Before you schedule an appointment or procedure, always check with your insurance carrier to determine your policy’s benefits and any pre-visit requirements.
As a patient, it is your responsibility to ensure you are covered for any services you receive and to provide accurate insurance information to facilitate the billing process. If you do not have insurance or are under-insured, please learn more about Financial Assistance. The Ohio State University Wexner Medical Center and The James Cancer Hospital and Solove Research Institute care for a large number of Medicare and Medicare Advantage patients.
For specific benefit and coverage questions, please contact your insurance carrier directly at the number on your insurance card.
Anthem Medicare Advantage plan is out of network as of Jan. 1, 2025. Learn more.
Some other plans not accepted at Ohio State are listed below.
Accepted plans at Ohio State
- Aetna
- Anthem
- Cigna
- Cofinity (an Aetna subsidiary)
- Coventry (an Aetna subsidiary)
- First Health (an Aetna subsidiary)
- FrontPath Health Coalition
- Healthlink
- HealthReach Preferred, an Ohio Health Group, ER and referral authorization only (AKA Healthy Associates and/or Ohio Healthy)
- HealthSmart (Formerly Emerald Health Plan & Interplan Health Group)
- Humana
- We are not contracted with these 2 plans:
- Humana Dayton HMOx/Select RX Network
- Humana Cincinnati/Northern KY HMOx
- We are not contracted with these 2 plans:
- LifeTrac
- Medical Mutual of Ohio
- Multiplan
- Ohio Health Choice
- Ohio PPO Connect
- OSU Health Plan
- OSU Student Health Plan
- Paramount
- PHCS
- Quality Care Partners (QCP)
- Antidote
- Sidecar Health
- The Health Plan (Formerly The Health Plan of Upper Valley)
- UnitedHealthcare
- United Resource Network Oncology (an Optum subsidiary)
- Breast and Cervical Cancer Project (BCCP)
- Ohio Department of Rehabilitation and Correction (ODRC, Prison)
- Ryan White Program
- Laboratory and professional only
- TriCare – Humana Military
- Veteran’s Affairs Community Care Network Optum (VA CCN Optum)
- Buckeye Ambetter
- CareSource Marketplace
- Molina Healthcare of Ohio
Open enrollment
Non-Medicare patients
Open enrollment occurs annually from November 1-January 15. During this window, those who are not Medicare eligible can purchase a health insurance plan through the Marketplace. For more information, visit https://www.healthcare.gov.
- AmeriHealth Caritas
- Buckeye Community Health Plan
- CareSource
- Humana Healthy Horizons
- Medicaid Ohio Traditional
- Molina Healthcare of Ohio
- UnitedHealthcare Community Plan
Medicare Advantage January 1, 2025
- Aetna Medicare (HMO)
- Aetna Medicare Premier 1 (PPO)
- Aetna Medicare Premier 2 (PPO)
- Aetna Medicare Premier Plus 1 (PPO)
- Aetna Medicare Premier Plus 2 (PPO)
- Aetna Medicare SmartFit (PPO)
- Aetna Medicare Value Plan (PPO)
- Buckeye - Wellcare No Premium Open (PPO)
- Buckeye - Wellcare No Premium (HMO)
- Buckeye - Wellcare Assist (HMO)
- Buckeye - Wellcare Giveback (HMO)
- Buckeye - Wellcare Dual Access Open (PPO D-SNP)
- Buckeye - Wellcare Dual Access (HMO D-SNP)
- Buckeye - Wellcare All Dual Assure (HMO D-SNP)
- CareSource Medicare Advantage Ohio D-SNP (HMO)
- HumanaChoice (PPO)
- HumanaChoice SNP-DE (PPO DSNP)
- HumanaChoice (Regional PPO)
- Humana Gold Choice (PFFS)
- Humana Gold Plus (HMO-POS)
- Humana Gold Plus (HMO)
- Humana Gold Plus – Diabetes and Heart (HMO C-SNP)
- Humana Gold Plus SNP-DE (HMO DSNP)
- Humana Together in Health (PPO ISNP)
- Humana USAA Honor (PPO)
- Humana USAA Honor with Rx (PPO)
- Humana Value Plus (PPO)
- The Health Plan SecureCare (HMO)
- The Health Plan SecureCare SNP (HMO D-SNP)
- The Health Plan SecureChoice (PPO)
- Mount Carmel MediGold Cash Back No Premium (HMO)
- Mount Carmel MediGold Cash Back No Premium MA Only (HMO)
- Mount Carmel MediGold Choice (PPO)
- Mount Carmel MediGold No Premium (HMO)
- Mount Carmel MediGold No Premium Choice (PPO)
- Mount Carmel MediGold Plus (HMO)
- Mount Carmel MediGold Premier (HMO)
- Mount Carmel MediGold Trinity EGWP (HMO)
- MedMutual Advantage Access PPO
- MedMutual Advantage Classic HMO
- MedMutual Advantage Secure HMO
- MedMutual Advantage Select PPO
- MedMutual Advantage Signature HMO
- Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)
- Molina Medicare Choice Care (HMO)
- Molina Medicare Choice Care Select (HMO)
- Molina Medicare Complete Care (HMO D-SNP)
- Molina Medicare Complete Care Select (HMO D-SNP)
- Perennial Advantage Freedom (HMOPOS)
- Perennial Advantage Premier (HMOPOS I-SNP)
- Perennial Advantage Strive (HMO I-SNP)
All traditional Medicare plans and Medicare plans with Medigap coverage are also accepted at the OSUCCC – James and at the Ohio State Wexner Medical Center. Plans that include Ohio State are subject to change.
Open enrollment
Open enrollment occurs from Oct. 15-Dec. 7 each year. During this window, you can join, switch or drop a plan. Your coverage will begin on Jan. 1 (as long as the plan gets your request by Dec. 7).
Medicare Advantage Open Enrollment period is Jan. 1-March 31. You may switch from a Medicare Advantage plan to Original Medicare or choose a different Medicare Advantage plan once during this period. New coverage will begin on the first of the following month.
OSHIIP
The Ohio Senior Health Insurance Information Program (OSHIIP) is a free resource available to provide Medicare beneficiaries with free, objective health insurance information, one-on-one counseling and education about Medicare, Medicare prescription drug coverage (Part D), Medicare Advantage options and Medicare supplement insurance. To learn more, contact OSHIIP directly at OSHIIP Hotline: 800-686-1578 or by email at OSHIIPmail@insurance.ohio.gov.
January 1, 2025
- Aetna Better Health of Ohio
- Buckeye MyCare
- Molina Healthcare MYCare Medicare
Does my insurance plan cover telehealth?
The following commercial insurance plans pay for video visits: Aetna, Anthem, Cigna Medical, Cigna Behavioral Health, Medical Mutual of Ohio, OSU Health Plan, United Behavioral Health, United Health Care, in-network Medicare and in-network Medicaid insurance plans.
You are responsible for your insurance plan co-pay. If you are unsure of your coverage, contact your insurance plan.
If you don’t have one of these insurance plans, the typical $49.99 pre-payment has been temporarily waived and you will be billed after your visit.
Plans not accepted at Ohio State
- 6 Degrees Health
- Aetna Exchange
- Aetna Trinity
- Anthem Marketplace Exchange
- Anthem Medicaid
- Anthem Medicare Advantage HMO/PPO
- Aultcare
- CareSource MyCare Medicare RX
- Frontpath
- Humana Dayton HMOx/Select RX Network
- Humana Cincinnati/Northern KY HMOx
- Medical Mutual Marketplace Exchange
- MMO MedFlex HMO
- Oscar
- Paramount HMO
- Referenced Based Pricing Plans/Health Share Plans
- UnitedHealthcare HMO Medicare Advantage
- UnitedHealthcare Marketplace Exchange
- UnitedHealthcare MyCare Medicare RX
Sample of non-accepted plans for Ambulatory Surgery Centers
The following are not accepted at Outpatient Care Dublin Ambulatory Surgery Center and Outpatient New Albany Ambulatory Surgery Center.
- Tricare Champus
- UnitedHealthcare Medicaid Community Plan
Health Services
- Buckeye Behavioral Health (a Centene subsidiary)
- Evernorth (formerly CIGNA Behavioral Health)
- United Behavioral Health (a Optum Behavioral Health Solutions subsidiary)
- Commercial
- Medicaid
- Transplant
- Aetna
- AmeriHealth Caritas
- Anthem Commercial
- Blue Distinction Centers for Transplant
- Buckeye Health Plan
- CareSource
- Evernorth (formerly LifeSource)
- FrontPath
- Humana Transplant (Medicare & Medicaid)
- LifeSource Transplant Network (a Cigna Subsidiary)
- LifeTrac Transplant Network
- Medicaid Ohio Traditional
- Medical Mutual of Ohio
- Medicare Traditional
- Molina Healthcare of Ohio
- Ohio Health Choice Transplant
- Optum Transplant
- Paramount
- Quality Health Partners (QCP)
- Tethys Health System
- UnitedHealthcare
- UnitedHealthcare Community Plan