- Although your insurance company may not be listed here, you may still have out-of-network benefits.
- Please be aware of location when verifying In Network status. Some of our providers may have contracts linked to other facilities outside of OB/GYN of Indiana.
- We recommend contacting your insurance company before your visit to verify coverage for the specific service you’re seeking. This will prepare you for any out-of-pocket costs (including co-pays and deductibles) that you might be responsible for.
- HMO’s – If your plan is an HMO you are required to obtain authorization prior to seeing a specialist. Please verify that you are authorized to see our doctors prior to your appointment.
Contracted Insurance Companies:
Although we may have a contract listed for your insurance company, there may be preferences and exclusions on your specific plan that will affect your out-of-pocket cost.
- First Health
- Healthy Indiana Plan (HIP) (Below)
- MDWise St Vincent HIP – North, Zionsville, Fishers, North Meridian, Carmel, Westfield
- MDWise IU HIP – North, Zionsville
- Anthem HIP – South, Fishers, CityWay, North Meridian
MDWise Excel HIP- South, Cityway
MHS HIP- South, Cityway
- IU Health
- Marketplace Exchange plans (Below)
- Ambetter Marketplace
- Anthem Marketplace
- Care Source Marketplace
- Medicaid Traditional – North, Zionsville, South, CityWay
- Medicaid Hoosier Healthwise (HHW) (Below)
- Traditional HHW – North, Zionsville, South, CityWay
- MDWise St Vincent HHW – North, Zionsville
- MDWise IU HHW – North, Zionsville
- Anthem St Francis HHW – South, CityWay
- Medicare (Trad, RR)
- Medicare Advantage plans (Below)
- Humana Medicare
- Anthem Medicare
- IU Medicare
- United Healthcare Medicare
- ProHealth – South & CityWay only
- SmartHealth/Mission Point
- United Healthcare
Common Insurance Terms:
Co-insurance: Most often a percentage that a patient pays after their deductible is met and prior to meeting their out-of-pocket max.
Co-pay: The up-front portion due from a patient for an office visit or service.
Deductible: The portion the patient has to pay before their insurance benefits will kick in. Most plans have an individual deductible as well as a family deductible and even out of network deductibles. Your insurance company can provide you with details on how these are applied.
Out-of-pocket max: The point in which an insurance plan should cover expenses in full. Typically the patient will pay their deductible first and then their coinsurance percentage until they reach their out-of-pocket max for that benefit year, at which point insurance should cover approved services in full.
Contractual adjustment: The discount applied to services billed per our contract with a given insurance.