Insurance Plans

We are pleased to participate with most major health insurance plans. Please review the comprehensive list below of insurance companies with whom we partner.  We are often adding insurance companies; please contact your insurance company for verification of participation.

  • Medicare, Railroad Medicare and the following Medicare plans:
    • Aetna Medicare Advantage Plan under the MGO agreement
    • Anthem Medicare
    • Anthem Mediblue Dual Advantage HMO plan
    • Health Span Medicare Advantage (a Health Span Plan)
    • Humana Medicare (a Humana Plan)
    • Secure Horizon (a UHC Product)
    • SummaCare Medicare
    • WellCare of Ohio Inc. (a Medicare Advantage Plan)
    • MMO Medicare Advantage Plan effective 01/01/16
  • Medicaid and the following Medicaid plans:
    • Amerigroup
    • Caresource
    • Gateway Healthplan of Ohio Inc.
    • Molina (includes Molina My Care Ohio which is a special program of patients who have dual Medicare and Medicaid)
    • UHC Community Plan (formerly known as Unison)
    • Paramount Advantage
  • Ohio Bureau of Workers' Compensation
  • Champus/TriCare/Champ VA-North Region Only (Standard)
  • Access Health
  • Aetna (excluding Medicaid Aetna Better Health of Ohio)
    • Aetna Medicare Advantage Plan under the MGO agreement
    • Coventry (an Aetna Product, excludes WV Medicaid Product Coventry Cares)
    • First Health (a Coventry/Aetna Product)
  • Anthem (including Medicare and Marketplace Exchange plans EFFECTIVE 11/30/15)
    • Unicare (an Anthem Product)
    • Including Anthem MediblueDual Advantage HMO plan
  • Cigna
  • Cofinity
  • Coventry/First Health (an Aetna Product)
  • E-V Benefits (administered under MMO or multiple other plans with whom we are contracted)
  • First Health/Coventry (an Aetna Product)
  • FrontPath
  • Golden Rule (a UHC Product)
  • Great West Health Insurance
  • Health Reach/Ohio Health (Ohio Health Group PPO) (includes HealthReach Advantage, HealthReach Prime, HealthReach Preferred - administered by Optima Health)
    • Aultcare (a Health Reach Product)
    • Aultra (a Health Reach Product)
  • Health Span (a Mercy Health Partners PPO Contract)
    • Health Star (a Health Span Product)
    • InHealth Network (under the Health Span contract)
  • Humana (All Products)
    • ChoiceCare (a Humana Product)
  • Huron Coordinated Health (also known as Coordinated Healthcare or Community Coordinated Healthcare) 
  • Medical Mutual of Ohio (MMO)
    • MMO’s new Medicare Advantage Plan
    • MMO’s new Marketplace plan through the MGO contract
    • United Medical Resources under MMO and UHC
    • Ohio State University Health Plans (under the MMO contract) 
  • Meijer (administered by Paramount)
  • Ohio Health Choice (Third Party Administrator (TPA) with over 50 third tier plans. OHC card will have claims filing address on back of card)
    • InHealth Network (a Marketplace plan that falls under Ohio Health Choice)
    • NWOH (an Ohio Health Choice Plan - Wyandot Memorial Hospital only)
  • OhioHealth Employee Network (administered by Optima, paid by OhioHealth under the OhioHealth’s Health Reach contracted rates, cards start with '000' and administrated by Optima)
  • Ohio State University Health Plans (under the MMO contract)
  • Optima Health
    • Administers HealthReach/OhioHealth
    • Administers OhioHealth Employee Network/Ohio Preferred
  • Paramount (all plans)
    • Meijer (Paramount is the TPA for this plan)
  • River Valley Health Alliance/RVHA (Marietta Hospital employee plan)
  • Stratose
  • SummaCare
  • United Healthcare
    • Fiserv (a UHC Product)
    • Golden Rule (a UHC Product)
    • PHI (A UHC Product administered by UMR for Clinton Hospital Employees) 
    • River Valley (a UHC Product; all ID numbers start with JD)
    • Secure Horizon (a UHC Medicare Product)
    • United Medicare Resources under UHC or MMO
    • UHC Community Plan (a UHC Medicaid Product)
    • UHC Compass/Marketplace plans (RRIA participates by default because we participate with their Choice Plus Network which Marketplace plans are built into; standard Choice Plus Network rates apply)