Health Plan Matrix :: Nationwide Children's Hospital

Payor Matrix

Always check with your health plan for the most up-to-date coverage.

Nationwide Children's Hospital

Payor Nationwide Children's Hospital** NCH Guidance Center Children's Anesthesia Associates Children's Surgical Associates Corporation Pediatric Academic Associates Children's Radiologic Institute Pediatric Pathology Associates of Columbus
Yes Yes Yes Yes Yes Yes Yes
Aetna Yes Yes Yes Yes Yes Yes Yes
Anthem BC BS and Anthem Ohio Health Exchange Plans Yes Yes Yes Yes Yes Yes Yes
Beacon Behavioral Health (formerly Value Options) No No No No No No No
Buckeye Community Health Plan (Ohio Medicaid Managed Care) Yes Yes Yes Yes Yes Yes Yes
Bureau for Children w/ Medical Handicaps (BCMH) Yes Yes Yes Yes Yes Yes Yes
CareSource (Ohio Medicaid Managed Care) Yes Yes Yes Yes Yes Yes Yes
CareSource Just4Me (Ohio Exchange Plan) Yes Yes Yes Yes Yes Yes Yes
CIGNA/Great West/GWH Yes No Yes Yes Yes Yes Yes
CIGNA Behavioral Health No No No No No No No
Coventry Cares of WV (WV Medicaid Managed Care) & Coventry Health Care of WV (Commercial) Yes Yes Yes Yes Yes Yes Yes
First Health Yes Yes No No No No No
Frontpath Health Coalition (Toledo & 80 reg hosp) Yes Yes Yes Yes Yes Yes Yes
Health Smart (formerly Emerald Health) Yes Yes No No No No No
Yes Yes No No No No No
HealthSpan and HealthSpan Ohio Exchange Plans Yes Yes No No No No No
Humana and Humana Ohio Exchange Plans Yes Yes No No Yes No No
Magellan Behavioral Health No Yes No No No No No
Medical Mutual Ohio (MMO)/SuperMed and MMO Ohio Exchange Plans Yes Yes Yes Yes Yes Yes Yes
Molina (Ohio Medicaid Managed Care) Yes Yes Yes Yes Yes Yes Yes
Ohio Health Choice Yes Yes Yes Yes Yes Yes Yes
OhioHealth Group/Health Reach Yes Yes Yes Yes Yes Yes No
OSU Health Plan OSU Student Health Plan University & Regional Univ Prime /Care Mary Rutan Hosp (EBMC) Ohio Wesleyan Univ Yes Yes Yes Yes Yes Yes Yes
Ohio Medicaid (Traditional) Yes Yes Yes Yes Yes Yes Yes
Paramount Advantage (Ohio Medicaid Managed Care) Yes Yes Yes Yes Yes Yes Yes
PHCS-Private Healthcare Systems Yes Yes No No No No No
The Health Plan (Commercial and WV Medicaid Managed Care) Yes Yes Yes Yes Yes Yes Yes
Tricare/Champus Yes Yes Yes Yes Yes Yes Yes
UHC Community Plan (Ohio Medicaid Managed Care) Yes Yes Yes Yes Yes Yes Yes
United Healthcare Commerical (Includes Golden Rule, Oxford, River Valley, and UMR) Yes Yes Yes Yes Yes Yes Yes
United Behavioral Health No Yes No No No No No
UniCare (Commerical Only)
Yes Yes No No No No No
Notes: **Nationwide Children's Hospital contract includes Outpatient Surgery Centers, ChildLab, Outpatient Diagnostic Radiology, Clinical Therapy (PT, OT, Speech), and Urgent Care
KEY:
Yes = Nationwide Children's Hospital does participate with this plan for this service.
No = Nationwide Children's Hospital does NOT participate with this plan for this service.

 

 

Nationwide Children's Hospital Homecare

Payor Home Infusion Therapy Home Health
DME Home Hospice
No No No No
Aetna (all products) Limted access through CSI Limted access through CSI Limted access through CSI Limted access through CSI
Anthem (all products) Limited access through CSI or University Option Care Limited access through CSI or University Option Care Limited access through CSI or University Option Care Limited access through CSI or University Option Care
Bureau for Children with Medical Handicaps (BCMH) Yes Yes Yes No
Buckeye Community Health Plan (Medicaid Managed Care) Yes Yes Yes Yes
CareSource Yes Yes Yes Yes
CIGNA
(includes Great West and GWH - CIGNA)
Referrals must go through Gentival CareCentrix Referrals must go through Gentival CareCentrix Referrals must go through Gentival CareCentrix Referrals must go through Gentival CareCentrix
First Health No No No No
Yes Yes Yes No
HealthSmart No No No No
HealthSpan No No No
No
Humana No No No No
Yes Yes Yes Yes
Medical Mutual
of Ohio
Yes Yes Yes Yes
Medicare No No Yes Yes
Molina Yes Yes Yes Yes
NPPN No No No No
Ohio Health Choice Yes Yes Yes Yes
OhioHealth Group HealthReach Yes Yes Yes Yes
OSU Managed Health Care Systems Yes Yes Yes Yes
Ohio Medicaid (Traditional) Yes Yes Yes Yes
Paramount Advantage - Medicaid Managed Care Yes Yes Yes Yes
Private Health Care Systems(PHCS) No No No No
The Health Plan (Commercial Only) No No No No
Tricare Military Health Services (HealthNet) Yes Yes Yes Yes
UniCare (Commerical Only) Limited access through CSI or University Option Care Limited access through CSI or University Option Care Limited access through CSI or University Option Care Limited access through CSI or University Option Care
United Behavioral Health Yes Yes Yes Yes
United HealthCare N/A N/A N/A N/A
United HealthCare Community Plan (Unison Health Plan) Yes Yes Yes Yes
KEY:
Yes = Nationwide Children's Hospital does participate with this plan for this service.
No = Nationwide Children's Hospital does NOT participate with this plan for this service.
N/A = Not Applicable. The plan does not offer this service.
Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000