• Bracing/DME
  • Total Joint Replacement
  • Arthroscopic Surgery
  • Fractures & Trauma
  • Physical Therapy
  • PRP/Stem Cell Injections
  • Sports Injuries

Participating Insurance Information

Please Contact the billing office directly if you have questions: (502) 587-7269

Anthem - We participate with most plans but:

  • Par - YRR is now VNG. XTJ - Par
  • Non par - YRH & XTF (Medicaid plans)
  • Non par - XPD, XPE, XPH, XPU, XPV, XPB, YRK ( Indiana Pathway Plans)
  • Non par - XTG & XPS are Medicare Advantage HMO Plans, and they have No out of Network Benefits.
  • Non Par - JQF, JRG, JRI, JWF, JWM, SVJ, SWP, VOA, VOC, VOD, VOH, VOK, VOP, VZM, VZP, WGK, WSP, XDK, XDT, XGH, XGK, XKJ, XPF, XPG, XPS, XTG, XTH, XVL, YCG, YGJ, YGS, YLR, YLV, YRA, YRE, YRS, YRU, YTW are Medicare Advantage PPO, but they do have out of Network Benefits.

Baptist Health Network - (Formally Blue Grass Family Health) - Participate

  • HMO Plans must use a Baptist Facility for procedures

CIGNA- Participate CIGNA HMO Plans Require a Referral

Humana - We participate with most plans but:

  • Non par - Humana Gold Community
  • Non par - Humana Care Source
  • Participate - Humana Medicare Gold Plus - HMO Plan - requires a referral
  • Participate - Humana Norton Just for Kids - HMOX - requires a referral

Indiana Comprehensive (ICHIA) - Participate

Employers First - Participate

Medicare and Railroad Medicare - Participate

Tricare - We process as Assignment - Participate

Triwest - Participate, Needs referral authorization for everything

United Health Care - Participate

  • UHC - Golden Rule & Teachers - participate
  • UHC Medicare advantage Plan - participate

Passport - We participate but:

  • Physical Therapy is NON PAR
  • Non par - Passport Advantage
  • Non par - Humana Care Source
  • Non par - Anthem Medicaid
  • Non par - Wellcare
  • Non par - Aetna Better Healthcare of KY

Aetna Medicare Advantage Plan - Participate

Participating Networks (Check Insurance cards for these Network Names)

  • Assurant
  • Baptist Community Care Network or BCC
  • Beechstreet/ PHCS/ Multiplan
  • Coventry (Formally First Health) - Non par Coventry Medicaid
  • Encore
  • Sagamore

Aetna - Non par but look on the card for this network - Beechstreet/ PHCS/ Multiplan - They will have benefits and we participate with these networks.

Insurance

  • The most common misconception with insurance is: my insurance will cover all my medical fees.  Insurance is designed to reduce your costs, not to eliminate them totally
  • Each insurance company has a pre-determined payment schedule.  Please be aware that you may have a:
    • Co-payment - This is the amount that your policy requires us to collect with each office visit
    • Co-Insurance - This is the percentage of the bill that is your financial responsibility
    • Deductible - This is the total amount that your policy requires you to pay before they will pay any claims on your behalf
    • Out of network Penalty - If we are a non-participant with your particular insurance; your insurance will cover your fees at a reduced rate
  • Insurance plans have different sets of criteria which must be met in order to proceed with certain test or treatments.  Your insurance may require pre-approval, pre-authorization, pre-certification, or a 2nd opinion before we can schedule a service.  Please understand we try to complete this in as timely a fashion as possible

The office wants to emphasize that our relationship is with you, the patient and not with your particular insurance company.  All charges are your responsibility and it is important to contact us directly if you have any questions on claims submitted to your insurance company on your behalf.  

If you have any questions regarding your coverage or if we participate with your specific insurance, please feel free to contact out billing office at (502) 587-7269

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