Feel your best by receiving our best. We’re ranked in the top 5% in the U.S. for both outcomes and patient safety. Plan your visit with Kettering Health by viewing the accepted health plans.
Please check with your insurance company to verify Kettering Health is a participating provider with your plan.
Call us at (937) 723-4062 with your questions about the following plans.
Common Plans
| Insurance Plan | Commercial | Medicare Advantage(6) | Managed Medicaid | Healthcare Exchange |
| Aetna | Yes | Yes | ||
| Anthem Blue Cross and Blue Shield (9) | Yes | Yes | Yes | |
| CIGNA | Yes | Yes (30) | ||
| Humana (1) | Yes | Yes | Yes (23) | |
| Medical Mutual of Ohio (26) | Yes | Yes | Yes (26) | |
| United HealthCare | Yes | Yes | Yes | Yes (24) |
Healthcare Exchange Plans
| Insurance Plan | Commercial | Medicare Advantage(6) | Managed Medicaid | Healthcare Exchange |
| Anthem Pathways or Direct Access (9) | Yes | |||
| Assurant Health (8) | Yes | |||
| Buckeye Ambetter | Yes | |||
| CareSource (Just4Me) Marketplace | Yes | |||
| HumanaX | ||||
| Medical Mutual of Ohio | Yes (26) | |||
| Molina Marketplace | Yes | |||
| Paramount (1) | ||||
| United HealthCare | Yes (24) |
Alphabetical Listing of Plans
| Insurance Plan | Commercial | Medicare Advantage(6) | Managed Medicaid | Healthcare Exchange |
| Aetna | Yes | Yes (17) | ||
| Aetna Better Health (5) (11) | Yes | Yes | ||
| Aetna Better Health-OHIO RISE (25) | TBD | |||
| Amerihealth (28) | Yes | |||
| Anthem Blue Cross and Blue Shield | Yes | Yes | Yes | |
| Anthem Pathways or Direct Access (Healthcare Exchange) | Yes | |||
| Buckeye Medicaid and Medicare | Yes | Yes | Yes | |
| Buckeye Ambetter Healthcare Exchange | Yes | |||
| CareSource Medicaid and Medicare | Yes | Yes | Yes | |
| CareSource (Just4Me) Marketplace | Yes | |||
| Champ VA | Yes | |||
| CIGNA (30) | Yes | Yes (30) | ||
| Custom Design Benefits True Cost W/ KH Logo ONLY (18) | Yes | |||
| Devoted Health | Yes | |||
| First Health (11) (22) | Yes | |||
| Health Ohio Network | Yes | |||
| Health Smart | Yes | |||
| Humana (1) | Yes | Yes | Yes (23) | |
| HumanaX (Healthcare Exchange) | ||||
| Immergrun | Yes | |||
| Kemper/First Health (11) (22) | Yes | |||
| Loma Linda | Yes | |||
| MedBen with KH logo ONLY (20)(21) | Yes | |||
| Medical Mutual of Ohio (26) | Yes | Yes | Yes (26) | |
| Medigold | Yes | |||
| Molina Medicaid and Medicare | Yes | Yes | Yes | |
| Molina Marketplace (Healthcare Exchange) | Yes | |||
| Multiplan | Yes | |||
| Ohio Health Choice | Yes | |||
| Optum (UBH) UBH)Comm/Mcare/Mcaid/Exchange | Yes | Yes | Yes | Yes (27) |
| Paramount (1) | Yes (29) | |||
| Perennial Advantage | Yes | |||
| PHCS | Yes | |||
| Poppins | Yes | |||
| Surest Health Ins (15) | Yes | |||
| The Health Plan/HARTZELL PROPELLER-MUST have this exact logo | Yes | |||
| Three Rivers | Yes | |||
| Tricare / Humana Military | Yes | |||
| United HealthCare | Yes | Yes | Yes | Yes (24) |
| VA CCN | Yes | |||
| Valor HealthPlan | Yes | |||
| WellCare by Allwell (19) | Yes | |||
| WellCare Medicare | Yes | |||
| Zelis | Yes |
My Care Ohio Plans (ICDS)
| Insurance Plan | Commercial | Medicare Advantage(6) | Managed Medicaid | Healthcare Exchange |
| Aetna Better Health (5) (11) | Yes | Yes | ||
| Buckeye Medicaid and Medicare | Yes | Yes | ||
| CareSource | Yes | Yes |
Notes
Plans that do not offer products in the specified section are reflected as blank or empty squares.
- Does not include participation in healthcare exchange plans.
- Kettering Physician Network (KPN) physicians do not participate with all Managed Medicaid Plans. Please check with the physician practice location or with your insurance company for physician participation.
- Kettering Health Dayton and Kettering Health Washington Twp only
- All other facilities should verify by employer group, most should have network coverage under Multiplan.
- Applies to Kettering Health Hamilton Only
- Does not include Medicare Select / Supplement plans and policies. KHN does not participate in any Medicare Select / Supplemental Plans
- In Health Expired as of December 31, 2016- removed from list
- NA
- Anthem Pathways Affordable Care Act Plan
- NA
- KPN is Out Of Network
- KPN is Out Of Network for Medicare Product
- KPN is IN Network
- KHN and KPN is Out of Network
- Bind On-Demand Health accesses United Healthcare provider contracts with limited benefits
- NA
- NA
- CDBI W KH logo ONLY is in network. Without the KH logo the plan is out of network.
- Buckeye Medicare is rebranded to Wellcare by Allwell eff 1.1.2022
- MedBen with KH logo ONLY is in network. Without the KH logo the plan is out of network.
- Without KH logo but with reference to another contracted PPO network (Cigna, Ohio PPO Connect,MMO)
- Applies to GMH, GV/SV, KH and Sycamore only
- Humana Medicaid eff 12.1.22
- UHC Exchange eff 1/1/2023
- Aetna Better Health-Ohio Rise- contract finalized not yet signed- coming SOON
- Medical Mutual of Ohio exchange eff 1.1.2023
- Optum Exchange- Eff 1.1.2023
- Amerihealth eff 12.1.2022
- Paramount terms effective 12.1.2022
- Cigna Medicare effective 1.1.2023
