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 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 MediBlue – Essential; Plus; Connect; & Access plans
Beech Street
Behavioral Health Systems
Buckeye Community Plan
- Medicaid
- AllWell Medicare Advantage
- Ambetter (Exchange HMO)
- MyCare Ohio
CareSource Management Group
- Medicare
- Medicaid
- MyCare Ohio
Cigna Behavioral Health
Cigna Healthcare of Ohio
- HMO
- PPO
- Gatekeeper PPO
- International
HealthSmart
First Health Network/CCN/Coventry
Gateway Health
Health Design Plus
- UH Choice Network – Cleveland Metropolitan Schools
Health Ohio Network
Healthstar/PPO Next
Horizon Health
Humana
- Commercial PPO, HMO, POS, EPO
- Medicare PPO, HMO
- Medicare Network PFFS
Marymount Behavioral Health Services
Medical Mutual of Ohio
- SuperMed PPO
- SuperMed Select
- SuperMed Classic
- Supermed HMO
- HMO Health Ohio
-
Medical Mutual Exchange
- NE Ohio HMO
- Medicare Advantage
Molina
- Medicaid
- Marketplace Exchange
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
United Behavioral Health (Optum)
United Healthcare
- HMO, PPO, POS
- Medicare HMO
- UHC AARP Medicare Complete
- Evercare Medicare
- United Healthcare Community Plan (Medicaid)
- All Savers
- MyCare Ohio (UHC Coordinated Care)
Beacon Health (Value Options)
Non-Contracted Insurance Plans
Anthem Medicare Advantage
- Anthem MediBlue Prime Select (HMO) – exclusive to Cleveland Clinic
Medical Mutual
- Mercy Health HMO network plans – exclusive to Mercy Health
- CLE-Care HMO – exclusive to MetroHealth
CareSource Marketplace (formally known as Just 4 Me)
- Commercial Exchange Product – exclusive to MetroHealth
True Cost Plans
- Liberty HealthShare
- Group & Pension Administrators
Paramount
SummaCare Exchange
- Exclusive to Summa Health System, Mercy Medical Center (Canton) and Akron
Children’s Hospital
Cleveland Clinic/Oscar health plans – exclusive to Cleveland Clinic
Humana Medicare Advantage
- Humana Cleveland Clinic Preferred (HMO) & Humana Cleveland Clinic (HMO
SNP-DE) – both plans are exclusive to Cleveland Clinic
*Please note this is not a complete list of non-contracted insurance plans,
these are the most common plans.
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 us at
440-816-6779 or
440-816-8081.
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