FULTON COUNTY HEALTH CENTER

(FCHC) Contracting Insurances

(8/1/20 updated)

If answering a patients question about if their insurance is accepted please read the following notice:

“Many insurance companies are creating separate networks specifically for special types of plans.  Those special networks may not be covered at Fulton County Health Center even though the insurance name is listed below.  Always check with your insurance about what providers they consider in network for your specific plan.”

Commercial Insurance Plans

AARP

Aetna

Anthem Blue Cross/Blue Shield (excluding Pathway plans)

Assurant Health

Beech Street Corp. (Multiplan)

CBCA Administrators

Central Benefits

Cigna

Cofinity

Community Mutual (Anthem BCBS)

Concordia Health plan-thru Multiplan

Creative Health Plans

Custom Design Benefit (20/20 employees or Frontpath)

Direct Care America (DCA)

Emerald Health Network Insurance

Everence (formerly Mennonite Mut Aid)

Frontpath Network insurance plans

Great West Healthcare (Cigna)

HealthSmart Network (formerly Emerald Health and

Direct Care America)

Humana

Integrated Health Plan Network (Multiplan)

MedBen (if one of our networks is used or for employer

groups of Gerken, Mennel Milling, or Reineke Family

Dealerships)

Medical Mutual of Ohio (SuperMed, SuperMed HMO and

HMO Health Ohio, PPO, POS)

Multiplan Network insurance plans

NGS Coresource

Ohio Health Choice Network

Paramount (HMO, PPO & Affordable Care Act)

Paramount (Ohio & Michigan)

Parkview Signature Care

Primary Health Services (PHS) Network

Private Health Care Systems (PHCS) (Multiplan)

United Healthcare (UHC)

Affordable Care Act Plans (Obama Care) To sign up through the Marketplace Visit: https://www.healthcare.gov/get-coverage/

MedMutual SuperMed plans and Mercy as of 1/1/21

Paramount

Other plans only if out of network benefits

Medicare Advantage Plans

Aetna Medicare

Aetna Better Health of Ohio

Anthem Blue Cross and Blue Shield

Blue Cross Blue Shield

Buckeye Health Plan – My Care Ohio

CareSource Medicare Advantage

Humana Health Plan, Inc.

Medical Mutual

Molina Healthcare Medicare Complete Care HMO SNP

Paramount Elite

Sterling Medicare Select

SummaCare Medicare plan

Any Medicare PPO plans are required to pay per CMS

Medicaid – Ohio

Aetna My Care Ohio

Buckeye Community Health Plan

Buckeye My Care Ohio

CareSource Medicaid

Molina Medicaid

Ohio Medicaid

Paramount Advantage (Medicaid plan)

United Healthcare Community Plan (Medicaid plan)

Other Governmental Insurances

BCCP-Breast and Cervical Cancer Project

Ohio Bureau of Workers Compensation

Tricare (through Humana Military)

VA Community Choice Optum Network

No Contract but Accepted

BCMH – Bureau for Children with Medical Handicaps

CHAMPVA

Ohio Crime Victims Compensation

Sexual Assault Forensic Examination

VA-Veteran’s Administration

Most other insurances if out of network benefits

Warnings

*Some insurances “Carve-Out” particular services.  This means that we must also have a contract with another company in order for certain types of services to be covered.  Usually this information is on your insurance card by listing another companies name to call for certain types of services such as behavioral/mental health services, or therapy services.  If the other company listed is not on this list, FCHC may not be considered In-Network.

**Several professionals that you may see at FCHC are not included in the bill from the hospital.  Often times these professionals are required to bill separately.  These providers may not contract with the same insurances the hospital contracts with and their bill may then be considered out of network.