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