Insurance Eligibility
For Patients and Guests: The University of Toledo Physicians participates in many health insurance plans and several governmental fee-for-service programs. Patients should always verify The University of Toledo Physicians’ participation with their health plan benefit package prior to receiving healthcare services. Access information on each underlined plan listed below by clicking on the plan’s name, which is hyperlinked to its respective website.
COMMERCIAL MANAGED CARE PLANS:
- Aetna
- Anthem BCBS
- Beech Street-A Viant Network
- Buckeye Ambetter (Healthcare Exchange products)
- CareSource Just4Me (Healthcare Exchange products)
- CIGNA HealthCare
- Cofinity
- Fortified Provider Network
- FrontPath Health Coalition
- HealthScope Benefits
- Humana Choice Care Network
- Medical Mutual of Ohio
- Meritain Health
- Molina Marketplace (Healthcare Exchange products)
- MultiPlan
- National Provider Network
- Ohio Health Choice
- Ohio Health Choice – PHC Plus
- OhioHealth Group – HealthReach
- Paramount HMO
- Paramount Preferred Options
- Primary Health Services
- UnitedHealthcare – including Healthcare Exchange products
BEHAVIORAL PLANS:
- Beacon Health
- Cenpatico Behavioral Health
MEDICAID PLANS:
- Medicaid
- Aetna Better Health (MyCare Ohio’s Dual Eligible Program)
- Buckeye Community Health Plan (Medicaid MCP)
- Buckeye MyCare Ohio (MyCare Ohio’s Dual Eligible Program)
- CareSource of Ohio (Medicaid MCP)
- McLaren Health Plan (Michigan Medicaid HMO)
- Meridian Health Plan (Ohio & Michigan Medicaid Managed Care Network)
- Molina Healthcare of Ohio (Medicaid MCP)
- AmeriHealth Caritas of Ohio (Medicaid MCP)
- Anthem Medicaid of Ohio (Medicaid MCP)
- United Healthcare Community Plan Medicaid of Ohio (Medicaid MCP)
MEDICARE PLANS:
- Medicare
- Aetna Better Health (MyCare Ohio’s Dual Eligible Program)
- Aetna Medicare Advantage Plan (Medicare Advantage HMO & PPO)
- Anthem Medicare Advantage Plan (Medicare Advantage HMO & PPO)
- Buckeye Community Health Plan (Medicare Advantage HMO)
- Buckeye MyCare Ohio (MyCare Ohio’s Dual Eligible Program)
- CareSource of Ohio Medicare Advantage (Medicare Advantage HMO)
- Devoted Health (Medicare Advantage HMO & SNP)
- Gateway Health Plan (Medicare Advantage HMO)
- Humana Medicare Advantage Plan (Medicare Advantage HMO, PPO, EPO, & POS)
- Medical Mutual of Ohio Medicare Advantage Program
- Molina Healthcare of Ohio Medicare Advantage
- Paramount Elite (Medicare Advantage HMO)
- Summacare Medicare Network (SC Medicare, SC Secure, SC Supplemental Standard, SC Supplemental Select)
- UnitedHealthcare – Evercare Plan
- UnitedHealthcare – AARP and Secure Horizons (Medicare Advantage HMO, PPO, POS & Medicare Supplement)
- Valor Health Plan (HMO – SNP)
- Wellcare Medicare of OH (Medicare MA-PD Plan Network)
- Wellcare Medicare of MI (HMO SNP) (Medicare MA-PD Plan Network)
OTHER PLANS:
- Heartland Hospice Services LLC
- Hospice of Northwest Ohio – Inpatient
- Humana Military
- Odyssey Hospice of Toledo – Inpatient
- Ohio Department of Health – Ryan White Emergency Financial Assist Program
- Ohio Department of Health/Fulton County Health Dept. – Breast & Cervical Cancer Program
- TriWest Healthcare Alliance VA
- Tricare Standard (Fee For Service)
- UnitedHealthcare – VACCN (Veterans Affairs Community Care Network)