Anthem (All plans except Medicaid Advantage Plan)

            Divisions of Anthem (Wellpoint and Unicare)

Beech Street Corporation PPO/Capp Care (Script required)

BWC Certified (C-9 required after 60 days from DOI)

BWC-Government Workers-DOL auth required after 120 days)

Coventry (State Farm uses Network)

Champus/Tricare Standard only

            (Other Champus/Millitary Ins requires a direct referral for coverage)

Cigna (all Plans) Orthonet will do utilization management effective 7/15/10 for all Managed Care Plans and Open Access Plus plans.

DCA (Direct Care America/PHS (script required)  (Health Smart)

Focus Healthcare Management

Kaiser Added Choice – Tier 2

Klais & Company

Medical Mutual of Ohio

            (MMO Chrysler & Local 880 requires script)

Medicaid Ohio Plan only (we do not accept managed care Medicaid plans) If patient has Medicaid and Medicare, Medicare is always Primary.

Ohio Health Choice

Orthonet  (All Individual Therapists must be credentialed)

United Mine Workers of America

United Health Care- Effective 4/22/11 (All Individual Therapists must be Credentialed)

Access One Consumer Health (Through OptumHealth Care Solutions)

 Evercare  (Through OptumHealth Care Solutions)

Aetna NAP (National Advantage Program) utilized Beech Street as a secondary network) Still out-of-network but gives a good discount.

MEDICARE PLANS PFFS (Cannot accept scripts from DC OR DDS)

Traditional Medicare

Railroad Medicare

Aetna (does not follow CAP)

Anthem Senior (does not follow CAP)

Humana (does not follow CAP)  Orthonet performs utilization management

WellCare (ID #’s will start with an (F)

MMO Medicare Advantage

CONRACTED THROUGH OPTN

MultiPlan (merged with PHCS)

Integrated Health Plan

Emerald (script required) (Health Smart)

Humana/ChoiceCare   Orthonet performs utilization management

Universal SmartComp (Walmart)

TheraMatrix  (UAW Retiree Benefits Trust)  Primary and Secondary must be Authorized

USA MCO

Galaxy Health Network

OUT OF NETWORK

Cleveland Health Network (CCF professional staff-tier2 are the only employees to have out of network benefits)

CCF Anteres  800-451-7929

Uniform Services

Summa Care

Aetna

*Call 440-498-9723 if your insurance is not on the list and inquire about Direct Access.  We will verify your health insurance coverage for you.