Payor Matrix

 

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



 

Payor Inpatient
Hospitalization
& Outpatient
Surgery		 Lab Radiology
Hospital		 PT/OT
SLP		 Urgent
Care		 Home Infusion
Therapy		 Home Health DME Hospice Guidance Centers Nationwide Children's Outpatient Pharmacy
Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A
Aetna
(all products)		 Yes Yes Yes Yes Yes Yes*** Yes*** No No Yes Yes**
Anthem
(all products)		 Yes Yes Yes Yes Yes Yes*** Yes*** No Yes Yes Yes**
CareSource Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
CIGNA
(all products)		 Yes Yes Yes Yes Yes Yes^ Yes^ Yes^ No Yes No
Emerald Yes Yes Yes Yes Yes No No No No Yes N/A
First Health Yes Yes Yes Yes Yes No No No No Yes N/A
Great West Yes Yes Yes Yes Yes Yes^ Yes^ Yes^ No Yes No
Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A
HealthSpan Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A
Humana Choice Care Yes No No Yes No No No No No Yes No
Medical Mutual
(all products)		 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Molina Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Mount Carmel Behavioral Health N/A N/A N/A N/A N/A N/A N/A N/A N/A Yes N/A
Ohio Health Choice Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A
OhioHealth Group HealthReach Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A
OSU Managed Health Care Systems Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
ppoNEXT
(formerly Health Star)		 Yes Yes Yes Yes Yes No No No No Yes N/A
Private Health Care Systems(PHCS) Yes Yes Yes Yes Yes No No No No No N/A
The Health Plan (Commercial Only) Yes Yes Yes Yes Yes No No No No No N/A
The Physicians' Assurance Corporation (TPAC) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Tricare Military Health Services (HealthNet) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A
Trinity Health Yes Yes Yes No No Yes Yes Yes No Yes N/A
UniCare Yes Yes Yes Yes Yes Yes Yes Yes Yes No N/A
Unison Health Plan Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
United Behavioral Health N/A N/A N/A N/A N/A N/A N/A N/A N/A Yes N/A
United Health Care Yes Yes Yes Yes Yes Yes Yes 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.
* = See Magellan
** = Infusion Therapy for OP clinic only. Does not include Home Infusion Therapies through Nationwide Children's Homecare.
*** = Nationwide Children's Homecare has limited access to Aetna and Anthem patients through contracts with CSI and University OptionCare
^ = Referrals must go through Gentiva