Health insurance is changing Anthem Blue Cross and Blue Shield is here to help! Your health benefits are changing and we ve got new choices for you. Did you know Anthem is offering Individual plans on the Health Insurance Marketplace under the name Anthem Blue Cross and Blue Shield. Anthem has been providing health plans to both individuals and employer groups in Ohio for over 70 years. You may get help paying for your health coverage. To see if you qualify for aid, you need to be enrolled in a plan through the Marketplace. Let us connect you to the right resources. Ohio Pathway X Tiered Hospital Network Map 31,760 physicians Williams Defiance Paulding Van Wert Henry Allen Toledo Lucas Hancock 128 hospitals Sandusky Seneca Erie Huron Richland Lake Ashtabula Cleveland Geauga Cuyahoga Trumbull Lorain Youngstown Medina Summit Mahoning Wayne Stark Columbiana Jefferson Shelby Clark Montgomery Dayton Greene Butler Clinton Fayette Columbus Franklin Fairfield Ross Guernsey Belmont Muskingum Washington Marietta To learn more about your choices, contact one of our independent broker partners: Toll free Hamilton Cincinnati Brown Highland Adams Pike Jackson Scioto Gallia Tier 1 Tier 2 Adams Allen Ashtabula Belmont Brown Butler Cincinnati Clark Cleveland Clinton Columbiana Columbus Cuyahoga Dayton Defiance Erie Fairfield Fayette Franklin Toll free 800-318-2596 HealthCare.gov Gallia Geauga Greene Guernsey Hamilton Hancock Henry Highland Huron Jackson Jefferson Lake Lorain Lucas Mahoning Marietta Medina Montgomery Muskingum Paulding Pike Richland Ross Sandusky Scioto Seneca Shelby Stark Summit Toledo Trumbull Van Wert Washington Wayne Williams Youngstown Go to anthem.com for the complete listing of the more than 31,700 primary care physicians and specialists in our Pathway X Tiered Hospital network. Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensee of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. 43323OHMENABS Rev. 05/14 1 of 7
The new Anthem Blue Cross and Blue Shield Ohio Pathway X Tiered Hospital Network includes the following hospitals: HOSPITAL COUNTY TIER Adams County Regional Medical Center Adams Tier 1 Adena Greenfield Medical Center Highland Tier 1 Adena Pike Medical Center Pike Tier 1 Adena Regional Medical Center Ross Tier 1 Affinity Medical Center Doctors Campus Stark Tier 1 Akron General Medical Center Summit Tier 1 Alliance Community Hospital Stark Tier 1 Beavercreek (Soin) Medical Center Greene Tier 1 Bellevue Hospital Sandusky, Huron, Erie Tier 1 Belmont Community Hospital Belmont Tier 1 Bethesda Butler Hospital Butler Tier 1 Bethesda Hospital Hamilton Tier 1 Blanchard Valley Hospital Hancock Tier 1 Bluffton Hospital Allen Tier 1 Christ Hospital Hamilton Tier 1 Clinton Memorial Hospital Clinton Tier 1 Community Hospitals and Wellness Centers Archbold Medical Center Fulton Tier 1 Community Hospitals and Wellness Centers Bryan Hospitals Williams Tier 1 Community Hospitals and Wellness Centers Montpelier Hospital Williams Tier 1 Dayton Children's Hospital Montgomery Tier 1 Diley Ridge Medical Center Franklin Tier 1 East Liverpool City Hospital Columbiana Tier 1 East Ohio Regional Hospital (a.k.a., Ohio Valley Medical Center) Belmont Tier 1 Edwin Shaw Rehab Summit Tier 1 EMH Regional Medical Center Lorain Tier 1 Fairfield Medical Center Fairfield Tier 1 Fayette County Memorial Hospital Fayette Tier 1 Firelands Regional Medical Center Erie Tier 1 Fort Hamilton Hughes Hospital Butler Tier 1 Good Samaritan Hospital Hamilton Tier 1 Grandview Medical Center Montgomery Tier 1 Greene Memorial Hospital Greene Tier 1 Henry County Hospital Inc Henry Tier 1 Hillside Rehab Hospital Trumbull Tier 1 Holzer Medical Center Gallia Tier 1 Holzer Medical Center Jackson Jackson Tier 1 Kettering Medical Center Montgomery Tier 1 Kings Daughters Medical Center Scioto Tier 1 Lake West Hospital Lake Tier 1 Lima Memorial Hospital Allen Tier 1 2 of 7
The new Anthem Blue Cross and Blue Shield Ohio Pathway X Tiered Hospital Network includes the following hospitals: HOSPITAL COUNTY TIER Lodi Community Hospital Medina Tier 1 Marietta Memorial Hospital Washington Tier 1 MedCentral Health System Richland Tier 1 MedCentral Health Shelby Hospital Richland Tier 1 Memorial Hospital Sandusky Tier 1 Mercy Medical Center Canton Stark Tier 1 Metrohealth Physicians and Health Centers Cuyahoga Tier 1 Mount Carmel East Franklin Tier 1 Mount Carmel New Albany Surgical Hospital Franklin Tier 1 Mount Carmel West Franklin Tier 1 Nationwide Childrens Hospital Franklin Tier 1 Northside Medical Center Mahoning Tier 1 Ohio Valley Medical Center* Clark Tier 1 Parma Comm General Hospital Cuyahoga Tier 1 Paulding County Hospital Paulding Tier 1 ProMedica Bay Park Hospital Lucas Tier 1 ProMedica Defiance Regional Hospital Defiance Tier 1 ProMedica Flower Hospital Lucas Tier 1 ProMedica Fostoria Community Hospital Seneca Tier 1 ProMedica St. Luke's Hospital Lucas Tier 1 ProMedica Toledo Children s Hospital Lucas Tier 1 ProMedica Toledo Hospital Lucas Tier 1 St. Ann's Hospital Franklin Tier 1 St. Elizabeth Boardman Health Center Mahoning Tier 1 St. Elizabeth Health Center Mahoning Tier 1 St. John Medical Center Cuyahoga Tier 1 St. Joseph Health Center Trumbull Tier 1 St. Vincent Charity Hospital Cuyahoga Tier 1 Salem Comm Hospital Columbiana Tier 1 Selby General Hospital Washington Tier 1 Southeastern Ohio Regional Medical Center (SEORMC) Guernsey Tier 1 Southern Ohio Medical Center (SOMC) Scioto Tier 1 Southview Medical Center Montgomery Tier 1 Southwest General Health Center Cuyahoga Tier 1 Southwest Regional Medical Center Brown Tier 1 Surgical Hospital at Southwoods Mahoning Tier 1 Sycamore Medical Center (Kettering) Montgomery Tier 1 Trinity Hospital Twin City Tuscarawas County Tier 1 TriHealth Evendale Hospital Hamilton Tier 1 3 of 7
The new Anthem Blue Cross and Blue Shield Ohio Pathway X Tiered Hospital Network includes the following hospitals: HOSPITAL COUNTY TIER Tripoint Medical Center Lake Tier 1 Trinity Health System Jefferson Tier 1 Trumbull Memorial Hospital Trumbull Tier 1 University Hospitals Ahuja Medical Center Cuyahoga Tier 1 University Hospitals Bedford Medical Center Cuyahoga Tier 1 University Hospitals Case Medical Center Cuyahoga Tier 1 University Hospitals Conneaut Medical Center Ashtabula Tier 1 University Hospitals Geauga Medical Center Geauga Tier 1 University Hospitals Geneva Medical Center Ashtabula Tier 1 University Hospitals MacDonald Women's Hospital Cuyahoga Tier 1 University Hospitals Rainbow Babies and Children's Hospital Cuyahoga Tier 1 University Hospitals Richmond Medical Center Cuyahoga Tier 1 University Hospitals Seidman Cancer Center Cuyahoga Tier 1 Van Wert County Hospital Van Wert Tier 1 Western Reserve Hospital Summit Tier 1 Wilson Memorial Hospital Shelby Tier 1 Wooster Community Hospital Wayne Tier 1 Genesis Healthcare Systems Muskingum Tier 2 AMBULATORY SURGERY CENTER (ASC) FACILITY COUNTY TIER An ASC is a facility where outpatient surgeries and procedures are performed. The patient is treated and released the same day. Affiliated Ambulatory Surgery Center LLC Franklin Tier 1 Artisan Surgery Center Lucas Tier 1 Avamar Center for Endoscopy Trumbull Tier 1 Beacon Orthopaedics Surgical Center LLC Hamilton Tier 1 Belmont Eye Surgery Mahoning Tier 1 Big Creek Surgery Center Cuyahoga Tier 1 CDH Endoscopy Center Lake Tier 1 Center for Advanced Eye Surgery Mahoning Tier 1 Center for Surgery Summit Tier 1 CG Endoscopy Center Stark Tier 1 Chardon Surgery Center Geauga Tier 1 Cincinnati Eye Institute Hamilton Tier 1 Consultants in Gastroenterology Inc Cuyahoga, Lake Tier 1 Digestive Care Inc Montgomery Tier 1 Digestive Health Center Ltd Summit Tier 1 Endoscopy Center at Bainbridge Cuyahoga, Geauga Tier 1 Endoscopy Center Of Dayton Montgomery Tier 1 Eyes on Stark/Vista Surgery Center Stark Tier 1 4 of 7
FACILITY COUNTY TIER Gastroenterology Aso Stark Tier 1 Gastroenterology Spec Stark Tier 1 Global Ambulatory Surgical Center Stark Tier 1 Governors Place Asc LLC Montgomery Tier 1 Lee Surgery Center Mahoning Tier 1 Lippy Surgery Center Trumbull Tier 1 Marietta Surgery Center Washington Tier 1 Mentor Surgery Center Lake Tier 1 Mill Creek Endoscopy Suites Mahoning Tier 1 North Ohio Endoscopy Center Cuyahoga Tier 1 North Shore Endoscopy Center Cuyahoga Tier 1 Northwest Ohio Endoscopy Center Lucas Tier 1 Norwood Endoscopy Center Hamilton Tier 1 NovaMed Surgery Center of Sandusky Erie Tier 1 Ohio Valley Ambulatory Surgery Center Washington Tier 1 Orthopaedic Surgery Center Mahoning Tier 1 Physicians Ambulatory Surgery Center Pickaway Tier 1 Planned Parenthood East Columbus Surgical Center Franklin Tier 1 Planned Parenthood of Greater Cleveland Cuyahoga Tier 1 Premium Surgery Center LLC Lorain Tier 1 Revision Advanced Surgery Center Inc Richland Tier 1 St Clare Surgery Center Summit Tier 1 Surgery Center at Akron General Health and Wellness Summit Tier 1 Surgery Center of Canfield LLC Mahoning Tier 1 Surgicare Ambulatory Surgery Center Lucas Tier 1 SW Ohio Ambulatory Surg Butler Tier 1 The Center of GI Endoscopy Cuyahoga Tier 1 The Endoscopy Center of Lake County Lake Tier 1 The Eye Surg Center Wooster Wayne Tier 1 The Surgery Center Cuyahoga Tier 1 The Surgery Center Pearl Cuyahoga Tier 1 The Urology Center Hamilton Tier 1 Tri State Endoscopy Hamilton Tier 1 Tri State Eye Surgery Center Hamilton Tier 1 Tuscarawas Amb Surgery Center Tuscarawas Tier 1 University Hospitals Lyndhurst Surgery Center Cuyahoga Tier 1 University Hospitals Mentor Surgery Center Lake Tier 1 University Hospitals Westlake Surgery Center Cuyahoga Tier 1 University Suburban Endoscopy Center Cuyahoga Tier 1 5 of 7
FACILITY COUNTY TIER Valley Endoscopy Center Belmont Tier 1 Valley Surgery Center Jefferson Tier 1 Warren Gastrointestinal Endoscopy Center Trumbull Tier 1 Western Reserve Surgery Center Portage Tier 1 Wilmington Surgical Services Clinton Tier 1 LARGER PRIMARY CARE PHYSICIAN GROUPS COUNTY TIER Adena Fayette, Jackson, Tier 1 Pickaway, Pike, Ross Atrium Medical Group Inc Cuyahoga Tier 1 Bethesda Family Practice TriHealth Hamilton Tier 1 Blanchard Valley Medical Practice, LLC Hancock, Hardin, Putnam, Tier 1 Wyandot Blanchester Medical Services Clinton Tier 1 Central Ohio Primary Care Delaware, Franklin, Tier 1 Licking Dayton Children's Professional Montgomery Tier 1 East Clinton Medical Services Clinton Tier 1 Fairfield Community Health Center Fairfield Tier 1 Fairfield Healthcare Professionals Inc Fairfield Tier 1 Family Physicians of Springfield Clark Tier 1 Fremont Cooperative Care Sandusky, Lucas Tier 1 Genesis Area Muskingum Tier 1 Genesis Primary Care Physicians LLC Muskingum Tier 1 Greene Memorial Hospital Services Kettering Greene, Montgomery Tier 1 Group Health TriHealth Butler, Hamilton, Warren Tier 1 Health First Physicians TriHealth Clermont Tier 1 Holzer Galia, Jackson Tier 1 Huber Heights Medical Montgomery Tier 1 Kettering Alliance Butler, Greene, Miami, Tier 1 Montgomery, Warren Lake PHO Lake Tier 1 Lima Memorial Professional Corporation Allen Tier 1 Main Street Family Practice Montgomery Tier 1 Marietta Healthcare Phys Washington Tier 1 MedCentral Professional Foundation Richland Tier 1 Mercy Professional Care Corporation Stark Tier 1 Metrohealth Health Centers Cuyahoga Tier 1 Mt Carmel Health Providers III, LLC Franklin Tier 1 Mt Carmel Health Providers Inc Franklin Tier 1 Mt Carmel Health System Physicians Franklin Tier 1 6 of 7
LARGER PRIMARY CARE PHYSICIAN GROUPS COUNTY TIER Nationwide Children s Hospital Delaware, Franklin, Tier 1 Lawrence, Licking Ohio Pediatrics, Inc. Montgomery Tier 1 PCH Physicians Services Paulding Tier 1 Pediatric Academic Associates, Inc. Franklin Tier 1 Poland Medical Group Mahoning Tier 1 PPG Partners Physician Group (Akron General) Summit Tier 1 Premier Physicians Center Inc Cuyahoga Tier 1 Prima Health Care Columbia, Mahoning Tier 1 Primary Health Network Mercer Tier 1 ProMedica Physician Groups Lucas, Defiance, Wood Tier 1 Queen City Physicians TriHealth Butler, Hamilton Tier 1 Ridgepark Medical Associates Inc Cuyahoga Tier 1 SCH Professional Group Mahoning, Trumbull Tier 1 Springfield Center for Family Medicine Clark Tier 1 Springfield Health Care Clark Tier 1 Superior Medical Care Lorain Tier 1 Superior Medical Center Guernsey, Noble Tier 1 Sycamore Primary Care Kettering Montgomery Tier 1 The Christ Hospital Medical Associates Hamilton, Kenton Tier 1 Toledo Clinic Lucas Tier 1 TriHealth Physician Practices LLC Butler, Hamilton Tier 1 Trinity Family Care Centers (Trinity) Jefferson Tier 1 Trumbull Mahoning Medical Group (TMMG) Trumbull, Mahoning Tier 1 Unity Health Network/SWRH Summit Tier 1 University Hospital Medical Group Cuyahoga, Lake, Tier 1 Geauga, Ashtabula, Medina, Lorain, Summit, Erie, Portage University Hospital Primary Care Practices Cuyahoga, Lake, Tier 1 Geauga, Ashtabula, Medina, Lorain, Summit, Erie, Portage Wellcare Physicians Groups LLC Lucas Tier 1 Westshore Primary Care Associates Inc Cuyahoga, Logan Tier 1 Wilmington Medical Aso Clinton Tier 1 Wilson Care Shelby Tier 1 *ER services are not available at this facility. This listing of Pathway X Tiered Hospital Network is effective as of May 1, 2014. While we make efforts to ensure it is up to date and accurate, these listings do change periodically. We recommend you contact the provider to confirm that they are in your network prior to your appointment. 7 of 7