Insurance at Southeastern Medical Center

We accept most health insurance plans, including Medicare and Medicaid. We ask that you bring your insurance card with you so that we have all the information we need to ensure timely billing of your insurance. We are a member of most health networks, but you should confirm with your insurance company that your plan is in network with us.
Please keep in mind that you may still be billed for out of pocket costs like co-pays, deductibles, and co-insurance.

A Network is the facilities, providers, and suppliers your health insurer has contracted with to provide health care services. Contact your insurance company to find out which providers are “in-network.” These providers may also be called “preferred-providers” or “participating providers.” If a provider is “out-of-network” it might cost you more to see them.
Premium is a payment made, usually monthly, to an insurance company for your coverage.
Deductible is the amount you owe for health care services before your plan will start paying for your care. Note: May not apply to all services.
Copayment (Copay) is a fixed amount you pay for a covered health care service or supply. For example, $15 for a doctor visit.
Coinsurance is your share (a percent) of the costs of a covered service. For example, if your coinsurance is 20%, and the service cost $100, you pay $20.

It’s important for you to know if your insurance requires pre-certification in order for your service to be covered. When in doubt, contact your health plan to find out whether pre-approval is needed. The contact information should be noted on the back of your insurance card. If your health plan requires pre-approval for a particular service, that’s a process you need to complete with your physician’s office prior to receiving services here.

If you have any questions or need any assistance with this important step, or any questions regarding coverage and payment, please feel free to contact a Financial Counselor by phone at (740) 435-2134, or by email at [email protected], we are happy to help you in any way possible.

Business Office	Cashier’s Window
1520 Maple Ave.	(located in the main lobby in the hospital)
PO Box 610	1341 Clark St.
Cambridge, OH 43725	Cambridge, OH 43725

Monday – Friday	Monday: 9:00am – 3:30pm
8:00am – 4:30pm	Tuesday – Friday: 8:30am – 3:30pm
*Business office and Cashier’s window are closed weekends and major holidays.

To contact the Business Office, call 740.439.8140 and listen to the prompts to be connected with the appropriate person. You can also email [email protected].

To speak with a Financial Counselor, call 740.435.2134 or email [email protected]. Office hours are Monday – Friday from 7:30 am – 4:30 pm.

To make a payment over the phone, call 740.439.8140 and select option 1.

Insurance Plans Accepted at Southeastern Med

INSURANCE	PARTICIPATING
If non-particiating, obtain Out	YES	NO
Of Network prior authorization	Exchange =	Market Place
Aetna Commercial	X
Aetna Exchange		X
Aetna Medicare	X
Anthem Commercial	X
Anthem Exchange HMO	X
Anthem Exchange PPO	X
Anthem Medicare	X
Aultcare (PPO)	X
Aultcare Exchange		X
Buckeye Exchange		X
Buckeye Medicaid	X
Caresource Exchange	X
Caresource Medicaid	X
Caresource Medicare		X
Cigna	X
Coventry Commercial	X
Coventry Medicare	X
Health Plan	X
Health Plan MCD		X
Health Plan Secure Care MCR
Healthsmart	X
Humana Commercial (PPO)	X
Humana Exchange		X
Humana Medicare (PPO and PFFS)	X
Humana Medicare HMO plan		X
Med Ben	X
Medical Mutual Commercial	X
Medical Mutual Exchange		X
Medical Mutual Medicare	X
Medigold		X
Molina Exchange		X
Molina Medicaid	X
OH PPO	X
Paramount Exchange		X
Paramount Medicaid	X
Premier HealthOne Exchange		X
Quality Care Partners	X
UMR	X
United Healthcare Commercial	X
United Healthcare Exchange		X
United Healthcare Medicaid	X
United Healthcare Medicare	X
VES services	X
updated Oct 2019