Accepted Insurance Plans

Aetna Better Health OhioRISE Medicaid program for complex behavioral health needs for children and youth

Aetna CVS Health Exchange

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Aetna HMO/POS/PPO

• 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 MetroHealth Network
• Aetna Choice POS II

Aetna Medicare Advantage

• HMO – Aetna Golden Medicare
• PPO Plan – Aetna Golden Choice

Aetna Assure Special Needs Plan

Ambetter Health Marketplace

AmeriHealth Caritas Ohio Medicaid

Anthem

• Blue Traditional
• Blue Preferred Primary (HMO)
• Blue Preferred Primary Plus (HMO)
• Blue Access (PPO)
• Anthem Pathway Marketplace
  • Pathway Group
  • Pathway HMO & Pathway X HMO
  • Pathway Tiered Hospital & Pathway X Tiered Hospital

Anthem MediBlue Dual Advantage Special Needs Plan

Anthem Medicaid

Anthem Medicare Advantage

• HMO
• PPO

Buckeye Medicare Advantage

Buckeye Community Health Plan (BCHP) Medicaid

Buckeye Community Health Plan

• MyCare Ohio
• Special Needs Plan

Carelon Behavioral Health fka Beacon Health Options

CareSource Medicaid

CareSource Marketplace

CareSource

• MyCare Ohio
• Special Needs Plan

Cenpatico Behavioral Health

Champus

Evernorth Behavioral Health fka Cigna Behavioral Health

Cigna Healthcare

• HMO
• PPO
• Open Access

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Cigna Medicare Insurance | Cigna

• True Choice Medicare (PPO)
• Cigna Preferred Medicare (HMO)

CommuniCare Advantage Special Needs Plan

Coventry Medicare Advantage

Delta Dental

DenteMax

DentaQuest

• AmeriHealth Caritas Ohio Medicaid
• Anthem Medicaid
• CareSource Medicaid, DSNP, Marketplace
• Humana Medicaid

Devoted Health Medicare Advantage

• MA HMO (including POS & SNP)
• MA PPO
• Dental coverage through Delta Dental

Envolve Dental and Vision

• Buckeye Community Health Plan (Medicaid, Medicare, Market Exchange, MyCare Ohio)

EyeMed

HealthLink

• Open Access II
• Open Access III
• PPO

Health Ohio Network PPO

Humana

• Commercial PPO
• ChoiceCare

Humana Medicaid

Humana Medicare Advantage

Magellan Behavioral Health

McGregor PACE (fka Concordia Care)

Medical Mutual of Ohio (MMO)

• CLE-Care HMO (Employer Group)
• CLE-Care HMO Individual (ACA Marketplace)
• SuperMed HMO
• SuperMed PPO
• SuperMed POS
• SuperMed Preferred
• Traditional

Medical Mutual of Ohio Marketplace

Medical Mutual Medicare Advantage

• MedMutual Advantage PPO
• MedMutual Advantage HMO

MetroHealth Select/Skyway

Molina Dental

• Medicaid Only

Molina Marketplace

Molina Medicaid

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Molina Medicare

• Molina HMO Molina Choice Care HMO Molina Choice Care Select HMO Molina Medicare Complete Care HMO D-SNP

MultiPlan PPO

Ohio Health Choice PPO

Optum Behavioral Health (UnitedHealthcare)

• Commercial
• Dual Eligible
• Medicaid
• Medicare

Paramount Medicare Advantage

Perennial Special Needs Plan

PHCS (Private Health Care Systems) PPO

SKYGEN formerly Scion (CareSource, MyCare Ohio, and Molina Medicaid)

SummaCare Commercial

• SCPremier
• SC Premier Tiered
• SCPlus
• SC Plus Tiered
• SCSelect
• SCSelect Tiered
• Mercy Choice
• Mercy Choice Tiered

SummaCare Medicare

• Networks:
• SCMedicare
• SCSecure
• SCSupplemental Standard
• SCSupplemental Select

• Plans:
• Amber NE (HMO)
• Emerald (HMO-POS)
• Garnet (HMO)
• Jade (HMO)
• Ruby (HMO)
• Sapphire (HMO-POS)
• Topaz (HMO)

Superior Vision

• CareSource Medicaid

UniCare

UnitedHealthcare Community Plan

• Medicaid

UnitedHealthcare Dental Medicaid

United Healthcare HMO/POS/PPO

• HMO
• PPO
• Charter
• Choice
• Compass
• Core
• Navigate
• Options
• Passport
• Select
• Medica Choice

UnitedHeallthcare HMO (ACA Marketplace)

UnitedHealthcare Medicare Advantage

• AARP Medicare Complete
• Medicare Complete Choice (HMO, PPO, POS)
• Secure Horizons Medicare Direct

United Healthcare Special Needs Plan

• Special Needs Plan
• MyCare Ohio

USA Managed Care Organization (formerly USA Health Network)

VA Community Care Network

Valor Health Special Needs Plan

Veterans Choice Program

WellCare Medicare Advantage

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