UC Health Accepted Insurance Plans

Transcription

1 INSURANCE CARD TYPICAL NAME PRODUCT TYPE UCMC TDC WCH UCPC 3-hab Ohio ID Card AARP Medicare Advatage Complete (underwritten by United Health Care Medicare Advantage AARP (Supplemental underwritten by United Healthcare) Aetna Better Health My Care Ohio (Aetna logo) Aetna Better Health of Ohio There is no Medicare logo if it is only the Medicaid portion of a dual plan Aetna Better Health Medicare Dual My Care Ohio (Aetna logo) Aetna Better Health of Ohio (Medicare logo on card) Dual Medicaid portion Dual Medicare portion Aetna Cincinnati Preferred Aetna Medicare SERS Aetna Medicare OPERS Aetna Medicare STRS PPO Aetna Medicare PFFS (no contract; physician choice) Medicare Aetna - Transplant must call Transplant Transplant Only Aetna U.S. Healthcare Aetna Open Access Aetna Select Aetna Whole Health (Exchange Plan) Ohio Health Exchange iance Behavioral Care - on back of cards Behavioral Amerigroup Amerigroup Community Care Amerigroup Real Solutions Anthem BC/BS Blue Cross Blue Shield BC/BS Blue Traditional BC/BS Federal Employee Program University of Cincinnati Employees begin OH Managed Medicaid BCBS Blue Priority Anthem Blue Priority Blue Priority HMO Transplant only YES Anthem Blue Access Value - Medicare Medicare YES Anthem Liver Transplant - must call Transplant YES Transplant Only UC Health Accepted Insurance Plans 1 4/8/2015

2 Anthem Managed Medicaid (Indiana) Anthem Medicaid with YRH or YRK prefix on member ID Anthem Managed Medicaid (Kentucky) Anthem Medicaid with XTF prefix on member ID Anthem Medicare Select Anthem Senior Advantage HMO Anthem Medicare Preferred PPO Anthem Pathway X Tiered Pathway Tiered Managed Medicaid Managed Medicaid Medicare Select PCP only Transplant only Anthem BCBS Senior Advantage Senior Advantage and PPO YES Beech Street - may be found on multiple different cards Bluegrass Family Health KY Exchange Buckeye - Advantage by Buckeye Community Health Plan; member will have traditional OH Medicaid as secondary; not part of MyCare OH Managed Medicare Buckeye - AmBetter Buckeye Exchange Buckeye MyCare Ohio - Medicaid (back of card says Medicaid Member Only) There is no Medicare logo when it is Medicaid only Dual Medicaid portion Buckeye MyCare Ohio - Medicare logo on front of card Dual Medicare portion Buckeye Community Health Plan (not part of a dual enrollment) typically CFC and ABD OH Managed Medicaid CareSource OH Managed Medicaid CareSource Advantage CareSource Managed Medicare SNP OH Medicare and SNP YES Just 4 Me CareSource In Network as of YES Center Care Choice Care Humana CHA HMO-Part of Humana UC Health Accepted Insurance Plans 2 4/8/2015

3 Champus United States Uniformed Services Tricare Healthnet Prime or Standard Tricare Champus Local VA patients will not have a card. They will have a paper referral to scan. It may say HealthNet. CIGNA commercial, except Behavioral CIGNA Behavioral Behavioral YES CIGNA Lifesource Transplant - must call Transplant Concert Health Plan Coventry Cares KY Managed Medicaid Crossroads Custom Design Benefits Network True Cost Destiny DCA or Direct Care America Chandler Group Interplan Ohio Com Network HealthSmart logo Emerald Health Network logo Indiana State Council of Roofers Health and Welfare Evercare First Health logo on the back of different cards First Health logo on the back of different cards; worker's comp noted Great West (One Health Plan) CIGNA One Health UC Health Accepted Insurance Plans 3 4/8/2015

4 HealthNet Veterans Administration -Referral should be presented by the patient. There is no card. Govt HealthSpan PPO HealthSpan Preferred HealthSpan Butler Health Plan HealthSpan HealthSpan Select (Exchange) Heartland MDwise Hoosier IN Managed Medicaid PBP MDwise Marketplace IN Health Exchange Horizon Behavioral Services - Termed Behavioral YES of Bluegrass of Cincinnati of Dayton of Hope of Middletown of Southwest Ohio Humana Other Humana ChoiceCare YES Transplant Only Humana HMOx Humana Gold Plus HMO OH Managed Medicare Humana Gold Choice PFFS Medicare logo Medicare Humana PPO Medicare logo Medicare Humana National Transplant- must call Transplant Transplant only Transplant Only UC Health Accepted Insurance Plans 4 4/8/2015

5 Humana Preferred POS or PPO Humana TriHealth CareSource Humana KY Managed Medicaid in health Ohio PPO Connect Begins Interlink - Transplant must call Transplant Transplant only Transplant Only Kentucky Health Cooperative with First Health logo KY Exchange Kentucky Spirit -TERMED left market KY Managed Medicaid Klais Health Network TERMED UC Students use UHC Workers Comp Ky Life Synch Humana Behavioral YES YES Maple Knoll Medical Mutual - look for Rx Group = MMOEXCH Medical Mutual PFFS Medicare Medical Mutual Medical Mutual Supermed PPO Medical Mutual Access Mail Handlers Benefits Plan for Hospital but not Behavioral Careworks BWC Bureau of Workers Comp Ohio MediGold Managed Medicare MetraComp Molina MyCare Molina There is no Medicare logo if it is only Medicaid portion of a dual plan Dual Medicaid portion UC Health Accepted Insurance Plans 5 4/8/2015

6 Molina MyCare Molina (Medicare logo is present) Dual Medicare portion Molina Medicaid (not part of a dual) Managed Medicaid Molina Medicare (not part of a dual) Managed Medicare Molina Marketplace Molina Healthcare MultiPlan - Transplant must call Transplant Transplant only Transplant only MultiPlan BCE Emergis, UP & UP, Foremost, Pro-America, Health Network, BPS, Wellmark, Ohio Health, Med Network Mutual of Omaha Plan Care America or NPPN HealthSmart label sometimes Ohio Employee Health Partnership Ohio Health Choice Access Ohio Health Choice Preferred Ohio Health Choice Select Paramount Advantage OH Managed Medicaid Paramount HMO Network Group number begins with "IX" Physicians Mutual Cofinity PPOM CareWorks BWC Primary Health Systems PHCS Private Healthcare Systems Protocol Tertiary Network - Transplant must call Transplant Transplant only YES Transplant only Provider Select RiverLink Health Managed Medicare Sagamore Health UC Health Accepted Insurance Plans 6 4/8/2015

7 Summit Behavioral Health Behavioral TRPN Three Rivers Three Rivers Provider Network UMR UC Health UHC Medicare PPO Comp * Subscribers have out of network benefits and payment is equivalent to in-network. Patients can be seen at all facilities. Medicare Advantage United Healthcare with Mental Health notation on back Optum Behavioral YES YES UHC Select Medicare UHC Secure Horizons UHC Medicare UHC Medicare PFFS AARP Medicare Advantage Medicare Advantage United Healthcare Other United Hlthcare Choice United Hlthcare Select United Hlthcare PPO UHC United Medical Resource United Hlthcare Indemnity United Hlthcare River Valley United Hlthcare Student Resource UnitedhealthOne(Golden Rule) United Healthcare Compass UHC Community Care OH Medicaid United Resource Networks (URN) Optum - Transplant must call Transplant Transplant only YES Transplant only YES United Hlthcare Student Resource UC Health Accepted Insurance Plans 7 4/8/2015

8 USA Managed Care Organization USA USA Medicare USA Work Comp Value Options Behavioral Vista Care USA Vitas WellCare Medicaid of Kentucky KY Managed Medicaid WellCare KY Medicare Managed Medicare WellCare Medicare OH left market OH Managed Medicare Western Southern Financial Group ensation - Patient has no card until a Case is created by the State Bureau of UC Health Accepted Insurance Plans 8 4/8/2015