)

C

• Cardinal Preferred Care (PPO)
• CareSource – ABD (Medicaid)
• ChoiceCare (Humana) – ChoiceCare (PPO)
• ChoiceCare (Humana) – Humana Gold Choice (Medicare PFFS Plan)
• CIGNA – Behavioral Health ()
• CIGNA – HMO Open Access (HMO)
• CIGNA – Indemnity (Indemnity)
• CIGNA – Network Open Access (POS)
• CIGNA – Open Access Plus (POS)
• CIGNA – POS Open Access (POS)
• Cigna EPO (EPO)
• Cigna HMO (HMO)
• Cigna Medicare Access (Medicare PFFS)
• Cigna Network (HMO)
• Cigna POS (POS)
• Cigna PPO (PPO)
• Cigna PPO Plus (PPO)
• Cofinity (PPO)
• Coventry – Conventry (PPO)

E

• Emerald Health Network (PPO)

F

• First Health Network (PPO)
• First Health Network – Advantra Freedom (Medicare PFFS Plan)
• Fortified Provider Network (PPO)

H

• Health Plan – THP Insurance Co. Medicare Select (Medicare Select)
• Health Plan – THP Insurance Co. POS (POS)
• Health Plan – THP Insurance Co. PPO (PPO)
• Health Plan – THP Insurance Co. SecureChoice Medicare PPO (Medicare PPO)
• Health Plan – THP SecureFreedom PFFS (Medicare PFFS Plan)
• Health Plan ASO Plan HMO/EPO (HMO/EPO)
• Health Plan ASO Plan POS (POS)
• Health Plan ASO Plan PPO (PPO)
• Health Plan HMO (HMO)
• Health Plan SecureCare Medicare HMO (Medicare HMO)
• HealthSmart National (PPO)
• HealthSmart Preferred Care – Inc. (Accel)
• Humana – Lifesynch A Humana Company ()

I

• Interplan Health Group (PPO)

K

• Klais Health Network (PPO)
• Klais Health Network – KHN BWC Network (Workers Comp)

M

• Medical Mutual – Advantage Plan Freedom (Medicare PFFS Plan)
• Medical Mutual – HMO Health Ohio (HMO)
• Medical Mutual – SuperMed HMO (HMO)
• Medical Mutual – SuperMed Plus (PPO)
• Medical Mutual – SuperMed Select (POS)
• Medical Mutual – SuperMedClassic (Hospital Network)
• Medical Mutual – Traditional Indemnity (Traditional)
• Multiplan (PPO)

O

• Ohio Health Choice – Preferred Health Choice Plus Select (PPO)
• Ohio Health Choice – Preferred Health Choice/Preferred Health Choice Plus (PPO)
• OPN EHealth Services Ltd. – Ohio Preferred Network (PPO)

P

• Pacificare – Secure Horizons Direct (Medicare PFFS Plan)
• PrimeNet (PPO)
• Private HealthCare System (PHCS) – Private Healthcare System (PPO)
• Pyramid Life – Today's Option (Medicare PFFS Plan)

S

• SummaCare – Mercy Choice (Commercial)
• SummaCare – SCPlus (Commercial)
• SummaCare – SCPremier (Commercial)
• SummaCare – SCPremier Tiered (Commercial)
• SummaCare – SCPrime (Commercial)
• SummaCare – SCPrime Tiered (Commercial)
• SummaCare – SCSecure (Medicare Advantage)
• SummaCare – SCSelect (Commercial)
• SummaCare – SCSupplemental Select (Medicare Advantage)
• SummaCare – SCSupplemental Standard (Medicare Advantage)

T

• Three Rivers Provider Network – TRPN (PPO)

U

• Unison Health Plan – ABD (Medicaid)
• Unison Health Plan – CFC (Medicaid)
• United Healthcare – Behavioral Health ()
• United Healthcare – Choice (HMO)
• United Healthcare – Choice Plus (POS)
• United Healthcare – Golden Rule (Commercial)
• United Healthcare – Indemnity (Indemnity)
• United Healthcare – Medicare Complete (Medicare Advantage)
• United Healthcare – Options (PPO)
• United Healthcare – Secure Horizons (AARP)
• United Healthcare – Secure Horizons (HMO)
• United Healthcare – Secure Horizons (Medicare PFFS Plan)
• United Healthcare – Select (HMO)
• United Healthcare – Select Plus (POS)
• University CompCare – Workers Comp (Workers Comp)

W

• Wellcare – Access Advance (Dual Eligible- Special Needs)
• Wellcare – CFC (Medicaid)
• Wellcare – Select Choice Value (Medicare Advantage)