Health Insurance Directory

This list contains Payors that are contracted with University Hospitals Geauga Medical Center. Where possible, the product-specific participation is included. Please verify the participation status with the Payor prior to patient referral. Most plans require prior authorization for elective admissions and outpatient hospital procedures. This participation grid does not replace the preauthorization requirements.

A

• Aetna Golden Choice PPO
• Aetna Golden Medicare HMO
• Aetna Medicare Open
• Aetna Elect Choice
• Aetna HMO
• Aetna Managed Choice
• Aetna National Advantage Program
• Aetna Open Access Elect Choice
• Aetna Open Access HMO
• Aetna Open Access Managed Choice
• Aetna Open Choice
• Aetna QPOS
• Aetna Traditional Choice
• Aetna US Access
• Anthem Blue Medicare Access
• Anthem Medicare Preferred
• Anthem Partnership Plan (ABD)
• Anthem Senior Advantage
• Anthem SmartValue (PFFS)
• Anthem Blue Access
• Anthem Blue Preferred
• Anthem Community Choice
• Anthem Community Preferred Health Plan (CPHP)
• Anthem Health Maintenance Plan (HMP)
• Anthem Preferred Medical Plan (PMP)
• Anthem Traditional

B

• Beech Street
• Buckeye Community Health Plan (ABD)
• Buckeye Community Health Plan (CFC)
• Buckeye Preferred Network

C

• Cardinal Preferred Care
• Care Assured Plan (PFFS)
• CareSource (CFC)
• CareSource (ABD)
• Cenpatico Behavioral Health (Mental Health carve-out for Buckeye Community Health Plan)
• Century Health Network
• ChoiceCare- Humana Gold Choice
• ChoiceCare
• CIGNA EPO
• CIGNA HMO
• CIGNA Indemnity
• CIGNA Network Open Access POS
• CIGNA Open Access Plus POS
• CIGNA Open Acess HMO/POS
• CIGNA POS
• CIGNA PPO
• CIGNA PPO Plus
• Cofinity (Flora & PPOM)
• Conventry Advantra Freedom (PFFS)
• Coventry
• Coventry Advantra Freedom (PFFS)

D

• DirectCare America
• DirectCare America – DCA Preferred Network

E

• Emerald Health Network

F

• First Health Network Advantra Freedom
• First Health Network
• Fortified Provider Network

G

• Great-West Healthcare HMO
• Great-West Healthcare POS
• Great-West Healthcare PPO

H

• Health Net Federal Services/Tricare
• Hometown Health Network AMS Self Funded HMO/EPO
• Hometown Health Network AMS Self Funded POS
• Hometown Health Network AMS Self Funded PPO
• Hometown Health Network Fully Funded HMO
• Hometown Health Network Insurance Group Fully Funded POS
• Hometown Health Network Insurance Group Fully Funded PPO
• Hometown Health Network Secure Medicare HMO
• Humana Gold Choice (PFFS)
• Humana/ChoiceCare

K

• Klais Health Network

M

• Medical Mutual Advantage Plan (PFFS)
• Medical Mutual of Ohio HMO Health Ohio
• Medical Mutual of Ohio SuperMed Classic
• Medical Mutual of Ohio SuperMed HMO
• Medical Mutual of Ohio SuperMed Plus
• Medical Mutual of Ohio SuperMed Select
• Medical Mutual of Ohio Traditional Indemnity
• MultiPlan

N

• National Provider Network

O

• Ohio Crippled Children’s Fund
• Ohio Health Choice - Access Health Choice
• Ohio Health Choice - Preferred Health Choice
• Ohio Health Choice - Select Health Choice
• Ohio Preferred Network

P

• Pacificare Secure Horizons Direct
• PPONext
• Primary Health Services
• PrimeNet
• PrimeNet Select
• PrimeTime Health Plan Prime PFFS Select
• Private Healthcare Systems
• Pyramid Life Today's Option (PFFS)

S

• Sierra Life- Sierra Optima
• Sterling Option II (PFFS)
• SummaCare Commercial HMO
• SummaCare Commercial POS
• SummaCare Commercial PPO Preferred
• SummaCare Commercial PPO Preferred - Select Network
• SummaCare Individual Solutions
• SummaCare Platinum
• SummaCare Secure Gold Plus
• SummaCare Secure Group
• SummaCare Self Insured EPO
• SummaCare Self Insured POS
• SummaCare Self Insured PPO Preferred
• SummaCare Self Insured PPO Preferred - Select Network
• SummaCare Silver Plus
• SuperMed Classic
• SuperMed HMO
• SuperMed Plus
• SuperMed Select

T

• Team Care Advantage (PFFS)

U

• Unicare
• Unison Health Plan (ABD)
• Unison Health Plan (CFC)
• United Healthcare Choice
• United Healthcare Choice Plus
• United Healthcare Options
• United Healthcare Select
• United Healthcare Select Plus
• UPMC Health Plan

W

• WellCare Health Plan (CFC)
• WellCare Health Plan (ABD)
• WellCare Health Plan Access Advance (Dual Eligible-Special Needs)
• WellCare Health Plan- Duet, Concert, Summit
• WellCare Health Plan Select Choice Value