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.
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
- The Health Plan
- Formerly The Health Plan of Upper Valley
- Healthlink
- HealthSmart
- Formerly Emerald Health Plan
- Formerly Interplan Health Group
- Humana*
*The following two Humana plans we are not contracted with:- Humana Dayton HMOx/Select RX Network
- Humana Cincinnati/Northern KY HMOx
- Medical Mutual of Ohio
- Multiplan
- Ohio Health Choice
- HealthReach Preferred (an Ohio Health Group, ER and referral authorization only)
- AKA Healthy Associates and/or Ohio Healthy
- LifeTrac
- Ohio PPO Connect
- OSU Health Plan
- OSU Student Health Plan
- Paramount
- PHCS
- Quality Care Partners (QCP)
- Sidecar Health
- UnitedHealthcare
- United Resource Network Oncology (an Optum subsidiary)
- Breast and Cervical Cancer Project (BCCP)
- Veteran’s Affairs Community Care Network Optum (VA CCN Optum)
- Ohio Department of Rehabilitation and Correction (ODRC, Prison)
- Ryan White Program
- Laboratory and professional only
- TriCare – Humana Military
- 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
All Anthem Medicare Advantage plans will be out-of-network.
Medicare Advantage January 1, 2024
- 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)
- Anthem Chronic Special Needs (CSNP)
- Anthem MediBlue Access (PPO)
- Anthem MediBlue Access Basic (Regional PPO)
- Anthem MediBlue Access Core (Regional PPO)
- Anthem MediBlue Dual Advantage (HMO D-SNP)
- Anthem MediBlue Extra (HMO)
- Anthem MediBlue Preferred (HMO)
- Anthem MediBlue Preferred Plus (HMO)
- Anthem MediBlue Service (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 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).
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, 2024
- Aetna Better Health of Ohio
- Buckeye MyCare
- Molina Healthcare MYCare Medicare
Does my insurance plan cover telehealth?
As of 2/01/2023 the following 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, Medicare and all the 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 Medicaid
- Anthem Marketplace Exchange
- Aultcare
- Humana Dayton HMOx/Select RX Network
- Humana Cincinnati/Northern KY HMOx
- Medical Mutual Marketplace Exchange
- MMO MedFlex HMO
- Oscar
- Referenced Based Pricing Plans/Health Share Plans
- UnitedHealthcare HMO Medicare Advantage
- UnitedHealthcare Marketplace Exchange
Health Services
- Buckeye Behavioral Health (a Centene subsidiary)
- Facility only
- Evernorth (formerly CIGNA Behavioral Health)
- United Behavioral Health (a Optum Behavioral Health Solutions subsidiary)
- Commercial
- Medicaid
- Transplant
- Aetna
- AmeriHealth Caritas
- Anthem Commercial and Medicare Advantage
- 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
Location-specific Insurance
Accepted Insurance Plans at Outpatient Care Dublin Ambulatory Surgery Center
For insurance related questions, please call: 614-293-2100
As of September 18, 2024
- Aetna
- Aetna Medicare Premier 1 (PPO)
- Aetna Medicare Premier 2 (PPO)
- Aetna Medicare Premier Plus 1 (PPO)
- Aetna Medicare Premier Plus 2 (PPO)
- Aetna Medicare Value Plan (PPO)
- Aetna MyCare Medicaid
- Aetna MyCare Medicare RX
- Anthem
- Anthem MediBlue Access (PPO)
- Anthem MediBlue Access Basic (Regional PPO)
- Anthem MediBlue Access Core (Regional PPO)
- Anthem MediBlue Dual Advantage
- Anthem MediBlue Essential (HMO)
- Anthem MediBlue Extra (HMO)
- Anthem MediBlue Preferred (HMO)
- AmeriHealth Caritas
- Buckeye Community Health Plan
- BWC
- CareSource
- CareSource Marketplace
- CareSource Medicare Advantage Ohio D-SNP (HMO)
- Cigna
- Front Path
- HealthSmart
- The Health Plan (Formerly The Health Plan of Upper Valley)
- The Health Plan SecureCare (HMO)
- The Health Plan SecureCare SNP (HMO D-SNP)
- The Health Plan SecureChoice (PPO)
- Humana
- 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 Healthy Horizons effective
- Humana Together in Health (PPO ISNP)
- Humana USAA Honor (PPO)
- Humana USAA Honor with Rx (PPO)
- Humana Value Plus (PPO)
- Medical Mutual of Ohio
- Medicare
- Medicare Humana
- Medicare Medical Mutual
- Medicaid Ohio Traditional
- MedMutual Advantage Access PPO
- MedMutual Advantage Classic HMO
- MedMutual Advantage Secure HMO
- MedMutual Advantage Select PPO
- MedMutual Advantage Signature HMO
- Molina Healthcare of Ohio
- 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)
- Multiplan
- Ohio PPO Connect
- OSU Athletic Dept
- Ohio Health Choice
- OSU Health Plan
- OSU Health Plan A – Anthem Adena Employees
- OSU UHC Student Health
- Quality Care Partners
- UnitedHealthcare
- Veteran’s Affairs Community Care Network Optum (VA CCN Optum)
Accepted Insurance Plans at Outpatient Care New Albany Ambulatory Surgery Center
For insurance related questions, please call: 614-293-2100
As of September 18, 2024
- Aetna
- Aetna Medicare Premier 1 (PPO)
- Aetna Medicare Premier 2 (PPO)
- Aetna Medicare Premier Plus 1 (PPO)
- Aetna Medicare Premier Plus 2 (PPO)
- Aetna Medicare Value Plan (PPO)
- AmeriHealth Caritas Ohio
- Anthem
- Anthem MediBlue Access (PPO)
- Anthem MediBlue Access Basic (Regional PPO)
- Anthem MediBlue Access Core (Regional PPO)
- Anthem MediBlue Dual Advantage
- Anthem MediBlue Essential (HMO)
- Anthem MediBlue Extra (HMO)
- Anthem MediBlue Preferred (HMO)
- Buckeye Ambetter
- Buckeye Community Health Plan
- BWC
- CareSource
- CareSource Advantage (HMO)
- CareSource Advantage Zero Premium (HMO)
- Caresource Exchange
- Cigna
- Cofinity (an Aetna subsidiary)
- Coventry (an Aetna subsidiary)
- Front Path
- HealthSmart
- Humana
- Humana Gold Choice (PFFS)
- Humana Gold Plus – Diabetes and Heart (HMO C-SNP)
- Humana Gold Plus (HMO)
- Humana Gold Plus SNP-DE (HMO D-SNP)
- Humana Healthy Horizons
- Humana Honor (PPO)
- Humana Value Plus (PPO)
- HumanaChoice (PPO)
- HumanaChoice (Regional PPO)
- HumanaChoice SNP-DE (PPO D-SNP)
- Medicaid Ohio Traditional
- Medical Mutual of Ohio
- Medicare
- Medicare Aetna PPO
- Medicare Anthem HMO or PPO
- Medicare Caresource HMO
- Medicare Humana HMO or PPO
- Medicare Medical Mutual
- Medicare Medigold
- Medicare Railroad
- MediGold Mount Carmel Cash Back No Premium
- MediGold Mount Carmel Choice
- MediGold Mount Carmel No Premium
- MediGold Mount Carmel No Premium Choice
- MediGold Mount Carmel Plus
- MediGold Mount Carmel Premier
- MediGold Mount Carmel Trinity EGWP
- MedMutual Advantage Access PPO
- MedMutual Advantage Classic HMO
- MedMutual Advantage Secure HMO
- MedMutual Advantage Select PPO
- MedMutual Advantage Signature HMO
- Molina
- Molina Dual Eligible Special Needs Plan (D-SNP)
- Molina Exchange
- Molina Healthcare of Ohio
- Molina Mycare Medicare RX
- Multiplan
- Ohio Health Choice
- Ohio PPO Connect
- OSU Athletic Dept
- OSU Health Plan
- OSU Health Plan A – Anthem Adena Employees
- OSU UHC Student Health
- Quality Care Partners
- UnitedHealthcare
- Veteran’s Affairs Community Care Network Optum (VA CCN Optum)