Accepted Insurance

Crystal Clinic Orthopaedic Center accepts many insurance plans, including traditional Medicare and Ohio Medicaid. However, please be advised that it is the responsibility of the patient to fully understand their insurance coverage. We offer the following suggestions for all patients prior to their appointments and services with Crystal Clinic Orthopaedic Center.

Before Your Appointment

  • Speak with your insurance plan before making an appointment with Crystal Clinic to verify benefits, deductible and co-pay obligations, in-network and out of network status, etc.
  • Provide complete information regarding your insurance during the pre-registration process (when applicable); this helps us to verify benefits and clear up any questions prior to your appointment.
  • Bring your most current insurance card AND photo ID with you to every appointment and service.

Special Notice Regarding Exchange/”Marketplace” Plans:

Please be aware that Crystal Clinic Orthopaedic Center (hospital/clinics) and Crystal Clinic, Inc. (physicians) accept only the following Healthcare Exchange/Marketplace products:

  • Aultcare NON-SELECT Exchange Products (Bronze, Catastrophic, Gold and Silver plans that DO NOT include the word “Select” in their name)
  • Buckeye Community Health Plan Ambetter
  • Medical Mutual of Ohio (MMO)
  • Summacare

If you are unsure if you have an Exchange or Marketplace insurance plan, please call your insurer prior to scheduling an appointment to confirm benefits.

Accepted Insurance Plans:

  • AARP
  • Aetna Health Inc. (with the exception of Aetna Better Health and Cleveland Clinic EHP Plans)
  • AmeriHealth Caritas
  • Amish Church Fund Plans
  • Anthem Blue Cross and Blue Shield (with the exception of the HPN Network, Mediblue Prime Select, Western Reserve, and University Hospital Plans) (Limitations and exclusions may apply to WALMART and Pepsi-Co Plans)
  • Ambetter
  • Aultcare Health Plan (with the exception of SELECT plans)
  • Buckeye Community Health Plan   
  • Christian Healthcare Ministries          
  • Cigna Health Care
  • Devoted Health
  • Enterprise Group Planning
  • First Health Network (with the exception of Christian Care Medi-Share)
  • GEHA (Government Employees Health Association Benefit Plan)
  • Humana (with the exception of Cleveland Clinic HMO plans)
  • J P Farley
  • Luminare
  • Medical Mutual of Ohio (with the exception of CLE-CARE, Mercy Health exchange plans, SKYWAY EPO and SKYCARE plans)
  • Molina (with the exception of Exchange/Marketplace Plans)
  • Multiplan/PHCS (with the exception of Self-Funded, Physician and Ancillary only, and Limited Benefit Plans)
  • NOMI Health
  • Ohio Health Choice (PPO) (Preferred Health Choice)
  • Oscar
  • Paramount Preferred Health Choice
  • SummaCare (with the exception of Preferred Choice Network)
  • The Health Plan (with the exception of Self-Funded and PEIA plans)
  • TriCare
  • United Healthcare (with the exception of Exchange/Marketplace and Compass plans)
  • Valor Health
  • Wellcare by Allwell

If you have questions regarding your insurance plan, please reach out to our Insurance Verification department at 330-670-1019.