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Contracted Health Insurance Networks and Determining Patient Payment

The out-of-pocket expense an insured patient may incur is dependent on multiple factors, including the benefit plan with their insurance, the contracted reimbursement rate between Premier 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, all of which are contracted with and in-network for the four Premier Health hospitals except where noted.

Commercial Insurance Networks

  • Anthem
    • Premier is not contracted with Anthem's Pathway X Tiered or Pathway Tiered Networks
  • Blue Cross / Blue Shield
  • UnitedHealthcare
  • Medical Mutual of Ohio
    • also contracted with MedMutual Market Classic
  • Aetna
  • Aetna Cincinnati Preferred
  • CareSource Just4Me
  • Cigna
  • Emerald
  • First Health
  • Great West
  • HealthSmart
  • Healthspan
  • Healthspan Butler Health Plan & Optimal Health Initiatives
  • Humana
    • also contracted with Humana HMOx-Dayton, also listed as Humana Connect
  • Ohio Health Choice
  • Private Healthcare Systems (PHCS)
  • Tricare / Champus
  • United Behavioral Health also known as OptumHealth
  • note: Premier is not contracted with Anthem's Pathway X or Pathway Tiered Networks, Behavioral Health Systems, Cigna Behavioral Health, Magellan, Molina, Multiplan or Value Options
  • please contact your insurance company to confirm Premier is listed as in-network

Medicare HMO/PPO Networks

  • Anthem Medicare also known as Anthem Senior Advantage
  • UnitedHealthcare Medicare Complete also known as Secure Horizons
  • Humana Medicare Choice PPO & Humana Medicare Choice PFFS
    • note: Premier is not contracted with Humana Medicare Gold Plus HMO
  • Aetna Medicare
  • Buckeye Medicare
  • Gateway Medicare
  • Medical Mutual Medicare
  • Medigold
  • note: Premier is not contracted with Molina Medicare

Medicaid Managed Care Plans

  • CareSource
  • Buckeye
  • Paramount
  • UHC Medicaid also known as UHC Community Plan
  • note: Premier is not contracted with Molina Healthcare