Deaconess Hospital is happy to serve patients with insurance plans using the networks listed below. For questions about your bill, call 513.559.2119.
If you have questions about bariatric surgery coverage, please contact the Deaconess Surgical Weight Loss Clinic Insurance Coordinator at 513.559.2545.
| COMPANY | PRODUCT ALLOWED |
| 01/01/2010 UPDATE | •Many companies joined the Medicare Advantage plans and are identified with PFFS. If you see PFFS on the Ins Card no contract is needed and Deaconess will accept the plan. EXCEPT PFFS FOR SECURE HORIZON
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| AARP | Refer to United Health Care
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| Advantra Freedom | PFFS - no contract needed
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| Aetna | HMO; QPOS(HMO); USAccess(HMO); Elect Choice(POS);
Managed Choice(POS);
Open Choice(PPO);
Traditional Choice(Indemnity);
Aetna Medicare PFFS, PPO, HMO
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Amerigroup
OH Medicaid Manage Care | All plans for ABD and CFC
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Anthem
NO MEDICARE SELECT
NO MCR SENIOR ADV.
NO ANTHEM SR OR
MCRHMO ADVANTAGE
NO REF LAB-BECAUSE OF LARGE PENALTY)
No Blue Priority
No Plans with YRA because of penalty.
No Lab Contract | Traditional; Blue Access; Community Preferred Health Plan (CPHP); Premier 300
Government with “R” ID;
BluePrefer POS-benefits determined by employer group; MCR Adv. w/ PFFS &YRI prefix;
Option 2000; Option 2000 Advantage; Smart Value Plus ; Health Link /Wellpoint;
Magellan for Psych
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Beechstreet
No Lab Contract | PPO
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| Buckeye | Ohio Medicaid Manage Care Product for both ABD and CFC
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Caresource
NO ABD Plans | Ohio Medicaid Manage Care Product.
Healthy Start, Healthy Families, Covered Family and Children(CFC)
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| Central Benefits | PPO
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Cigna Healthcare
Select Lab Contracts | All Products
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| Cincinnati Financial Corp. | Greater Cinti Gastro agreement; Cardiac Direct agreement
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| Competitive Health Plans | PPO
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| Cottingham Employees | Deaconess employees benefit
(KEPT Principle Financial)
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Creative Health Plans
(The Chandler Group) | PPO
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Evercare (United Healthcare)
NO IH Plans | Medicare PPO (PRODUCT USED FOR NURSING HOME PATIENTS); DH AND IP PLANS COVERED
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| First Health Network | Affordable Healthcare Concept
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| Flora Health Network | PPO
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| Galaxy Health Network | PPO
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Great West/One Health Plan
No Lab Contract | PPO
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| Health Span | Multiple carriers use Health Span contract
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HealthNetwork /Pro America Managed Care, Inc.
(Wellmark Health Network) | PPO
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Humana
NO NEW HEALTH
NO CORP HEALTH (except for PHP Prog.)
No Humana MCR PPO | Humana Commercial HMO Plans; Humana Commercial PPO Plans; Humana Commercial POS Plans; Humana Commercial Freedom Plans; Humana Commercial Freedom Plus Plans; Humana POS Plans; Humana ASO Plans: Humana Indemnity Plans: Humana Workers'
Compensation Plans
Medicare Product: Gold Choice,
Humana Choice PPO
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Indiana Medicaid
NO MANAGE CARE | (top) |
Kentucky Medicaid
NO Manage Care Products (HMO) | State Medicaid only, HMO(manage care) for ER only
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Medical Mutual of OH
(BCBS)
No Lab contract | Traditional, Super Plus, Advantage Plan (Medicare Product), Medicare Advantage (MA) and Private Fee-For Service (PFFS)
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| MetraComp | Workers' Comp
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Molina
OH Medicaid Manage Care | ER ONLY
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| Multiplan | (top) |
Ohio Health Choice
No Lab Contract | Preferred Health
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One Health Plan of Ohio/ Great West
No Lab Contract | PPO/POS/HMO New England; Alta; Gen Am Benefits; Allmerica
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| Preferred Health Network | PHN PreferNet; PHN DataLink: and PHN ProviderNet
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| Primary Health Services | Workers' Compensation
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Primary Health Services (PPO)
NO PHCS (sometimes confused with this insurance) | America's Health Plan (UP&UP)
Primary Health Service
Direct Care America
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| Pyramid | Today's Option Plan/Medicare Product PFFS
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| Unicare | Unicare Classic-Hamilton County, Direct Care America-Warren, Clinton, Brown County
Wellpoint/Anthem
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United Healthcare
No Medicare Select under SECURE HORIZON
No PFFS SECURE HORIZON
No AARP Select or Choice | MetraHealth TotalNet AllCare
Broad Access
PPO; POS ;Secure Horizons
Medicare Complete
HMO,POS,PPO; Medicare Complete Choice; Definity ; Evercare IP and DH; SecHorizon UHC of River Valley; AARP Medicare Complete; Oxford
PSY United Behavioral Health
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| Universal Preferred Health Network | PPO
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| USA Health Network | USA Health and Wellness;USA Worker's Injury Net; USA Genesis; USA Transnet
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Well Care
NO WELLCARE of OHIO for Medicaid | Medicare replacement plan only. Card must say PFFS.
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Insurance Plans
