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.

PayerProduct Type
AetnaCommerical
Aetna Medicare
Aetna Better HealthDual-Medicare and Medicaid
Aetna OH RiseMedicaid
Amerihealth MedicaidMedicaid
Anthem/Blue Cross Blue ShieldCommerical
Anthem High Performance Network (HPN)Commerical
Anthem ExchangeCommercial
Anthem Senior AdvantageMedicare
AnthemMedicaid
BuckeyeMedicare
Buckeye Medicaid
Buckeye MyCare OhioDual-Medicare and Medicaid
Caresource*Medicaid
CaresourceDual-Medicare and Medicaid
Caresource MarketplaceCommerical
Champ VAVA
CignaMedicare
CignaCommercial
CommuniCare I-SNPMedicare
Devoted HealthMedicare
First Health/CoventryCommercial
Hartzell PropellerCommercial
HealthsmartCommercial
Humana**Commercial
HumanaMedicare
HumanaMedicaid
Medical Mutual Commercial
Medical Mutual ExchangeCommercial
Medical MutualMedicare
Medicaid Ohio TraditionalMedicaid
Medicare A and BMedicare
MedigoldMedicare
Ohio Health Choice/Ohio PPO ConnectCommercial
ParamountMedicare
Perennial Advantage I-SNPMedicare
Private Healthcare Systems (PHCS)Commercial
Tricare/Humana MilitaryVA
United Behavioral/Optum HealthBehavioral Health
United HealthCareCommercial
UMRCommercial
United HealthCare – Surest (formally known as BIND) Commercial
UHC Medicare Solutions/AARP Medicare CompleteMedicare
WellCare Medicare (Allwell)Medicare

*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.

If missing from the table, a product is not available or applicable in the Premier Health service area.