Insurance
The physicians of the Orthopaedic Institute of Dayton participate in most major insurance plans including the following plans and physician networks. *Exceptions are rare and are indicated below.
Insurance Plan Participation List
Insurance/Managed Care Plans
- Aetna
- Anthem
- Central Benefits
- ChoiceCare/Humana
- Cigna
- Healthspan
- John Alden
- Medical Mutual of Ohio
- Medicare
- Mutually Preferred
- One Health Plan
- Path Health Network
- PPOM
- Primary Health Services
- Prudential
- Summit *With the exception of Dr. Fisher and Dr. Seymour
- Tricare/Champus
- Tri River Health Plan *With the exception of Dr. Fisher and Dr. Seymour
- United Healthcare/MTH
- Universal Preferred
Physician Networks
- ASC Flora
- Beech Street/Capp Care
- Direct Care America
- Emerald Health
- First Health
- Golden Rule
- Health Star
- HSP by Emerald
- Integra Group
- Kettering Physician Health Alliance
- Managed Benefit Administrators
- Medview Services, Inc.
- Mid-Valley Carenet
- Nationwide Health Plans
- Ohio Health Choice Plans (OHCP)
- Premier Health Partners & Physicians (MVH Physician Network) *With the exception of Dr. Fisher and Dr. Seymour
- Private Health Care Systems (PHCS)
- Unicare
Medicare Replacement Plans
- Anthem Senior Advantage
- UHC Medicare Complete
Referral Authorization
Some managed care plans require the patient to obtain a referral authorization from their primary care provider prior to receiving services from a specialist. If your plan requires a referral authorization, services will be provided only if the referral authorization is at our office at the time of your visit. You will have the option to sign a waiver accepting financial responsibility for services not covered due to the lack of the referral authorization. If referral authorization is a problem, we can reschedule the appointment.
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