DR. JAY N NATHWANI M.D.
Accepted Insurance Health Plans for NPI 1245573591
Surgery - Trauma Surgery in Cincinnati, OH
Quality Rating: 75.19 out of 100 score
NPI Status: Active since April 04, 2013
Contact Information
3200 BURNET AVE
CINCINNATI, OH
ZIP 45229
Phone: (513) 475-8787
Fax: (513) 929-7239
Accepted Health Plans and Insurance Coverage
Browse the list of insurance companies that may be accepted by DR. JAY N NATHWANI M.D.. Use the filter tool below to quickly find details about your health plan, including the plan name, market, network tier or type, and ID. If you're looking for a specific plan, type its name into the search box.
Anthem Blue Cross and Blue Shield (12 plans)
Anthem Bronze Pathway HMO 7450 for HSA
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920417
Dental Only? No
Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920432
Dental Only? No
Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920414
Dental Only? No
Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920916
Dental Only? No
Anthem Catastrophic Pathway HMO 9200
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920425
Dental Only? No
Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920434
Dental Only? No
Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920429
Dental Only? No
Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920428
Dental Only? No
Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920917
Dental Only? No
Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920433
Dental Only? No
Anthem Silver Pathway HMO 5400 for HSA
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920421
Dental Only? No
Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920424
Dental Only? No
CareSource (19 plans)
Bronze First 7500 $25 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010204
Dental Only? No
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020204
Dental Only? No
Core Gold 1500 $10 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010212
Dental Only? No
Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020212
Dental Only? No
Diabetes Gold 1100 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010210
Dental Only? No
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020210
Dental Only? No
Diabetes Silver 4000 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010209
Dental Only? No
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020209
Dental Only? No
Gold 1500 $15 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010202
Dental Only? No
Gold 1500 $15 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020202
Dental Only? No
HDHP Preventive Silver 5500 $0 Select Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010219
Dental Only? No
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010215
Dental Only? No
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020215
Dental Only? No
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010218
Dental Only? No
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020218
Dental Only? No
Low Premium Silver 6000 $3 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010201
Dental Only? No
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020201
Dental Only? No
Silver 5000 $20 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010203
Dental Only? No
Silver 5000 $20 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020203
Dental Only? No
MedMutual (10 plans)
Bronze $8,300 w/ Virtual & Wellness ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080499
Dental Only? No
Bronze HSA $7,300 ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080498
Dental Only? No
Bronze Standard w/ Virtual & Wellness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080500
Dental Only? No
Gold $1250 w/ Virtual & Wellness ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080543
Dental Only? No
Gold $500 w/ Virtual & Wellness ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080542
Dental Only? No
Gold Standard w/ Virtual & Wellness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080492
Dental Only? No
Silver $5000 w/ Virtual & Wellness ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080544
Dental Only? No
Silver Standard w/ Virtual & Wellness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080496
Dental Only? No
SilverSelect w/ Virtual & Wellness ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080495
Dental Only? No
Young Adult Essentials ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080503
Dental Only? No
Molina Healthcare (10 plans)
Bronze 10
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 64353OH0010013
Dental Only? No
Bronze 8
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 64353OH0010011
Dental Only? No
Bronze 9
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 64353OH0010012
Dental Only? No
Gold 1
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 64353OH0010001
Dental Only? No
Gold 1 with Adult Vision Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 64353OH0040001
Dental Only? No
Gold 8
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 64353OH0010008
Dental Only? No
Silver 1
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 64353OH0010002
Dental Only? No
Silver 1 with Adult Vision Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 64353OH0040002
Dental Only? No
Silver 12 with first 4 free PCP or MH visits
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 64353OH0010010
Dental Only? No
Silver 8
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 64353OH0010009
Dental Only? No
Oscar Health Insurance (11 plans)
Bronze Classic 4700 (Select)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29341OH0100024
Dental Only? No
Bronze Classic PCP Saver (Select)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29341OH0100002
Dental Only? No
Bronze Classic Standard (Select)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29341OH0100050
Dental Only? No
Gold Classic (Select)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29341OH0100013
Dental Only? No
Gold Classic Standard (Select)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29341OH0100053
Dental Only? No
Gold Elite Saver Plus (Select)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29341OH0100035
Dental Only? No
Secure (Select)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29341OH0100011
Dental Only? No
Silver Classic Standard (Select)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29341OH0100052
Dental Only? No
Silver Elite Saver Plus (Select)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29341OH0100030
Dental Only? No
Silver Simple Chronic Care CKM (Select)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29341OH0100060
Dental Only? No
Silver Simple PCP Saver (Select)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29341OH0100025
Dental Only? No
Oscar Insurance Corporation of Ohio (1 plan)
Gold Elite Saver Plus
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 45845OH0100035
Dental Only? No
Frequently Asked Questions
- EPO
- See in-network doctors without a referral. No coverage for routine out-of-network care except emergencies.
- HMO
- Requires referrals and a primary doctor. Usually lower premiums but no out-of-network coverage.
- POS
- Acts like HMO in-network but allows out-of-network visits at a higher cost.
- PPO
- No referrals needed. Partial out-of-network coverage with more flexibility in choosing doctors.
- Indemnity
- Reimburses “reasonable and customary” fees for licensed providers. Rare and often costly.
- Individual & Family
- Marketplace plans for consumers. Ideal for the self-employed or those between jobs.
- SHOP
- Small group coverage for businesses with up to 50 full-time employees.
- Tier-One
- Lowest-cost, highest-value in-network providers.
- Preferred
- Good in-network options with slightly higher copays than Tier-One.
- Non-Preferred
- More expensive tier within the network. Cheaper than going out-of-network.
