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.
Effective October 1, 2026
Out-of-Network with OSUWMC:
- Humana Healthy Horizons Medicaid
- Humana Dual Select (PPO DSNP)
- Humana Full Access (PPO)
- Humana Gold Choice (PFFS)
- Humana Gold Plus – Diabetes and Heart (HMO C-SNP)
- Humana Gold Plus (HMO)
- Humana Gold Plus (HMO-POS)
- Humana Gold Plus SNP-DE (HMO DSNP)
- Humana Together in Health (PPO ISNP)
- Humana Together in Health Select (PPO ISNP)
- Humana USAA Honor Giveback (PPO)
- Humana USAA Honor Giveback with Rx (PPO)
- Humana Value Plus (PPO)
- HumanaChoice (PPO)
- HumanaChoice (Regional PPO)
- HumanaChoice Giveback (PPO)
Effective January 1, 2027
No longer offered:
- CareSource Marketplace
- HealthReach Preferred, an Ohio Health Group, ER and referral authorization only (AKA Healthy Associates and/or Ohio Healthy)
Accepted plans at Ohio State
- Aetna
- Anthem
- Cigna
- Cofinity (an Aetna subsidiary)
- Coventry (an Aetna subsidiary)
- First Health (an Aetna subsidiary)
- Healthlink
- Health Care Logistics
- HealthReach Preferred, an Ohio Health Group, ER and referral authorization only (AKA Healthy Associates and/or Ohio Healthy) – This plan will be out of network as of Jan. 1, 2027.
- HealthSmart (Formerly Emerald Health Plan & Interplan Health Group)
- 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)
- Martin's Point Health Care Inc.
- 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)
- Antidote
- Buckeye Ambetter
- CareSource Marketplace – This will be out of network as of Jan. 1, 2027. Plan no longer offered in Ohio.
- 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 – This plan will be out of network Oct. 1, 2026.
- Medicaid Ohio Traditional
- Molina Healthcare of Ohio
- UnitedHealthcare Community Plan
Medicare Advantage January 1, 2026
- Aetna Medicare Advantra (PPO)
- Aetna Medicare Chronic Care (HMO C-SNP)
- Aetna Medicare Chronic Care Total (HMO C-SNP)
- Aetna Medicare Dual Care (HMO D-SNP)
- Aetna Medicare Eagle Giveback (PPO)
- Aetna Medicare Enhanced (HMO-POS)
- Aetna Medicare Longevity (HMO I-SNP)
- Aetna Medicare Partial Dual (HMO D-SNP)
- Aetna Medicare Plan (HMO)
- Aetna Medicare Plan (PPO)
- Aetna Medicare Plan (PPO) with Extended Service Area (ESA)
- Aetna Medicare Premier (PPO)
- Aetna Medicare Signature (HMO)
- Aetna Medicare Signature (HMO-POS)
- Aetna Medicare Signature (PPO)
- Aetna Medicare Signature Care (HMO-POS)
- Aetna Medicare Signature Extra (HMO-POS)
- Humana Dual Select (PPO DSNP) – This plan will be out of network Oct. 1, 2026.
- Humana Full Access (PPO) – This plan will be out of network Oct. 1, 2026.
- Humana Gold Choice (PFFS) – This plan will be out of network Oct. 1, 2026.
- Humana Gold Plus – Diabetes and Heart (HMO C-SNP) – This plan will be out of network Oct. 1, 2026.
- Humana Gold Plus (HMO) – This plan will be out of network Oct. 1, 2026.
- Humana Gold Plus (HMO-POS) – This plan will be out of network Oct. 1, 2026.
- Humana Gold Plus SNP-DE (HMO DSNP) – This plan will be out of network Oct. 1, 2026.
- Humana Together in Health (PPO ISNP) – This plan will be out of network Oct. 1, 2026.
- Humana Together in Health Select (PPO ISNP) – This plan will be out of network Oct. 1, 2026.
- Humana USAA Honor Giveback (PPO) – This plan will be out of network Oct. 1, 2026.
- Humana USAA Honor Giveback with Rx (PPO) – This plan will be out of network Oct. 1, 2026.
- Humana Value Plus (PPO) – This plan will be out of network Oct. 1, 2026.
- HumanaChoice (PPO) – This plan will be out of network Oct. 1, 2026.
- HumanaChoice (Regional PPO) – This plan will be out of network Oct. 1, 2026.
- HumanaChoice Giveback (PPO) – This plan will be out of network Oct. 1, 2026.
- MedMutual Advantage Choice HMO
- MedMutual Advantage Classic HMO
- MedMutual Advantage Plus HMO
- MedMutual Advantage Preferred PPO
- MedMutual Advantage Premium PPO
- MedMutual Advantage Select PPO
- Molina Complete Care for MyCare Ohio (HMO D-SNP)
- Molina Medicare Complete Care (HMO D-SNP)
- Mount Carmel MediGold Premium Choice (PPO)
- Mount Carmel MediGold Glory No RX (HMO)
- Mount Carmel MediGold Premier (HMO)
- Mount Carmel MediGold No Premium (HMO)
- Mount Carmel MediGold Plus (HMO)
- Mount Carmel MediGold Cash Back (HMO)
- Mount Carmel MediGold Trinity EGWP (HMO)
- Perennial Advantage Freedom (HMOPOS)
- Perennial Advantage Premier (HMOPOS I-SNP)
- Perennial Advantage Strive (HMO I-SNP)
- The Health Plan SecureCare (HMO)
- The Health Plan SecureCare SNP (HMO-SNP)
- The Health Plan SecureChoice (PPO)
- Wellcare Assist (HMO-POS)
- Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP)
- Wellcare Dual Access (HMO-POS D-SNP)
- Wellcare Dual Liberty (HMO-POS D-SNP)
- Wellcare Dual Reserve (HMO-POS D-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, 2026
In-Network with OSUWMC:
- Buckeye MyCare Ohio
- Molina MyCare Ohio
Out-of-Network with OSUWMC:
- Anthem MyCare Ohio
- CareSource MyCare Ohio
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
- 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 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
- FrontPath
- Health Care Logistics
- Humana Transplant (Medicare & Medicaid)
- Interlink
- 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)
- Sidecar Health
- Tethys Health System
- UnitedHealthcare
- UnitedHealthcare Community Plan