Insurances

Medicare Advantage Plan Contracts:

Blanchard Valley Health System and its providers participate in the following Medicare Advantage Plans for 2018: 

• AARP Medicare Complete Plans By United Healthcare (Wood County)
  - All plans including AARP Medicare Complete Plans
• Aetna Medicare Advantage Plans
  - All plans, including Value Plan PPO, Select HMO, Choice PPO, Standard Plan PPO, Ohio Connect Gold (Regional PPO), Ohio Connect Gold 2 (Regional PPO)
• Anthem Blue Cross/Blue Shield Medicare Advantage Plans
  - All plans including Anthem MediBlue Essential HMO, MediBlue Access PPO, MediBlue Access Basic Regional PPO
• Buckeye Medicare Advantage Plans
  - All plans including Allwell
• CareSource (Wood County)
  - All plans including Advantage HMO, Advantage Plus HMO, Zero Premium Plan
• Gateway Health Medicare Advantage Plans (Allen, Hardin and Putnam Counties)
  (Participation planned, but not final - including Gateway Assured and Gateway Select)
• Humana Medicare Advantage Plans
  - All plans including Humana Choice PPO, Humana Gold Choice PFFS, Humana Choice Regional PPO
• Medical Mutual Medicare Advantage Plans
  - All plans including Advantage Classic HMO, Advantage Choice HMO, Advantage Plus HMO, Advantage Select PPO, Advantage Preferred PPO, Advantage Premium PPO
• SummaCare Medicare Advantage Plans
  - All plans including Topaz, Ruby, Sapphire
• United Healthcare Medicare Advantage Plans
  - All plans including AARP Medicare Complete Plans
  
  *Includes Blanchard Valley Hospital, Bluffton Hospital, Birchaven and Independence House, Bridge Home Health and Hospice, Northwest Ohio Medical Equipment and employed physicians.

Blanchard Valley Health System and its providers participate in the following Medicare Advantage Plans for 2019:

• AARP Medicare Complete Plans By United Healthcare
  - All plans, including AARP Medicare Complete Plans
• Aetna Medicare Advantage Plans
  - All plans, including Choice PPO, Ohio Connect Gold (Regional PPO), Ohio Connect Gold 2 (Regional PPO), Select HMO,  Standard Plan PPO, Value Plan HMO, Value Plan PPO
• Anthem Blue Cross/Blue Shield Medicare Advantage Plans
  - All plans, including MediBlue Essential HMO, MediBlue Preferred HMO, MediBlue Extra (HMO), MediBlue Access PPO, MediBlue Access Basic (Regional PPO), MediBlue Access Core (Regional PPO), MediBlue Plus HMO
• Buckeye Medicare Advantage Plans
  - All plans, including Allwell
• CareSource
  - All plans, including Advantage HMO, Advantage Plus HMO, Advantage Zero Premium Plan
• Humana Medicare Advantage Plans
  - All plans, including Humana Choice PPO, Humana Choice (Regional PPO), Humana Gold Choice PFFS, Humana Gold Plus HMO, Humana Value Plus PPO
• Medical Mutual Medicare Advantage Plans
  - All plans, including Advantage Choice HMO, Advantage Classic HMO, Advantage Plus HMO, Advantage Preferred PPO, Advantage Premium PPO, Advantage Select PPO
• SummaCare Medicare Advantage Plans
  - All plans, including Ruby & Sapphire
• United Healthcare Medicare Advantage Plans (also known as AARP Medicare Complete Plans)
  - All plans, including AARP Medicare Complete Plans
• Valor Health Plan Medicare Advantage Plan HMO-SNP

*Includes Blanchard Valley Hospital, Bluffton Hospital, Birchaven and Independence House, Bridge Home Health & Hospice, Northwest Ohio Medical Equipment and employed physicians.

*Certain plans are only offered in select counties. Please refer to Medicare.gov/find-a-plan for a full listing of plans by county.

Medicare Supplement Plans:

Blanchard Valley Health System providers accept most Medicare Supplement Plans.

Blanchard Valley Health System
2018 Health Insurance Marketplace Health Plan Participation List
(Healthcare.gov plans)
For Regional Counties

Blanchard Valley Health System will have a Certified Application Counselor at Caughman Health Center on Wednesdays. The Certified Application Counselor can assist people in navigating through the plan options so the person can select a plan that meets their needs. Open enrollment for the 2018 plan year has ended, but you may be able to enroll in a Marketplace plan through a Special Enrollment Period. To see if you might qualify for a Special Enrollment Period, click here or call 419.429.7674. Appointments are required for visits with the BVHS Certified Application Counselor, and can be made by calling 419.429.7674.

Blanchard Valley Regional Health Center, Blanchard Valley Hospital and Bluffton Hospital, as well as our employed physicians, durable medical equipment, home care and hospice, and skilled nursing facilities participate in the following plans:

Hancock and Wood County residents:

• Medical Mutual of Ohio Mercy Health HMO (all products)
• Molina (all products)

Putnam and Seneca Counties residents:

• Medical Mutual of Ohio Mercy Health HMO

Allen County residents:

• Ambetter from Buckeye Health Plan
• Medical Mutual of Ohio Mercy Health HMO

Henry County residents:

• Medical Mutual of Ohio Mercy Health HMO

Blanchard Valley Regional Health Center, Blanchard Valley Hospital and Bluffton Hospital, and our employed physicians DO NOT participate in the following health insurance marketplace plans:

• CareSource exchange products – Offered in Henry and Wood Counties only - BVHS in NONE of these products
• Medical Mutual Promedica HMO exchange products –  Offered in Wood County - BVHS in NONE of these products
• Paramount exchange products – Offered in Seneca, Willliams, Wood and Wyandot Counties – BVHS in NONE of these products

2019 Health Insurance Marketplace Participation List:

Includes Blanchard Valley Hospital, Bluffton Hospital, Employed Physicians, Birchaven & Independence House, Bridge Home Health and Hospice, and Northwest Ohio Medical Equipment

• Ambetter from Buckeye Health
  • All Marketplace plans
• Anthem Blue Cross Blue Shield
  • All Marketplace plans
• Medical Mutual Market HMO - Mercy
  • All Mercy Marketplace plans
• Molina
  • All Marketplace plans

Blanchard Valley Hospital and Bluffton Hospital, and our employed physicians, DO NOT participate in the following health insurance marketplace plans:

• CareSource Marketplace – Offered only in Wood County
• Medical Mutual Ohio Health Marketplace – Offered only in Hardin County
• Medical Mutual ProMedica Marketplace  – Offered only in Hancock & Wood Counties
• Paramount Marketplace– Offered in Henry, Seneca, Williams, Wood & Wyandot

Commercial, Medicaid, Tricare and VA Insurance Plans

Blanchard Valley Health System and its providers participate in the following commercial, Medicaid, Tricare and VA insurance plans:

• Aetna: PPO, HMO, POS
• Aetna Better Health
• Anthem Blue Cross/Blue Shield: Traditional, PPO, POS, & HMO
• Beech Street network
• Buckeye Community Health Plan (Medicaid HMO)
• CareSource (Medicaid HMO)
• Cenpatico Managed Behavioral Health
• Cigna: HMO, OAP, PPO
• Cigna Behavioral Health
• Cofinity 
• CompPsych Managed Behavioral Health
• Emerald Health Network PPO
• Front Path PPO
• HealthSmart/Accel
• Humana POS, PPO
• Managed Health Network (Behavioral Health for Tricare)
• Medical Mutual: Traditional, SuperMed PPOs, HMO
• Molina (Medicaid HMO)
• MultiPlan
• NWOHP Choice PPO
• Ohio Health Choice PPO
• Ohio Health Group (HealthReach) PPO
• Ohio PPO Connect (OPPOC)
• Paramount Advantage (Medicaid)
• Paramount: PPO, HMO
• PHCS (Private Health Care Systems) PPO
• Ryan White Part B HIV (Ohio Dept. of Health Program)
• SuperMed Classic, Plus, Preferred and Select (Medical Mutual)
• Three Rivers Provider Network (TRPN PPO)
• Tricare - Standard, Prime, VA PCCC, Tricare Select Reserve, VA Veterans Choice Program (All programs)
• United HealthCare Community Plan
• United Healthcare PPO, HMO
• United Behavioral Health
• VA Veteran's Choice Program
• Value Options Behavioral Health
• Veteran’s Administration - patients referred to BVHS by a VA primary care physician
• Women’s Preventive Healthcare Project (Komen) (Breast and Cervical Cancer Project)