Come Prepared
To help us assist you, please bring a copy of your insurance card with you when you arrive at the hospital for treatment. You will be asked to assign your insurance benefits. This will allow your insurance company to send the payment directly to the hospital.
You should familiarize yourself with the terms of your insurance coverage and call your insurer with any specific questions. This will help you understand what to expect and to plan accordingly.
Your Hospital Bill
Madison Health will submit bills to your insurance company and make every effort to assist you in getting your bill paid. Please understand, your insurance policy is a contract between you and your insurance company. The hospital does not have legal authority over your insurance company. You have final responsibility for payment of your bill; however, we have several payment options available.
Bills for Other Professional Services
If you have certain tests or treatments in the hospital, you may receive bills from physicians you did not see in person. These bills are for professional services rendered by doctors, such as pathologists, radiologists, Emergency Room physicians, etc. Insurance companies require them to submit separate bills. If you have a question about these bills, please call the telephone number printed on the billing statement.
Madison Health Accepted Insurance
Before scheduling an appointment or procedure, check with your insurance provider to confirm your coverage, benefits, and any pre-visit requirements.
As a patient, it is your responsibility to ensure that any services you receive are covered under your plan and to provide accurate insurance information to facilitate the billing process. If you do not have insurance or are underinsured, please explore our Financial Assistance Program Policy below.
For specific benefit and coverage questions, please contact your insurance provider directly using the number on your insurance card.
Dual Medicare/Medicaid
Aetna MyCare Medicare RX
Buckeye MyCare Medicare RX
Molina MyCare Medicare RX
Exchange
Molina Exchange
Buckeye Ambetter
CareSource Exchage
Government Programs
Breast and Cervical Cancer Project (BCCP)
Ohio Department of Rehabilitation and Correction (ODRC, Prison)
Tricare – Humana Military
Veteran’s Affairs Community Care Network Optum (VA CCN Optum)
Managed Care
Aetna
Anthem
Cigna
Humana
Medical Mutual
Multiplan
Ohio Health Choice
Ohio PPO Connect
OSU Health Plan
PHCS
United Health Care
UMR
Medicaid
Medicaid
AmeriHealth Caritas Ohio
Buckeye Health Plan
CareSource
Humana Healthy Horizons
Molina
UHC Medicaid Community Plan
Medicare
Medicare
Medicare Aetna HMO or PPO
Medicare Anthem HMO or PPO
Medicare CareSource HMO
Medicare Humana HMO PPO
Medicare Medical Mutual
Medicare Mount Carmel Health Plan
Medicare UHC HMO
Medicare UHC PPO
Insurances Not Accepted at Madison Health
The list below includes commonly identified insurance plans that are not accepted at Madison Health. You may have to pay increased out-of-network charges. This is not an all-inclusive list, please check with your insurance to verify network status.
Insurance Not Accepted
Anthem Medicaid (must go to in-network provider)
Anthem Pathway (Marketplace Exchange)
Antidote
Devoted Health HMO
Medical Mutual OhioHealth Network
Medical Mutual MedFlex
Oscar
The Health Plan Medicare
UnitedHealthCare Exchange Plans
UMR – Bon Secours Mercy Health
Urgent Care Notice:
Please note that Madison Health Urgent Care is not a VA-approved facility. Veterans seeking urgent care services should refer to the Madison Health Emergency Room for immediate needs or contact the VA directly for assistance in locating an in-network urgent care provider.
