Insurance and Billing Information
This section is designed to help you better understand your financial responsibility
for the services provided by Ohio Heart physicians and Nurse Practitioners.
Insurance Providers
Ohio Heart is a participating provider with these health care providers:
- Aetna
- Anthem (all plans)
- Health Alliance: Alliance Select
- ASC Flora
- Beechstreet/CappCare
- CareSource
- CenterCare
- CHA
- Cigna
- Emerald Health Network
- Federal Black Lung
- Healthspan
- Healthstar/PPO Next
- Humana/Choicecare
- Medicaid (Ohio, Kentucky & Indiana)
- Medicare
- Medical Mutual of Ohio
- Multiplan
- National Provider Network
- Nationwide Health Plans
- Ohio Comp Network
- Ohio Employee Health Partnership
- Preferred Provider of Michigan (PPOM)
- Private Health Care Systems (PHCS)
- Railroad Medicare
- Sagamore
- Sterling Life
- United Health Care
- USA Managed Care
- Wright Health
- BCE Emergis PPO
- Priority Health
- Direct Care America
- Creative Health Plans
- Flora Health Network
- Buckeye Community Health
- First Health
- Evercare
- Ohio Health Choice
This list is updated routinely. If unsure if your Ohio Heart physician is a provider,
we suggest that you contact your health insurance carrier before your appointment
to verify benefits and coverage or call our billing office at 513-351-9900.
Referrals/Precerts
What is a referral? A referral is documentation in form of a script, verbal referral
(documented in chart), or an insurance form from a primary care physician stating
the need for patient to see a specialist.
What is a precert? A precert is documentation that you have gotten prior insurance
approval before a test. Precerts are completed by Ohio Heart on your behalf.
If you are unsure if your plan requires a referral or precert to see a specialist,
please contact your insurance carrier for your coverage requirements.
Co-Payments What is a co-payment?
Co-payments are payments for services not covered by an insurance company are due
at the time of service. Please remember to bring your insurance card, Medicare or
Medicaid card with you to your office visits. For your convenience, Ohio Heart accepts
cash, personal checks, Visa and Mastercard.
No Insurance/Financial Assistance
What if I do not have insurance? If you do not have health insurance, we
ask that you pay in full at time of service. When your appointment is scheduled,
you will be informed of the amount that will be due at your visit. If you are unable
to pay in full, the billing office will contact you to set up payment arrangements
and/or financial assistance.
Statements
Once your charges have been billed and benefits determined by your insurance plan,
you will receive a statement from Ohio Heart detailing your account activity and
financial responsibility, if any. Statements are sent out about every 38 days.
Questions
If you have any questions about your bill or account, please contact Ohio Heart’s
Central Business Office at 513-351-9900 or 1-800-964-1587
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