Accepted Insurance Plans
Managed Care Contracts
In an effort to better serve our patients and physicians, Southwest General
has pursued contracts with many Managed Care Organizations (MCOs). 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 Medicare
and Medicaid, Southwest has arranged special “managed care”
contracts with the following entities:
Southwest General accepts all Medicare Private Fee For Service (PFFS) plans.
Aetna US Healthcare
- HMO
- Elect Choice (EPO)
- Aetna Select
- Aetna Select Open Access
- Aetna Open Access Elect Choice (EPO)
- Quality Point-of-Service (QPOS)
- Managed Choice (POS)
- Aetna Choice POS
- Aetna Choice POS II
- Aetna Open Access Managed Choice
- Open Choice (PPO)
- Traditional Choice Indemnity
- Aetna Insurance Exchange
- Aetna Medicare Advantage HMO & PPO
Anthem Blue Cross and Blue Shield of Ohio
- Blue Access PPO
- Blue Access OH I & II (prefix VXA,XVD)
- 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
- HealthLink
- Anthem Pathway X Tiered PPO—Marketplace
- Anthem Pathway Tiered PPO— Off Exchange
Beech Street
Behavioral Health Systems
Buckeye Community Plan
- Medicaid
- Buckeye HMO –Exchange
- MyCare Ohio
CareSource Management Group
- Medicare
- Medicaid
- MyCare Ohio
*NOTE—we are an out-of-network provider for Caresource Marketplace.
These patients are welcome to receive care at Southwest, but they may
be responsible for higher out-of-pocket expenses.
Cigna Behavioral Health
Cigna Healthcare of Ohio
- HMO
- PPO
- Gatekeeper PPO
- International
Emerald Health/InterPlan Health/HealthSmart
First Health Network/CCN/Coventry
Flora Health Network-PPOM
Gateway Health
Health Design Plus
Health Ohio Network
Healthstar/PPO Next
Horizon Health
Humana
- Commercial PPO, HMO, POS, EPO
- Commercial HMOx
- Medicare PPO, HMO
- Medicare Network PFFS
Marymount Behavioral Health Services
Medical Mutual of Ohio
- Traditional
- SuperMed Select
- SuperMed Classic
- Supermed HMO
- HMO Health Ohio
- Medical Mutual Exchange
- Medicare Advantage
Molina
- Medicaid
- Marketplace Exchange
National Provider Network
Northcoast HealthCare Management
- Home Health/Home Infusion
Ohio Bureau of Workers' Compensation (BWC)
Ohio Health Choice Plan/Ohio Health Choice Plus
PHS/Direct Care America
Private Healthcare Systems (PHCS)/MultiPlan
Summa Care
- HMO, PPO, POS
- Medicare Advantage
- Apex PPO, EPO and POS
*NOTE—Southwest General is Out Of Network for SummaCare Exchange–patients
will have a higher out of pocket.
United Behavioral Health
United Healthcare
- HMO, PPO, POS
- Medicare HMO
- Secure Horizons (Medicare)
- Evercare Medicare
- United Healthcare Community Plan (Medicaid)
- All Savers
- Compass –Exchange
- MyCare Ohio
Beacon Health (Value Options)
Periodic updates of this list may occur. If you have any questions or require
additional information, or if you would like to make suggestions for our
contracting efforts, please contact Michelle Cinquepalmi at
440-816-6779.
This list is meant to be a basic guide and not provide detailed information.
EPO Exclusive Provider Organization
POS Point of Service Plan
HMO Health Maintenance Organization
PPO Preferred Provider Organization