Jane Dotson
The Ohio State University Wexner Medical Center accepts a range of insurance plans, including government plans such as Medicare, TriCare, and Medicaid. All traditional Medicare plans and Medicare plans with Medigap coverage are accepted, and the center has agreements with insurance providers like Anthem Blue Cross and Blue Shield. Small business owners can also enroll in health insurance plans accepted at the OSU Medical Center. It is important for patients to ensure they are covered for the services they receive and to provide accurate insurance information. Understanding the intricacies of healthcare coverage and the insurance plans accepted by the medical center is crucial for making informed decisions about one's healthcare.
| Characteristics | Values |
|---|---|
| Medicare Advantage Open Enrollment Period | Jan. 1-March 31 |
| Anthem Medicare Advantage Plan | Out of network as of Jan. 1, 2025 |
| Medicare | Accepted |
| Medicare with Medigap Coverage | Accepted |
| Anthem Blue Cross and Blue Shield | Accepted |
| Blue Cross Blue Shield Health Plans | Accepted |
| Medicaid | Accepted |
| Small Business Health Insurance in Ohio | Accepted |
| Marketplace/Exchange Plans | Accepted |
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What You'll Learn
Medicare and Medicare Advantage plans
The Ohio State University Wexner Medical Center and The James Cancer Hospital and Solove Research Institute care for a large number of Medicare and Medicare Advantage patients. The Ohio State University Wexner Medical Center accepts all traditional Medicare plans and Medicare plans with Medigap coverage. Medicare Supplement plans are also accepted nationally by all providers who accept Medicare.
The Ohio State University Wexner Medical Center has also reached a commercial insurance agreement with Anthem Blue Cross and Blue Shield (Anthem). This agreement applies to Anthem and other Blue Cross and Blue Shield insurance plans that people receive through their employers. This agreement means that patients with Anthem Medicare Advantage insurance can continue receiving care from their trusted clinicians without interruption at in-network rates, according to their employer-sponsored plans.
It is important to note that open enrollment occurs annually from November 1 to January 15. During this window, those who are not Medicare-eligible can purchase a health insurance plan through the Marketplace. Open enrollment for Medicare Advantage plans occurs from October 15 to December 7. During this period, you may switch from a Medicare Advantage plan to Original Medicare or choose a different Medicare Advantage plan. Your new coverage will begin on the first of the following month.
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Anthem Blue Cross and Blue Shield
The Ohio State University Wexner Medical Center and The James Cancer Hospital and Solove Research Institute have reached a new commercial insurance agreement with Anthem Blue Cross and Blue Shield. This contract applies to Anthem and other Blue Cross and Blue Shield insurance plans that people receive through their employers. This means that patients can continue receiving care from their trusted clinicians without interruption at in-network rates, according to their employer-sponsored plans.
The Ohio State University Wexner Medical Center cares for a large number of Medicare and Medicare Advantage patients. The new contract with Anthem Blue Cross and Blue Shield benefits patients and communities, who deserve access to high-quality care. The agreement ensures that patients have continued access to high-quality, affordable healthcare at OSU's hospitals and doctors for employer-sponsored health plan members.
As a patient, it is your responsibility to ensure you are covered for any services you receive and to provide accurate insurance information to facilitate the billing process. If you do not have insurance or are under-insured, you can learn more about Financial Assistance. For specific benefit and coverage questions, please contact your insurance carrier directly at the number on your insurance card.
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Medicaid plans
The Ohio State University Wexner Medical Center accepts in-network Medicaid insurance plans. This includes all traditional Medicare plans and Medicare plans with Medigap coverage.
Medicaid is a government-sponsored health insurance program for low-income individuals and families. It is funded by the state and federal governments and managed by the states. The specific eligibility requirements and benefits covered under Medicaid vary by state, but it generally provides coverage for a range of healthcare services, including hospital stays, doctor visits, prescription drugs, and more.
The Ohio State University Wexner Medical Center also participates in many other government plans, including Medicare Advantage plans. These plans are offered by private insurance companies as an alternative to traditional Medicare and typically include additional benefits and coverage not provided by original Medicare. It is important to note that the specific Medicare Advantage plans accepted by the medical center may be subject to change.
If you have Medicaid or a Medicare Advantage plan and are seeking treatment at the Ohio State University Wexner Medical Center, it is essential to verify that the medical center is in-network with your specific plan. You can do this by contacting your insurance provider or checking the provider directory associated with your plan. Additionally, understanding your plan's benefits, coverage limits, and any out-of-pocket costs you may be responsible for will help ensure you receive the care you need without unexpected financial burdens.
In summary, the Ohio State University Wexner Medical Center accepts in-network Medicaid and Medicare Advantage plans. To ensure your treatment is covered, it is crucial to verify your specific plan's participation and understand the benefits and coverage provided by your insurance carrier.
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Small business health insurance
The Ohio State University Wexner Medical Center and The James Cancer Hospital and Solove Research Institute care for a large number of Medicare and Medicare Advantage patients. All traditional Medicare plans and Medicare plans with Medigap coverage are accepted at the OSUCCC – James and at the Ohio State Wexner Medical Center. The Ohio State University Wexner Medical Center and The James Cancer Hospital have also reached an agreement with Anthem Blue Cross and Blue Shield (Anthem) for patients with employer-sponsored plans.
Small businesses can explore HealthCare.gov to learn more about health insurance products and services for their employees. Health insurance is a critical factor for small businesses to help retain and recruit employees and sustain productivity and satisfaction. UnitedHealthcare offers group health insurance options to help small businesses save money and support their employees' health and well-being. Small businesses can also explore Health Reimbursement Arrangements (HRAs) and group health plans to contribute to their employees' healthcare costs.
Small businesses can offer benefits packages to improve the employee experience and manage costs. Group health plans and network options can be explored, along with integrated pharmacy benefits to lower costs. Specialty benefits packages can be enhanced with vision, dental, and financial protection plans. Small businesses can also guide employees to behavioural care and help them maximize their health benefits.
Small Group plans refer to employers with up to 100 employees, while Key Accounts serve employers with 101 to 5,000 employees, and National Accounts are for employers with more than 5,000 employees. Small businesses can complete a quick form to receive a quote for their health insurance needs and work with a representative to find the best options.
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Marketplace/exchange plans
The Ohio State University Wexner Medical Center offers Marketplace health insurance plans via the exchange on Healthcare.gov. These health plans are usually available for Ohio residents. Open enrollment for Marketplace/Exchange plans is from November 1 to January 15. During this period, those who are not Medicare-eligible can purchase a health insurance plan through the Marketplace.
The following marketplace/exchange plans will cover care at Ohio State:
- All traditional Medicare plans
- Medicare plans with Medigap coverage
- Anthem Blue Cross and Blue Shield (Anthem) insurance plans
- Blue Cross Blue Shield Health plans
- Medicaid plans
The Ohio State University Wexner Medical Center has also developed a Marketplace checklist to help patients choose a plan that is affordable, covers Ohio State doctors, and follows them when they travel.
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Frequently asked questions
The Ohio State University Wexner Medical Center accepts a range of insurance plans, including:
- All traditional Medicare plans and Medicare plans with Medigap coverage
- Medicaid
- Tricare
- Blue Cross Blue Shield Health plans
- Anthem Blue Cross
The Medicare Advantage Open Enrollment period is from January 1 to March 31. During this period, you may switch from a Medicare Advantage plan to Original Medicare or choose a different Medicare Advantage plan.
Open enrollment for Marketplace/Exchange plans occurs annually from November 1 to January 15. During this window, those who are not Medicare-eligible can purchase a health insurance plan through the Marketplace.
Yes, if you do not have insurance or are under-insured, you can learn more about financial assistance options by contacting the Ohio State University Wexner Medical Center.
Yes, anyone who has medical coverage through the OSU Health Plan can receive the COVID-19 vaccine at no charge.
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