Managed Care Programs

Is It Covered By Insurance?

Chiropractic care is covered by many health insurers today, including state programs such as Worker's Compensation and Medicaid, Federal programs such as Medicare as well as HMO's and PPO's and automobile medical coverage. However, many policies differ and individual coverage will need to be verified at the time of your visit.

Dr. Simon is a preferred provider for many health plans in Ohio. If his name is not in your provider booklet it does not mean that he is not involved in your plan. Because of the frequency of printing of your booklet, some physicians are in the plan but have not yet been added to your list. The best policy is to check the last time these lists were revised or to give our office a call so we will verify your coverage.

Managed Care Programs We Are Currently In

A.C.N Chiro Care	Health Options
Accountable Health Plan of Ohio	Health Star
Alternative Health Solutions (PPO)	Health Services Preferred
Admar Corp's Med Network	Humana Health Care Plans
Aetna	Integrated Chiropractic Services
Aetna Natural Alternatives PPO	John Alden Health Plan-ACN
America's Health Plan	Klais Health Network
American Benefits Group PPO	Managed Chiropractics
American Specialty PPO	Managed Care Inc.
American Whole Health PPO	Medical Mutual of Ohio Traditional
Aperture PPO	a) SuperMed Plus
Beech Street PPO	Medigold
BC/BS HMO Health Ohio	Metro Plan
BC/BS of Ohio	Multi Plan Inc.
Capp Care	Nationwide PPO-ACN
Care Source	Ohio Health Choice
Central Benefits	Ohio Health Plan
a) Assure	Paramount PPO
b) Chiro-select	Personal Medical PPO
Chiropractic Choice PPO	Plan Plus JC Penny PPO
Chiropractic Plan of America	Preferred Chiropractic Care PPO
Chiro Health America	Preferred Chiropractic Care Dr. PPO
Chiro Health Ohio	Prefer One
Chirofirst	Primary Health Services
Chiro Services	Private Health Care System
Chirosource, Inc.	PRM PPO
Choice Care	Pro America
Cigna Health Care of Ohio	Promark PPO
Cigna PPO	Provider Network of America
Columbus Health Plan	Prudential Health Care PPO
Community Insurance Corporation	Prudential Health Care POS
a) Advance Plan	Shared Physicians Network
b) Community Preferred	TeamCare-ACN
c) Community Choice	Team Health Care Partnership
Comprehensive Health	TMCA PPO
Cost Care	Triad PPO
Day Med HMO	Trade Union Directory
Direct Care America PPO	Total Health Care Plan
Emerald Health	Unicare PPO
EV Benefits	United Health Care PPO
Family Chiropractic of America	United Health Care HMO
Freedom Years	United Health Care of Ohio
Great Western	Universal Health Panel PPO
Health Care Compare (Affordable)	USA Health Network
Health Maintenance Plan/BC/BS
Health Ohio

Worker's Comp. MCO's

(Currently Members)

State Certified

ACN Worker’s Comp

AdvoCare

ALPS Claim Service

Anthem Blue Cross Blue Shield

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British Wain, Inc.

Buckeye Care

Careworks of Ohio, Ltd.

CompManagement Health Systems, Inc.

Core Point

Core Source

Connecticorp, Inc.

Corrival Corporation

Crawford & Company

CRA Managed Care, Inc.

Employer’s Medical Network

First Care

Gates McDonald Health Plus, Inc.

GENEX

Health Risk Management, Inc. Healthstar

Humana

Klais & Company

Klais Health Network

Managed Health Care Services Division IAB, Inc.

Medical Administrators, Inc.

Medical Case Management of America

MedTrac

Mutual of Omaha Health Plan

Ohio Comp Network

Ohio Health Choice (pending)

Ohio Employee Health Partnership

Ohio Managed Care Organization, Ltd.

Ohio Renaissance Healthcare Options, Ltd.

PRM Preferred Ltd.

Premier Managed Care Services, Inc. (Healthstar)

Professional Comp Care, Ltd.

Prohealth CompCare

Prudential Health Care Worker’s Comp 1 Comp Care, Ltd.

Riczo & Company

Sheakley Unicare, Inc.

Team Health Care Partnership Inc.

Total Care Management (Healthstar)

Total Health Management, Ltd.

Certified In Select Counties

Comprehensive Medical Care

DayMed Health Maintenance Plan, Inc.

Health Management Solutions, Inc.

Health First

Integra Group

Medical Benefits Administrators, Inc.

MetraComp, A United Healthcare Co.

Ohio University Osteopathic Medical Center, Inc.

Paramount Preferred Network

Prudential Healthcare Worker's Comp Management

University Hospitals Health Systems

WorkCompCare/Mutual of Omaha

MCO's Not In Our Area

3-HAB

Adult Comp

Choice Care Health (Cinci.)

Cinci. Regional Orthopedic (Cinci.)

Family Health Plan

Health Source Ohio

Premier Comp Hometown

Summitt Administrative

Team Health Care Partnership

The Health Plan

Vantage Health Plans Inc.

HIPAA Disclosure to Patients

Protected health information may be used and/or disclosed in order to carry out treatment, payment or health care operations.
If you do not consent to the above use and/or disclosure, then this office will not treat you.
A notice containing the office's privacy practice including a more complete description of uses and/or disclosures necessary to carry out treatment, payment and/or health care operations, is available for you to read, and you are hereby encouraged to do so prior to signing this consent form.
This office reserves the right to change its privacy practices that are described in the above referenced notice, in accordance with applicable law, and will make available to all patients any and all revised and current notices.
You have a right to request that this office restrict how protected health information is used and/or disclosed to carry out treatment, payment and/or health care operations.
This office is not required to agree to any restrictions that you have requested.
If this office agrees to a requested restriction, then the restriction is binding on the office.
You have the right to revoke this consent, in writing, at any time for all future transactions, with the understanding that any such revocation shall not apply to the extent that this office has already taken action in reliance on this consent.
Should you revoke this consent at any time, the office retains its right to refuse treatment based upon the revocation and the future lack of such consent.
You will sign and date all consents requested to which you agree.

Is It Covered By Insurance?

Worker's Comp. MCO's

Worker's Comp. MCO's

HIPAA Disclosure to Patients

Protected health information may be used and/or disclosed in order to carry out treatment, payment or health care operations.

If you do not consent to the above use and/or disclosure, then this office will not treat you.

A notice containing the office's privacy practice including a more complete description of uses and/or disclosures necessary to carry out treatment, payment and/or health care operations, is available for you to read, and you are hereby encouraged to do so prior to signing this consent form.

This office reserves the right to change its privacy practices that are described in the above referenced notice, in accordance with applicable law, and will make available to all patients any and all revised and current notices.

You have a right to request that this office restrict how protected health information is used and/or disclosed to carry out treatment, payment and/or health care operations.

This office is not required to agree to any restrictions that you have requested.

If this office agrees to a requested restriction, then the restriction is binding on the office.

You have the right to revoke this consent, in writing, at any time for all future transactions, with the understanding that any such revocation shall not apply to the extent that this office has already taken action in reliance on this consent.

Should you revoke this consent at any time, the office retains its right to refuse treatment based upon the revocation and the future lack of such consent.

You will sign and date all consents requested to which you agree.