Southwest General Hospital

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Insurance Plans Accepted

This hospital accepts your health insurance card

This hospital and its doctors accept many managed care plans Health Maintenance Organizations (HMO), Point of Service (POS) or Preferred Provider Organizations (PPO), as well as all commercial and governmental plans.

Managed Care Plan

In an effort to better serve our patients and physicians, Southwest General has pursued contracts with many managed care organizations (MCOs). Our goal in managed care contracting is to provide easy access to our services by participating in a broad selection of MCO networks. We strive to develop contracts with companies who not only provide good medical coverage to their subscribers, but also who provide fair reimbursement and equitable contract terms. In addition to accepting traditional commercial insurance plans, the Health Center has arranged special “managed care” contracts with the following entities:

Southwest General accepts all Medicare Private Fee-For-Service (PFFS) plans.

 

Aetna US Healthcare
800-839-2386
• Aetna HealthFund
• HMO
• Elect Choice (EPO)
• Aetna Open Access HMO
• Aetna Open Access Elect Choice (EPO)
• Quality Point-of-Service (QPOS)
• Managed Choice (POS)
• USAccess
• Aetna Choice POS
• Aetna Choice POS II
• Aetna Open Access Managed Choice (POS)
• Open Choice (PPO)
• Traditional Choice Indemnity

Anthem Blue Cross and Blue Shield of Ohio
216-573-4623
• Blue Access (PPO)
• Blue HMO
• Blue Preferred (HMO, POS, EPO)
• Blue Traditional
• Blue Card (PPO)
• Anthem Senior Advantage (PPO, HMO)
• Anthem Medicare Preferred
• Blue Medicare Access
• Ford MHSA
• MHSA Partnership Plan (Medicaid HMO)

Beech Street
770-754-4211
• PPO
 
Behavioral Health Systems
205-879-1150
Behavioral Health Only

CareSource Management Group
800-488-0134
• Medicare
• Medicaid

ChoiceCare (Humana)
800-626-2741
• PPO
• Gold Choice Medicare

Cigna Behavioral Health
800-658-0075
Behavioral Health Only

Cigna Healthcare of Ohio
216-642-2930
• HMO
• PPO
• Gatekeeper PPO

Emerald Health Network
216-902-7552
• PPO

First Health
Network/CCN/Coventry

916-374-4600
• PPO

Flora Health Network-PPOM
800-966-0200
• PPO

Great West Healthcare of Ohio, Inc.
440-716-4520
• PPO
(formerly One Health Plan)

Healthstar/PPO Next
800-253-4362
• PPO

Integrated Health Networks
800-837-6333
• PPO

Marymount Behavioral Health
Services
800-989-3277
Behavioral Health Only
Medical Mutual of Ohio
216-687-6064
• Traditional
• SuperMed Select
• SuperMed Classic
• HMO Health Ohio
• SuperMed HMO
• Senior Advantage

National Provider Network
800-543-5260
• PPO

Northcoast HealthCare Management
800-757-7111

Ohio Bureau of Workers'
Compensation (BWC)

800-644-6292
• All BWC MCO's

Ohio Health Choice Plan/Ohio
Health Choice Plus

440-250-4000
• PPO
• EPO
• Steered Indemnity

Ohio Preferred Network
330-528-3512
• PPO

PHS/Direct Care America
330-686-7030
• PPO

Private Healthcare Systems/MultiPlan
800-950-7040
• PPO
• POS

SummaCare
800-996-8401

United Behavioral Health
800-864-9795
Behavioral Health Only

United Healthcare
800-468-5001
• HMO
• PPO
• POS
• Medicare HMO

ValueOptions
800-397-1630
Behavioral Health Only

Wellcare of Ohio
800-951-7719
• Medicare
• Medicaid


Commercial Indemnity Insurance Plans and Blue Cross

Governmental Plans Medicare, Medicaid

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