Insurance/Billing
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