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
  • Blue Cross / Blue Shield
  • UnitedHealthcare
  • Medical Mutual of Ohio
  • Aetna
  • Aetna Cincinnati Preferred
  • CareSource Just4Me
  • Cigna
  • Emerald
  • First Health
  • Great West
  • HealthSmart
  • Healthspan
  • Healthspan Butler Health Plan & Optimal Health Initiatives
  • Humana
  • Humana HMOx
  • Ohio Health Choice
  • Private Healthcare Systems (PHCS)
  • Tricare / Champus
  • United Behavioral Health also known as OptumHealth
  • note: Premier is not contracted with Magellan, Cigna Behavioral Health or Value Options

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 Gold PFFS
  • note: Premier is not contracted with Humana Medicare Gold HMO
  • Aetna Medicare
  • Buckeye Medicare
  • Medigold

Medicaid Managed Care Plans

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

    Physician Support CO
    Physician Leadership CO

    Premier Pulse Callout