Accepted Insurance Plans

Out-of-pocket expenses for insured patients are impacted by multiple factors, including the benefit plan with their insurance, the contracted reimbursement rate between Premier Health and the insurer, and whether the patient and/or their family has already met certain deductible thresholds.

Most Premier Health patients have health insurance through the following networks, most of which are contracted with Premier Health hospitals and physicians as in-network providers except where noted. The below table is a guide, so please contact your insurance company to confirm Premier Health is included in your plan's network of participating providers.

Insurance Plans & Products – Contract StatusCommercial Insurance NetworksMedicare HMO/ PPO NetworksMedicaid Managed Care PlansHealth Insurance Marketplace/Exchange Plans
AetnaYesYesYes - MyCare 
Aetna Ohio Rise  Yes – Adolescent Behavioral Health Only Active 11/1/2022 
Ambetter by Buckeye No No
Amerihealth Medicaid 
Yes - Active 2/1/2023
Anthem/Blue Cross Blue ShieldYesYesYes – Active 2/1/2023Yes - Active 1/1/2021
Anthem High Performance Network (HPN)Yes – Active 1/1/2023   
Buckeye YesYes – including MyCare 
CareSource Yes – including Dual SNP and MyCare plans
No Medicare Advantage-inactive after 12/31/22
Yes – including Dual SNP and MyCare plansYes*
CignaYes – Out-of-Network for Behavioral HealthYes – Effective 1/1/2023 Out-of-Network for Behavioral Health   
CommuniCare I-SNP Yes - Active 1/1/2021  
Devoted Health Yes - Active 1/1/2023  
First Health/CoventryYes   
Gateway Health No  
Hartzell PropellerActive 1/1/2022   
HumanaYes**YesYes – Active 2/1/2023 
Medical MutualYes, including Med-flex HMOYes Yes – Active 1/1/2019
Medicaid Ohio Traditional  Yes 
Medicare A and B Yes  
MediGold Yes - Active 1/1/2021  
Molina NoUpper Valley Medical Center (Inpatient Behavioral Health only) 
Ohio Health Choice/Ohio PPO ConnectYes   
ParamountNoYesInactive as of 1/31/2023 
Perennial Advantage I-SNP Yes - Active 1/1/2021 No
Private Healthcare Systems (PHCS)Yes   
Tricare/Humana Military
note: NOT contracted for Psych
United Behavioral/Optum HealthYesYes  
United HealthCareYesYesNoNo
United Healthcare - Surest (formerly known as BIND)Yes   
WellCare Medicare (Allwell) Yes  

*CareSource's exchange plan will list "Marketplace" on it. All other plans will just say CareSource.
** Premier Health is not contracted with Humana's Cincinnati/Northern Kentucky HMOx exchange plans.

Where blank, a product is not available or applicable in the Premier Health service area.