Contracted Third Party Payors

Contracted Third Party Payors
The University of Toledo Medical Center
Billing Services
Welcome
Billing Process
Your Responsibilities
No Surprises Act Public Disclosure
FAQ About Bills and Statements
Applying for Financial Assistance
Billing Terms
Insurance Accepted
Usual and Customary Charges
Price Transparency
Make Hospital Payment Online
Health Science Campus
Patient Financial Services
419.383.7400   or 800.589.7401
Contracted Third Party Payors
For Patients and Guests:
The University of Toledo Medical Center participates in many health insurance plans
and several governmental fee-for-service programs. Patients should always verify The
University of Toledo Medical Center participation with their health plan benefit package
prior to receiving health-care services. Access information on each underlined plan
listed below by clicking on the plan’s name, which is hyperlinked to its respective
website.
Receive a
printable list
of our contracted third party payors here.
COMMERCIAL MANAGED CARE PLANS:
Aetna
Anthem BCBS (HMO, PPO, Traditional)
Anthem Pathway
(HMO, X HMO, Group HMO - Healthcare Exchange products)
Beech Street-A Viant Network
Buckeye Ambetter
(Healthcare Exchange products)
CareSource Just4Me
(Healthcare Exchange products)
CIGNA HealthCare
Fortified Provider Network
FrontPath Health Coalition
HealthScope Benefits
McLaren Health Advantage (TPA)
McLaren Health Plan Community (HMO)
Medical Mutual of Ohio
Meridian Health Plan of MI Commercial HMO Network
(including Ambetter/Meridian - Healthcare Exchange products)
Meritain Health
Molina Marketplace
(Healthcare Exchange products)
MultiPlan
National Provider Network
Ohio Health Choice
Ohio Health Choice
- PHC Plus
Paramount HMO
(including Healthcare Exchange products)
Paramount Preferred Options
Primary Health Services
Sidecar Health Insurance Solutions
UnitedHealthcare
- Including Healthcare Exchange products
BEHAVIORAL PLANS:
Carelon Behavioral Health
Cenpatico Behavioral Health
Evernorth Behavioral Health
(was Cigna Behavioral Health)
Humana Behavioral Health
Optum Behavioral Health (UHC plans)
MEDICAID PLANS:
Medicaid
AmeriHealth Caritas
(Medicaid MCP)
Anthem Medicaid
(Medicaid MCP)
Anthem MyCare Ohio
(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)
CareSource MyCare Ohio
(MyCare Ohio's Dual Eligible Program)
Humana Healthy Horizons
(Medicaid MCP)
Meridian Complete - MI Health Link Network
(Michigan's Dual Eligible Program)
Meridian Health Plan
(Ohio & Michigan Medicaid Managed Care Networks)
Molina Healthcare of Ohio
(Medicaid MCP)
Molina MyCare Ohio
(MyCare Ohio's Dual Eligible Program)
UnitedHealthcare Community Plan
(Medicaid MCP)
MEDICARE PLANS:
Medicare
Aetna Medicare Advantage Plan
(Medicare Advantage HMO & PPO)
Anthem Medicare Advantage Plan
(Medicare Advantage HMO & PPO)
Anthem MyCare Ohio
(MyCare Ohio’s Dual Eligible Program)
Buckeye Community Health Plan
(Medicare Advantage HMO)
Buckeye MyCare Ohio
- (MyCare Ohio's Dual Eligible Program)
CareSource of Ohio Medicare Advantage
(Medicare Advantage HMO)
CareSource MyCare Ohio
(MyCare Ohio's Dual Eligible Program)
Devoted Health
(Medicare Advantage HMO & SNP)
Humana Medicare Advantage Plan
(Medicare Advantage HMO, PPO, EPO, & POS)
Medical Mutual of Ohio Medicare Advantage Program
MediGold/Mount Carmel Health Plan
(Medicare Advantage)
Molina Healthcare of Ohio Medicare Advantage
Molina MyCare Ohio
(MyCare Ohio's Dual Eligible Program)
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)
UnitedHealthcare – Dual Complete OH
(PPO D-SNP – HMO-POS D-SNP)
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:
Humana Military
Ohio Department of Health
- Ryan White Emergency Financial Assist Program
Ohio Department of Health/Fulton County Health Dept.
- Breast & Cervical Cancer Program
OptumHealth Care Solutions/OptumHealth Transplant C.O.E. Network
TheraMatrix
TriWest Healthcare Alliance VA
Tricare Standard
(Fee For Service)
UnitedHealthcare/Optum (United affiliate)
– VACCN (Veterans Affairs Community Care Network)