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
Most Frequent Plans  
AetnaYes*YesYes - MyCare 
Anthem/Blue Cross Blue ShieldYesYes Yes - Active 1/1/2021
HumanaYes**Yes  
Medical MutualYes, including Med-flex HMOYes Yes
United HealthCareYesYesNo 
     
Insurance Plans & Products – Contract StatusCommercial Insurance NetworksMedicare HMO/PPO NetworksMedicaid Managed Care Plans Health Insurance Marketplace/Exchange Plans
All Plans
AetnaYesYesYes - MyCare 
Ambetter by Buckeye No No
Anthem/Blue Cross Blue ShieldYesYes Yes - Active 1/1/2021
Buckeye MyCare plans onlyYes - Medicaid and MyCareNo
CareSource Yes - Dual and MyCare plansYesYes
Cigna/Great WestYes   
CommuniCare Yes - Active 1/1/2021  
First Health/CoventryYes   
Gateway Health No  
HealthsmartYes   
HumanaYes**Yes  
Medical MutualYes, including Med-flex HMOYes Yes
MMO Employee PlanYes   
MediGold Yes - Active 1/1/2021  
Molina NoUpper Valley Medical Center (Inpatient Behavioral Health only)
MultiplanNo   
Ohio Health Choice/Ohio PPO ConnectYes   
ParamountNoYesYesNo
Perennial Advantage Yes - Active 1/1/2021  
Private Healthcare Systems (PHCS)Yes   
Tricare/Humana MilitaryYes   
United HealthCareYesYesNo 
United Behavioral/Optum HealthYesYes  
WellCare Medicare Yes  

* Residential SNP
** Premier is not contracted with Humana's Cincinnati/Northern KY HMOx Exchange plans.

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