Provider Networks | Utilization Management | Component & Consultative Services

Preferred Health Choice

The core product of Ohio Health Choice is the Preferred Health Choice. Providing superb access extending throughout Ohio and its contiguous borders. All physicians are contracted using an aggressive RBRVS fee schedule, which offers per procedure rates on all CPT codes. Facilities are contracted using three financial methods: per diems, percent off of billed charges, and case rates.

The Ohio Health Choice PPO Network of providers consists of primary care physicians, and specialists including chiropractors, optometrists, behavioral health practitioners, and podiatrists.

Preferred Health Choice provides a full range of ancillary services at contracted rates within one statewide network. The continuity of care is assured for the member by providing as many ancillary services as possible with the majority of them being contracted at case rates and our RBRVS fee schedule. Ohio Health Choice has contracts with the following types of ancillary care providers: ambulatory care, home infusion, audiology services, biometrics reading, chemical dependency/substance abuse centers, dialysis, extended care facilities, free standing emergency rooms, home health services, home medical equipment, hospice, laboratory services, orthotic-prosthetic services, physical/occupational therapy, radiology services, skilled nursing, sleep disorder services, speech therapy, vocational & work rehabilitation facilities and urgent care centers.

All network participants, must meet the Ohio Health Choice credentialing standards, agree to refer patients to other participating providers and comply with Ohio Health Choice utilization management requirements

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