Managed Care Organization Portals

Health Plan Assistance Guide

To help you help your patients the major Ohio insurers have made available to the Ohio AAP these phone numbers all together in one place. In particular, “Case Management” may include access to nurses or social workers to help families line up resources or keep a complex array of medical appointments organized. Many of the plans have portals that you can use to communicate with the plan and refer patients for Case Management services. You may decide that the “Nurse Advice Lines”, while perhaps not appropriate for your established patients for whom you provide access to your own on call physician or nurse, may be appropriate for patients whom you have not yet seen or established a relationship with, but who call for advice before their first visit with you. The Ohio AAP hopes this helps your practice provide medical home services more easily.

Click the logo below for a direct link to the portal.

 

Transportation to Appointments

Nurse Advice LineMember ServicesMedicationsCase ManagementWebsite
(800) 872-3862(800)
556-1555
(800)
872-3862
(800)
238-6279
(800)
872-3862
www.aetna.com
(800) 272-6967(888)
912-0636
(800)
272-6967
(800)
417-1961
(800)
258-3175
www.medmutual.com
(800) 552-9159(888)
249-3820
(800)
552-9159
(800)
700-2541
(866)
797-9884
www.anthem.com
(800) 951-7719(800)
951-7719
(800)
951-7719
(800)
951-7719
(800)
951-7719
www.wellcare.com
(800) 895-2017(800)
542-8630
(800)
895-2017
(800)
895-2017
(800)
895-2017
www.uhccommunityplan.com
(866) 837-9817(800)
234-8773
(800)
462-3589
(800)
462-3589
(800)
462-3589
www.paramounthealthcare.com
(866) 642-9279(888)
275-8750
(800) 642-4168 (CFC)
(866)
408-9501 (ABD)
(800) 642-4168 (CFC)
(866)
408-9501 (ABD)
(866)
774-1510
www.molinahealthcare.com
(800) 488-0134 (CFC)
(800) 993-6902 (ABD)
(866)
206-0554
(800) 488-0134 (CFC)
(800) 993-6902 (ABD)
(800) 488-0134 (CFC)
(800) 993-6902 (ABD)
(800) 488-0134 (CFC)
(800) 993-6902 (ABD)
www.caresource.com
(866) 531-0615 or
866-246-4359
(866)
246-4359
option # 7
(866)
246-4358
(866)
246-4358
(866)
246-4359
www.buckeyehealthplan.com

Member ID Cards- Please advise your patients – They will need their member ID card each time they get health services, including when they:
• See a doctor or any other health care provider
• Pick up their medications
• Call for transportation
• Go to a hospital for any reason

* CFC = Covered Families and Children
**ABD = Aged, Blind, or Disabled