Referring Doctors
Forms & Information
Insurance Participation List
*Please Note- Participation may vary by location or physician
Medicare
| Traditional and Railroad | All Doctors and Surgery Center |
| Anthem Medicare Advantage PPO Plans – Excludes: Anthem Senior Advantage/HMO Plan |
All Doctors and Surgery Center |
| Anthem MediBlue HMO Plan – Greenville, Ohio |
All Doctors and Surgery Center |
| INDIANA CareSource Medicare Advantage | All Doctors and Surgery Center |
| Health Alliance Medicare Advantage | All Doctors and Surgery Center |
| Humana Medicare PPO Plans | All Doctors and Surgery Center |
*The following Medicare Plans are accepted but Out of Network Benefits would apply:
– Aetna Medicare
– Medical Mutual Medicare Advantage Plan
– United Healthcare Medicare Advantage PPO Plans
Indiana Medicaid
| Traditional – Includes: Advantage Health Solutions & MDWise Care Select |
All Doctors and Surgery Center |
| Anthem Managed Medicaid | All Doctors and Surgery Center |
| Managed Health Services Managed Medicaid | All Doctors and Surgery Center |
| Managed Health Services Care Connect | All Doctors and Surgery Center |
| MDWise Managed Medicaid | All Doctors and Surgery Center |
Ohio Medicaid
| Traditional | E. Beatty, Bloom, Risch, Scripture and Surgery Center |
| CareSource Managed Medicaid | E. Beatty, Bloom, Risch, Scripture, Surgery Center participation pending |
| Molina of Ohio Managed Medicaid | Providers contract pending |
HIP Plans (Healthy Indiana Plan)
| Anthem HIP | All Doctors and Surgery Center |
| MHS HIP (Managed Health Services) | All Doctors and Surgery Center |
| MDWise HIP | All Doctors and Surgery Center |
Ohio Work Comp
*Richmond, Greenville and Whitewater Surgery Center Only
Tricare (Non-Network Provider)
*Tricare Prime/Prime Select/Remote – Must have referral from Primary Care Manager
CHAMPVA
Commercial Payers
| Aetna/Aetna Signature Administrators PPO/Assurant Health | All Doctors and Surgery Center |
| Anthem PPO/HMO/EPO | *Some plans can only see MD’s (GM, Chrysler, UAW, etc.) |
| Anthem Pathway X PPO and HMO Exchange Plan | Indiana Residents Only |
| All Savors through United Healthcare | All Doctors and Surgery Center |
| Cigna | *PPO or Open Access Plus Only |
| Encore | All Doctors and Surgery Center |
| First Health/Coventry | All Doctors and Surgery Center |
| HealthSCOPE | All Doctors |
| MDWise Marketplace Plan | All Doctors and Surgery Center |
| Medical Mutual Super Med Network | *Richmond, Greenville and Whitewater Surgery Center. *For Connersville location-card must say PHCS or First Health. |
| Medical Mutual Exchange Product | *Richmond, Greenville and Whitewater Surgery Center. |
| MultiPlan | All Doctors and Surgery Center |
| PHCS | All Doctors and Surgery Center |
| Sagamore | All Doctors and Surgery Center |
| SIHO | All Doctors and Surgery Center |
| United Health Care | *UHC Navigate Plan requires electronic referral from PCP |
