Hospitals Insurance Coverage

The following list includes the insurance carriers that are generally accepted at UH Rainbow Babies & Children’s Hospital and Physician Practices. Where possible, details on specific participation is included. Most plans require prior authorization for elective admissions and outpatient hospital procedures. This participation grid does not replace the pre-authorization requirements.

A

• Aetna
• Aetna Better Health (OhioRISE)
• Aetna Medicare Advantage
• AmeriHealth Caritas (Medicaid)
• Amish Community Aid Fund
• Anthem
• Anthem Medicare Advantage
• Anthem Pathway X PPO
• Ambetter
• AultCare
• Aultcare/Aultman Employee Network (contracted for tertiary services upon authorization)
• Aultcare Heartland Network (contracted for tertiary services upon authorization)
• Aultcare Select Network (contracted for tertiary services upon authorization)

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B

• BeechStreet
• Behavioral Health Systems
• Breast & Cervical Cancer Program (BCCP)
• Buckeye Ambetter (Marketplace)
• Buckeye Community Health Plan (Medicare)
• Buckeye Community Health Plan (Medicaid)
• Buckeye MyCare Ohio (Dual-Eligible Plans)
• Buckeye Plain Ministry Group

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C

• CareSource Marketplace
• CareSource (Medicaid)
• CareSource MyCare Ohio (Dual-Eligible Plans)
• Cenpatico (Behavioral Health)
• Choice Care
• Christian Healthcare Ministries
• Cigna
• Cigna Behavioral Health
• Cigna Medicare Advantage
• Clarity Health
• Cofinity
• CompCare Behavioral

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D

• Devoted Health, Inc. – Medicare Advantage

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F

• First Health Network
• Fortified Provider Network

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H

• HealthAmerica Medicare Advantage
• The Health Plan (Commercial)
• The Health Plan Medicare Advantage (Formerly Hometown)
• Health Ohio Network
• HealthSmart & HealthSmart Accel (Formerly Emerald Health)
• Humana (Commercial)
• Humana – Medicare Advantage
• Humana (Medicaid)
• Humana Military

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I

• Immergrun

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L

• LifeSynch (Behavioral Health)

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M

• Medical Mutual of Ohio (SuperMed/Traditional/HMO Health Ohio/MedFlex/Northern Ohio Marketplace Plan)
• Medical Mutual of Ohio – Medicare Advantage
• Medicare
• Medicaid
• Molina (Medicaid)
• Molina – Medicare Advantage
• MultiPlan

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N

• Northern Ohio Handicap Fund

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O

• Ohio Bureau of Workers Compensation
• Ohio Crippled Children’s Fund
• Ohio Health Choice (Commercial)
• Ohio Health Choice Preferred Choice Plus
• Ohio Preferred Network
• Optum Behavioral Health Solutions

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P

• Paramount
• Paramount (Medicaid – ending 2/1/23)
• Paramount Medicare
• Perrenial Advantage (Medicare Special Needs Plan)
• Private Health Care Systems

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S

• SummaCare (Commercial)
• SummaCare Medicare Advantage

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T

• Three Rivers Provider Network
• Tricare

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U

• UH Choice
• United Healthcare (Commercial)
• United Healthcare Medicare Advantage
• United Community Health Plan (Medicaid)
• United MyCare Ohio

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V

• Valor Health Plan (Medicare Special Needs Plan)
• Veterans Affairs Community Care Network

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W

• WellCare Health Plans – Medicare Advantage

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