Select Health Choice Directory Richland County (Richland)

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1 Select Health Choice Directory Richland County (Richland)

2 Welcome Ohio Health Choice (OHC) is one of Ohio s first and largest Preferred Provider Organizations (PPO). A PPO serves as a link between health care purchasers (you or your employer), health plan administrators (insurance companies or third party payers), and health care providers (doctors and hospitals). As a PPO, OHC combines the best features of traditional health insurance with the cost savings of a managed care program. You get the benefits of both with the freedom of choice you deserve. The OHC network provides you with access to a comprehensive range of health care services to cover virtually all of your medical needs. For information regarding your coverage, benefits or eligibility, please check with your Personnel Department or call your insurance carrier. Ohio Health Choice is not an insurance company or third party administrator and does not process claims or make claims payments. Please forward all claims to the address listed on your plan ID card to ensure timely processing. IMPORTANT MESSAGES 1. This directory does not constitute a recommendation of any hospital, physician or other health care provider. The providers listed in this directory are independent contractors, and OHC is not responsible for health care provided or the omission, delay or unavailability of health care by these providers. While this listing of providers is complete as of the date indicated within the directory, it is subject to change. More current information may be obtained by calling the OHC Customer Service Department at (440) Outside the Cleveland area, call or checking our website at 2. This directory does not guarantee that all services or all providers will be covered under you health care plan. You must consult your certificate of insurance or other health plan descriptions to determine what type of providers and services are covered. Failure to verify your plan design or network status may result in nonreimbursed medical expenses. 3. Some hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the OHC network. Please refer to the Statewide Hospital Listing for the status of these providers. 4. Hospitals in the network may provide additional services such as mammograms, urgent care services, laboratory, home health care, etc. as part of their agreement with OHC. For further information on these services, please contact your local hospital or contact us for network status. 5. Some of the OHC PPO providers may provide services that are not part of the OHC network (i.e., surgical procedures in a doctor s surgical suite). Please contact the provider s office to determine how services will be billed. Contact your benefits office to determine if your coverage is affected. How to Use the Network Select a provider from the directory or call Customer Service at (440) (outside the Cleveland area call ) for assistance in locating a provider. Confirm that your provider is currently part of the OHC network. Always show your membership card to the receptionist when you arrive for your appointment. Some participating providers may require that you pay for all or part of your expenses at the time of service. Any medical expenses not covered under your health benefit plan (i.e., copays, deductible, and coinsurance) are generally payable at the time of service. If your provider needs to refer you to a facility or another health care provider, remind the provider that you are part of the OHC network and be sure the provider refers you to a participating provider when possible. If you use a non-participating provider, your benefits may be reduced. If you have any questions regarding OHC providers, call Customer Service at (440) (outside the Cleveland area call ).

3 Visit our site on the Internet at Preferred Provider Status This provider directory is printed annually. Provider changes and additions occur throughout the year. Contact the OHC Customer Service Department to confirm that your provider is currently a network member. Ohio Health Choice Corporate Office Detroit Road Westlake, OH (440) or (outside the Cleveland area) Benefits Information For information regarding your coverage, benefits or eligibility, please check with your Personnel Department or call your insurance carrier. Ohio Health Choice is not an insurance carrier or third party administrator and does not process claims or make claim payments. Please forward all claims to the address listed on your ID card to ensure timely processing.

4 SHC - Network Hospitals Some hospital based providers such as emergency room physicians, radiologists, anesthesiologists and pathologists rendering services at network hospitals may not be members of the OHC network. Where indicated at time of directory printing, OHC network members provide these hospital-based services. 1Not all physicians in this specialty category are participating providers. Please call OHC to verify network status.

5 SHC - Network Ancillary Providers Hospital Based Anesthesiology Group Wooster Anesthesia Associates, Inc. RICHLAND Mansfield 335 Glessner Ave (330) Network hospitals may also provide these services within the network. Contact the Ohio Health Choice Customer Service Department for assistance. Please note: Some facilities may bill outpatient services as hospital services. Contact your benefits office as this billing practice may affect your coverage. Contact you health care provider to verify how services will be billed. Some providers rendering services at network facilities may not be members of the OHC network.

6 SHC - Network Physicians and Other Providers Malhotra, Ravindra K Kannapiran, Kandhasamy Boldon, Douglas P Bullock, Joseph D Franz, Michael L Mcneil, Donald L Suresh, Suri, R RICHLAND Bellville Gastroenterology MD 84 Main St (419) General Practice MD 84 Main St (419) Mansfield Allergy and Immunology MD 120 Sturges Ave (419) Cardiovascular Diseases Jones, Dorothy L Vichinsky, Lewis M Medling, James M Torppa, Alan, J Celec, Debra J Podiatry DP 381 Cline Ave (419) DP 381 Cline Ave (419) Psychology PhD 812 Park Ave E (419) PhD 1456 Pk Ave W (419) Shelby Otolaryngology DO 24 Morris Rd Ste 3 (419) Padival, Pradyumna K Malhotra, Ravindra K Malhotra, Ravindra K Kannapiran, Kandhasamy Kannapiran, Kandhasamy Alam, Shamsul Ortega-Carr, Debora A Ballitch II, Harold A Gupta, Mohinder K Kode, Ramesh M Leonardy, Nicholas J Lomeo, Mark D Opremcak, E Mitchell Schnitzer, David B Moneme, Victor U Shaw Jr, Charles H Timperman, V. Diana MD 275 Cline Ave (419) Gastroenterology MD 390 Marion Ave (419) MD 339 Cline Ave (419) General Practice MD 390 Marion Ave (419) MD 339 Cline Ave (419) Internal Medicine MD 275 Cline Ave Ste 2 (419) Ophthalmology MD 330 Glessner Ave (419) MD 661 Park Ave E (419) MD 661 Park Ave E (419) MD 273 Cline Ave (419) MD 466 S Trimble Rd (800) MD 466 S Trimble Rd (419) MD 273 Cline Ave (419) Pediatrics MD 2003 W 4th St (419) MD 370 Cline Ave (419) MD 2003 W Fourth St (419) Providers listed in this directory are network providers as of: Thursday, August 01, 2002 Provider changes occur daily. Contact us to confirm that your provider is currently a member.

7 26908 Detroit Road Westlake, Ohio

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