Health Insurance Information
Our goal is to provide information about the insurance plans accepted by Nationwide Children's Hospital and our affiliated physicians.
View information for:
- Nationwide Children’s Hospital – Main Campus
- Nationwide Children’s Hospital – Toledo
- Nationwide Children’s Hospital – Homecare
Accepted Insurance Plans
Nationwide Children's Hospital is listed as a "preferred provider" for the managed care plans listed. Remember that insurance plans vary, so from time to time our list may change.
It is always a good idea to confirm coverage and restrictions with your insurance provider before scheduling visits and procedures. For example, your health plan may require you to schedule some services (such as lab work, imaging, etc.) at select locations in their network. If you choose to receive services outside of those locations, your insurance may deny coverage, and you may be responsible for all charges provided outside your network.
Contracted Health Plans – Nationwide Children’s Hospital Main Campus
Most Common Commercial Plans
- Aetna
- Anthem Blue Cross & Blue Shield
- Cigna
- Medical Mutual of Ohio
- OSU Health Plan
- United HealthCare of Ohio, Inc.
- Optum Behavioral Health (formerly United Behavioral Health)
Other Commercial Plans
- Great West/GWH
- First Health
- Front Path Health Coalition
- Healthsmart (formerly Emerald Health)
- Ohio Health Choice
- Ohio Healthy/Ohio Health Group
- Ohio PPO Connect
- Quality Care Partners
- Golden Rule
- Oxford
- River Valley
- UMR
- Surest
- Private Healthcare Systems, Inc.
- TriCare – Humana Military
- CMH – Complex Medical Help (formerly BCMH)
- United Mine Workers of America
- Caresource Marketplace – Ohio
- United HealthCare Marketplace – Ohio
Ohio
- Ohio Medicaid
- Aetna Better Health – OhioRISE
- AmeriHealth Caritas Ohio
- Anthem Ohio Medicaid
- Buckeye Community Health Plan
- Caresource
- Humana Healthy Horizons
- Molina Healthcare of Ohio, Inc.
- United HealthCare Community Plan
West Virginia
- Aetna Better Health of West Virginia
- The Health Plan West Virginia Medicaid
Contracted Health Plans – Nationwide Children’s Hospital Toledo
Most Common Commercial Plans
- Aetna
- Anthem Blue Cross & Blue Shield
- Cigna
- Medical Mutual of Ohio
- United HealthCare of Ohio, Inc.
Other Commercial Plans
- Great West/GWH
- First Health
- Frontpath Health Coalition
- McClaren
- Ohio Health Choice
- Golden Rule
- Oxford
- River Valley
- UMR
- Surest
- Ohio PPO Connect
- TriCare – Humana Military
- CMH – Complex Medical Help (formerly BCMH)
- Caresource Medicare Advantage
- Caresource MyCare Ohio
- Molina Medicare Advantage
- Caresource Marketplace – Ohio
- Medical Mutual of Ohio Marketplace HMO – Ohio
- Molina Marketplace – Ohio
- Anthem Pathway HMO
Ohio
- Ohio Medicaid
- AmeriHealth Caritas Ohio
- Anthem Ohio Medicaid
- Buckeye Community Health Plan
- Caresource
- Molina Healthcare of Ohio, Inc.
- United Community Health Plan
Indiana
- Indiana Medicaid
Michigan
- Michigan Medicaid
- McClaren Michigan Medicaid
Contracted Health Plans – Nationwide Children’s Hospital Homecare
Most Common Commercial Plans
- Aetna
- Anthem Blue Cross & Blue Shield
- Cigna
- Medical Mutual of Ohio
- OSU Health Plan
- United HealthCare of Ohio, Inc.
Other Commercial Plans
- Great West/GWH
- Front Path Health Coalition
- Ohio Healthy/Ohio Health Group
- Ohio PPO Connect
- Trustmark Health Benefits
- Golden Rule
- Oxford
- River Valley
- UMR
- Surest
- Health Ohio Network
- TriCare – Humana Military
- CMH – Complex Medical Help (formerly BCMH)
- Caresource Marketplace – Ohio
- United HealthCare Marketplace – Ohio
- Anthem Pathway - Ohio
Ohio
- Ohio Medicaid
- AmeriHealth Caritas Ohio
- Anthem Ohio Medicaid
- Buckeye Community Health Plan
- Caresource
- Humana Healthy Horizons
- Molina Healthcare of Ohio, Inc.
- United HealthCare Community Plan
West Virginia
- Aetna Better Health of WV
Non-Participating Insurance Plans
We recommend you confirm coverage and restrictions with your insurance provider before seeking services.
Some health insurance plans do not use a contracted network of providers or are not contracted with Nationwide Children’s Hospital. These plans are considered out of network at Nationwide Children's Hospital. Due to the structure of these benefit plans, Nationwide Children's Hospital is unable to bill the insurance on the patient’s behalf, and the patient will be responsible for total billed charges.
Here are some non-participating plans*:
- Allied Benefits System**
- Altrua Healthshare
- Apostrophe Health
- Benefit Administration Systems
- Christian Care Medi-Share
- Cypress Benefit Administrators
- ELAP
- Employee Benefit Management
- Enterprise Group Planning (EGP)
- Group Pension Administrators (GPA)
- Group Plan Administrators
- Health Cost Solutions
- Healthscope
- Healthy Ohio Network
- HS Technology
- Imagine Health
- JP Farley
- Lucent Health
- Maestro Health
- MedBen**
- Nova Healthcare Administrators
- PHCS – Private Healthcare Systems – Health Sharing Products and Professional/Ancillary Only plans
- Sure Solutions
- TrueCost (Custom Design Benefits)
*Because contracts may change on a regular basis, this list of non-participating plans may not be comprehensive and is subject to change.
**Allied Benefits System and Med Ben are non-participating plans if no other payer network is referenced on the insurance card. If the insurance card lists another payer that is in network for Nationwide Children's Hospital, the insurance may be in network.