Payor Contracts

One of the major benefits of Mount Carmel Health Partners membership is the opportunity to participate in various types of managed care contracts held by Mount Carmel Health Partners, including Commercial, Medicare Advantage, and Medicaid Managed Care companies. Mount Carmel currently holds contracts with the following payors:

  • Aetna (Commercial, Medicare Advantage, Better Health (Duals Plan) and Aetna/ Mount Carmel Network Plan)*
  • Buckeye Health Plan (Medicaid Managed Care Plan)
  • CareSource Ohio (Medicaid Managed Care Plan) and Caresource Medicare Advantage
  • ChoiceCare Network (PPO) (subsidiary of Humana)
  • Cigna (Commercial products)
  • Custom Design Benefits (TPA)
  • Health Design Plus (PPO)
  • Health Ohio Network (PPO)
  • HealthSmart Preferred Network (PPO)
  • Humana (Commercial and Medicare Advantage products)
  • Medical Benefits Mutual "MedBen" (PPO) (contract held through Standard Customer Agreement)
  • Medical Mutual of Ohio (Commercial and Medicare Advantage)*
  • MediGold (Medicare Advantage products)
  • Molina Healthcare of Ohio (Medicaid Managed Care plan) and separate Dual Options Medicare/Medicaid plan
  • Mount Carmel Event Care and Hospice Consult Programs
  • MultiPlan PHCS (PPO)
  • Ohio Health Choice (PPO)
  • Paramount Advantage (Medicaid Managed Care Plan)*
  • The Health Plan (Commercial and Medicare Advantage products) (offered to specialists and hospitalists ONLY)
  • Trinity Mount Carmel Colleague Health Plan (administered by Aetna)

* All physicians under the same tax ID must be in the Mount Carmel Health Partners Clinically Integrated Network to access these contracts.

As a reminder, if you are a new provider or group to Mount Carmel Health Partners, you will automatically be enrolled in all of Mount Carmel Health Partners payor contracts. If you wish to opt out of any payor contracts please notify Renee Sudimack (This email address is being protected from spambots. You need JavaScript enabled to view it.) in writing within 14 days of receipt of receiving your welcome letter after being credentialed.

Effective 01/01/2018 Mount Carmel Health Partners DOES NOT participate in any Market Exchange Products.

For specific summaries and requirements of these contracts, please contact Kelley Compson at This email address is being protected from spambots. You need JavaScript enabled to view it. or Kelly Rogers at This email address is being protected from spambots. You need JavaScript enabled to view it..