Ohio State Navbar

Sign In

Participating Plans

The Ohio State University Wexner Medical Center is a healthcare provider for nearly all of the health plans in central Ohio. Please review the following list to make sure Ohio State's 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.

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

Note: Participation in a network by University Hospital, Ross Heart Hospital,
OSUCCC–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 OSUCCC- James University Hospital/Ross Heart Hospital University Hospital East
Aetna X X X
Anthem Blue Cross and Blue Shield X X X
CIGNA Health Care X X X
Coventry X X X
DirectCare America, Inc. (I​nterplan 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 (Cigna Healthcare) X X X
Medical Benefits Mutual/Administrators X X X
Medical Mutual 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 --
OptumHealth (formerly URN) X X  
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    
Tethys X X X
The Health Plan of the Upper Ohio Valley TS TS TS
The Ohio Health Purchasing Alliance (Formerly Meritan/Accountable) X X X
Trinity Health (referral only &/or limited services) X X X
Unicare - Reimbursed under Anthem Contract X X X
United Healthcare of Ohio X X X
 
Medicaid HMOs OSUCCC-James University Hospital/Ross Heart Hospital University Hospital East
CareSource X X X
Molina X X X
UHC Community and State X X X
Buckeye Community X X X
 
Medicare HMOs OSUCCC-James University Hospital/Ross Heart Hospital University Hospital East
The Health Plan of the Upper Ohio Valley TS TS TS
 
Medicare Select Plans OSUCCC-James University Hospital/Ross Heart Hospital University Hospital East
Aetna Medicare Advantage X X X
Ameri-Plus X X X
 
Behavioral Health Plans OSUHarding & Talbot Hall University Hospital/Ross Heart Hospital University Hospital East
Franklin County ADAMH Board   X  
Mount Carmel Health Plan(Medigold)
United Behavioral Health - Plan and Employer Divisions   X
 

Reference Link: www.insurance.ohio.gov.

List Last Modified: 10/01/2012

List Effective Date: 10/01/2012