E-Mercy.com \\ Facilities & Services \\ Hospital Pricing

Mercy Hospitals participate in most major health insurance plans in the Cincinnati area. All traditional indemnity insurance plans, Medicare and Medicaid are accepted. We participate in many managed care insurance plans, which include Health Maintenance Organizations (HMO's) and Preferred Provider Organizations (PPO's).

Note: All Mercy Hospitals are included in the plans below unless otherwise noted. The insurance plan should be notified prior to providing any non-emergency services to obtain authorization for services.

Aetna US Healthcare Plans-PPO, POS, HMO

Alliance Behavioral Care
Note: Behavioral Health Services at Mercy Hospital Clermont and Mercy Hospital Mt. Airy only

Ameri-Plus Select Services/Ameri-Plus Preferred Care - Medicare Select PPO

AmeriGroup (Medicaid HMO)
Note: Services provided at Mercy Anderson, Mercy Fairfield, Mercy Mt. Airy and Mercy Western Hills only.

Anthem Blue Cross and Blue Shield- All products: Traditional Indemnity/HMO/POS/PPO/Mental Health/Lab.

Anthem Blue Cross Blue Shield Outpatient Reference Laboratory Agreement

Anthem Blue Cross and Blue Shield/Anthem Senior Advantage-Medicare HMO
Note: Certain Mercy services are not covered under Anthem Sr. Advantage plan. Call Anthem for prior authorization.

APS Healthcare (Behavioral Health Services)
Note: Behavioral Health Services at Mercy Hospital Clermont, Mercy Hospital Mt. Airy and Mercy Hospital Western Hills only.

Beech Street/CAPP Care–PPO, Workers Compensation

Brown County Board of Alcohol, Drug Addiction & Mental Health Services
Note: Behavioral Health Services at Mercy Hospital Clermont, Mercy Hospital Mt. Airy and Mercy Hospital Western Hills only.

Buckeye Community Health Plan - Medicaid HMO
Note: Services provided at Mercy Anderson, Mercy Fairfield, Mercy Mt. Airy and Mercy Western Hills only.

Bureau for Children with Medical Handicaps (Ohio Department of Health)

CareSource-Medicaid HMO
Note: services covered only at Mercy Hospital Fairfield and Mercy Hospital Mt. Airy.

Central Benefits Mutual Insurance Company–Traditional Indemnity

The Chandler Group (See InterPlan Health Group)

CIGNA-HMO, PPO, POS

CIGNA Behavioral Health (Excluding General Motors)
Note: Services provided at Mercy Hospital Clermont, Mercy Hospital Mt. Airy and Western Hills only. Contract to terminate August 18, 2005.

Clermont County Mental Health & Recovery Board
Note: Behavioral Health Services at Mercy Hospital Clermont and Mercy Hospital Mt. Airy only.

CorpHealth (Behavioral Health Services)
Note: Behavioral Health Services at Mercy Clermont, Mercy Mt. Airy and Mercy Western Hills only.

Concern Counseling Services (formerly Bethesda Behavioral Health Services)
Note: Services provided at Mercy Hospital Clermont, Mercy Hospital Mt. Airy and Western Hills only.

Direct Care America of Ohio (See Interplan Health Group),PPO

Emerald Health Network/InterPlan Health Group - PPO, EPO, ICN

EverCare/United Healthcare–Medicare HMO

First Health Network/Affordable/CCN (Med View) PPO

Flora Health Network, Inc./PPOM–PPO

Galaxy Health Network/Managed Care Inc., PPO & Medicare Select

Great-West Healthcare (formerly One Health Plan of Ohio)/HMO/PPO/POS

Hamilton County Mental Health Board (Child & Adolescent Services Only)
Note: Services provided at Mercy Hospital Mt. Airy only.

Health Net Federal Services TRICARE / CHAMPUS

HealthSpan/HealthSpan Plus/HealthSpan Preferred, PPO/EPO

Heartland Home Health Care & Hospice

Hospice of Cincinnati

Hospice of Hope
Note: Services provided at Mercy Hospital Fairfield, Mercy Hospital Anderson and Mercy Hospital Clermont only.

Humana/ChoiceCare,Commerical HMO/POS/PPO and Medicare PPO& Humana Gold Private Fee For Service

Integrated Health Networks (formally First Health Network, Inc.)-PPO, POS
Note: Services provided at Mercy Fairfield, Mercy Anderson and Mercy Clermont only.

InterPlan Health Group, PPO

International Managed Care Strategies (Universal Preferred Health Network)-PPO

The Laboratory Corporation of America

Magellan Behavioral Health
Note: Services provided at Mercy Hospital Clermont, Mercy Hospital Mt. Airy and Mercy Hospital Western Hills only.

Medical Mutual of Ohio-HMO/PPO/POS/Traditional Indemnity

Mental Health and Recovery Services of Warren/Clinton County
Note: Services provided at Mercy Hospital Clermont and Mercy Hospital Mt. Airy and Mercy Western Hills only.

Mt. Carmel Behavioral Health Services/Interact
Note: Services provided at Mercy Franciscan Hospitals Mt. Airy and Western Hills & Mercy Hospital Clermont only.

Multiplan

National Health Corp.- PPO (National Chain of SNFs)
Note: Services provided at Mercy Hospitals Mt. Airy and Western Hills only.

National Provider Network (NPN)/Medical Resource-PPO Letter of Agreement

Nationwide Health Plan-PPO/POS/Workers Compensation

Ohio Department of Health – Breast and Cervical Cancer Project
Note: Suspending funding effective July 1, 2005.

Ohio Health Choice, (formerly John Alden Life Insurance Company).PPO/POS & EPO

Ohio Health Network/BCE Emergis (formerly Wellmark) / Pro America/Up & Up, PPO

Ohio Preferred Network-PPO

One Health Plan of Ohio,(See Great West Healthcare)

PPO Next/HealthStar Managed Care Corporation/Preferred Health Network, PPO, BWC, Medicare Select
Note: PPO services provided at Mercy Hospital Anderson, Mercy Hospital Clermont, Mercy Hospital Fairfield, Mercy Hospital Western Hills and Mt. Airy. BWC & Medicare Select services provided at Mercy Franciscan Hospitals Mt. Airy and Western Hills

PPOM - PPO

Primary Health Services, Inc. (See InterPlan Health Group)-PPO

Private Healthcare Systems, Ltd (PHCS)-PPO

Pyramid Life Insurance-Medicare Select PPO

Southern Consortium for Children, Inpatient Psychiatric for Adolescents
Note: Services provided at Mercy Clermont only.

Sterling/Olympic Insurance, Sterling Option 1 and Sterling Medicare Select

Summit Insurance-PPO

United Behavioral Health
Note: Behavioral Health Services at Mercy Hospital Clermont, Mercy Franciscan Hospitals Mt. Airy and Western Hills.

United Healthcare-HMO, POS, PPO, EPO, Medicare + Choice HMO & PPO, Medicare Select PPO

Universal Preferred Health Network (International Managed Care Strategies)-PPO

USA MCO (formerly USA Healthnet)-PPO
Note: PPO services provided at Mercy Hospital Anderson, Mercy Hospital Clermont, Mercy Hospital Fairfield, Mercy Hospitals Western Hills and Mt. Airy. Medicare Select services provided at Mercy Hospitals Mt. Airy and Western Hills.

Value Options - Mental Health
Note: Behavioral Health Services at Mercy Hospital Clermont, Mercy Hospitals Western Hills and Mt. Airy only.

VistaCare-Hospice

Vitas Hospice-Hospice


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