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Health Insurance Directory

St. Vincent Charity Medical Center accepts a variety of insurance products for coverage of services here at the Medical Center.

Below are the Plans with whom we have active contracts, including some for specialized services. These are for hospital services only, not for individual physician practices. For information on what insurance plans our physicians accept, please use our Find a Physician tool.


Find a Physician

Managed Care Plans with Active Contracts - January 2015

Preferred Provider Organizations/PPO
Aetna Open Choice, Golden Choice Aetna Managed Choice, Elect Choice
Anthem Blue Traditional Anthem Blue Access Network; Federal Employees
Anthem Medicare PPO Beech Street, a Viant Network
Cigna Health Plan Confinity formerly PPOM /ASC Flora
DirectCare America - Interplan Health Group Emerald Health Network - Interplan Health Group
First Health Network aka Coventry Great West Healthcare (part of Cigna)
Multiplan Ohio Health Choice
Ohio Preferred Network ppoNext a Viant Network formerly HealthStar
Primary Health Services - Interplan Health Group Prime Health Services (effective 3-14-11)
Primenet, Inc Private Healthcare Systems, division of MultiPlan
SummaCare SuperMed Plus (MMO)
SuperMed Classic (MMO) SuperMed Select (MMO)
Tricare United Healthcare of Ohio
Web Health Solutions Vet Choice

Health Maintenance Organizations/HMO
Aetna Select, Aetna Open Access HMO Aetna Choice POS , Aetna POS II
Aetna Health Network Option Aetna Network Only
Aetna Select Choice Aetna US Access,Open Access Aetna Select
Anthem Blue Preferred Network Cigna Health Plan
Great West Healthcare (part of Cigna) Summacare
SuperMed HMO; HMO Health Ohio (MMO) United Healthcare of Ohio

Bariatric Surgery only DRG 288
Aultcare

Medicare HMOs
Aetna Golden Medicare Anthem Senior Advantage
CareSource Advantage Buckeye Community Health Plan
Evercare, a division of United Healthcare Med Care Advantage Corpp.
Medical Mutual of Ohio Medicare Advantage Meridian Health Plan
Gateway SummaCare
umana OPERS only (through 2015) United Healthcare, Select & Advantage
WellCare of Ohio, Inc. & PPO product

Medicaid HMOs
Buckeye Community Health Plan CareSource Medicaid HMO
Molina Paramount
United Healthcare Community Plan

Other Types
MES Solutions - Veteran Evaluation Services

Hospice
Community New Life Hospice, inpt Crossroads Hospice of NE Ohio
Harbor Light Hospice, inpt Heartland Hospice, inpt & outpt
Holy Family Hospice, inpt Hospice of the Good Sheperd, inpt
Hospice of the Western Reserve, inpt Vitas HealthCare Corp, inpt
VNA of Cleveland Hospice, inpt & outpt

Behavioral Health Plans
Cenpatico Behavioral Health Cigna Behavioral Health
CMIC/Ford Motor Co.(Anthem) - Magellan Healthspan (formerly Kaiser)
Magellan Behavioral Health United Behavioral Health
Value Options Medical Mutual Metro HMO (Behavioral only)

Dual Eligibles - My Care Ohio
Buckeye CareSource
United Healthcare

Exchange Plans
Aetna Anthem
Assurant Buckeye
Healthspan

BILLING, INSURANCE, MEDICAL RECORDS & PRIVACY

Our Financial Services Center submits all billing to insurance. You may get separate bills, one from the medical center, one from your doctor and others.

Please call the phone numbers listed on the bills if you:

  • Have questions
  • Need to correct insurance information
  • Want to know about Financial Assistance for balances due after insurance pays

Call the phone number on the specific bill you want to talk about.

HEALTH INSURANCE MARKETPLACE

You can also shop for insurance on the federal Health Insurance Marketplace. As Certified Application Counselors we can also facilitate your enrollment. Call our financial counselors for help.

Call: 216-694-4652 or 216-694-4653

NO HEALTH INSURANCE

You might not have health insurance. Someone from the hospital will visit you during your stay. This person will conduct a financial screening. This will let us know if you qualify for programs like Medicare or Medicaid. These state and federal programs can help you in the coverage of your medical expenses. All patients without health insurance will automatically qualify for discounted services. After review of your income, you may also qualify for free care or additional discounts through our financial assistance programs.

FINANCIAL ASSISTANCE PROGRAM

If you have no health insurance and/or do not qualify for state or federal programs, you will qualify for discounted care and may qualify for additional discounts or free care through St. Vincent Charity Medical Center's Financial Assistance Program (FAP). If you are uninsured and have balances after insurance that you are unable to pay, you may qualify for free or discounted care, through the FAP, if your income is below 400% of the poverty limit. The FAP is based on your income and Federal Poverty Guidelines. Guidelines are listed on the bill you receive. Call the number on the bill for information or you can call 800-721-6097. Our financial counselors are here to help, as well. You can reach a financial counselor at 216-694-4652 or 216-694-4653 from 8 a.m. - 4:30 p.m. Monday through Friday. A link to the financial aid application can be found here.

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