St. Elizabeth Medical Center and the doctors who practice here participate in many health insurance plans. Please keep in mind that not all services may be covered under certain health plans, and many services require a referral or preauthorization. Most insurance companies offer several levels of plans and products. It is always a good idea to call your insurance company for verification to make sure the service and insurance product you are enrolled in is accepted. Below is a current list of health insurance providers in which St. Elizabeth Medical Center participates. (Because the list changes constantly, please confirm with your doctor which plans he or she participates in before signing up for a new plan.) Some insurance companies rent provider networks from other insurance companies, if yours is not listed, this may be the case. Confirm directly with your insurance company that St. Elizabeth Medical Center is a participating provider in your insurance network.

View health plan list.

Understanding Your Health Plan
Don't wait until you need health care to understand your health plan coverage. Consult your health plan's Coverage Booklet for information about your health plan and the benefits it covers. There are certain things you need to keep in mind when choosing a health plan. Do you need a plan that covers preventive care? Are there pre-existing conditions that might limit your options? Do you want to stay with your current doctor? At which hospital do you prefer to receive you care? Have you considered the premium costs? Are you likely to need any physical therapy, home care or other services, treatments or therapies? Does your plan cover mental health services or complementary therapies?

It is important to ask your self these questions and weigh your options carefully before choosing a health plan. Pick one that best suits your needs and lifestyle. Most importantly, make sure the plan gives you access to St. Elizabeth Medical Center.

A Preferred Provider Organization
A PPO is a form of managed care, but it is similar to a traditional "fee-for-service" type plan. PPOs contract with doctors, hospitals and other care providers to provide services for an agreed upon charge. Unlike an HMO, where a primary care physician directs all you care, a PPO allows you to select a provider, and a specialist without a referral. Generally, there are annual deductibles to meet before the plan will pay benefits. You are responsible for a certain percentage of the charges (co-payments), and the plan pays the balance up to the agreed upon amount.

A Health Maintenance Organization
HMOs offer members a range of health benefits, including a preventive care, for a monthly fee. They also set co-payment for the care you receive. The HMO will give you a list of doctors for your use in choosing a primary care physician (PCP). The PCP coordinates all your care, including referrals to a specialist. If you go outside of the HMO without a referral from the plan, you will be responsible for the total cost of services, except for emergencies or urgent care services.

Participating Health Insurance Providers at St. Elizabeth.

A
Aetna U.S. Healthcare, Inc.
Anthem Blue Cross
APS Healthcare Bethesda, Inc.

B
Beech Street Corporation

C
Center Care Network
Central Benefits National Life Ins. Co.
CHA Health
Cigna Behavioral Health, Inc.
Cigna Healthcare of Ohio, Inc.
Corphealth, Inc.
Crawford & Co.

D
Direct Care America of Ohio

E
Emerald Health Network, Inc.

F
First Health/CCN Network

G 
Great-West Healthcare

H
Healthspan, Inc.
Hospice of Hope, Inc.
Humana, Inc.

I
Interplan Health Group, Inc.

K
KY Commission for Children with Special Healthcare Needs
Kentucky Workers' Compensation

M
Magellan Behavioral Health
Medical Mutual of Ohio (Access thru Multiplan/First Health-Affordable)
Multiplan, Inc.

N 
National Provider Network

O
Occupational Managed Care Alliance, Inc.
Ohio Health Choice Plan

P
Primary Health Services, Inc.
Private Healthcare Systems, Inc.

S
Southern Health Partners, Inc.
Synergy Health Network, Inc. (Workers' Comp Managed Care Network)

T
Three Rivers Provider Network

U
USA Managed Care Organization
United Behaviorial Health
United Healthcare of Ohio, Inc.