Insurance Information :                                   (See Plan Participation Listed Below)  
     
  We participate in most insurance plans. Some plans require referral from your primary physician. We are happy to assist you with this, and to file insurance claims for the convenience of our patients.

Participating and non-participating insurance plans are listed below. Please contact the Billing Office  at (502) 894-9753 if you are not sure if we participate with your insurance company, or if you have other questions.

It is possible for us to see patients with coverage from a non-participating plan under the following conditions:

  1. Patient must be told that there is a possibility that their insurance "may not" cover their office visit for going out-of-network.
  2. Patient must be told by Kentuckiana ENT that in seeing an out-of-network provider they will incur a much greater out-of-pocket expense
  3. Patient must have a referral from their primary care physician at the time of their visit  which has been authorized through the patient's insurance carrier. 
 
    Exceptions:   
      Aetna HMO - which can come straight from the PCP).  
      Healthsource - no referral, no payment.  
     
     
  Non-Participating Insurance Plans :                                                                                      Top  
     
 
GREAT WEST  (must call insurance company with Kentuckiana ENT tax id number to determine if your plan is  covered).
 
  SHIO  
  TriCare (Champus)  
     
     
  Participating Insurance Plans :  
  *  =  Referral Required )  
     

           AETNA

   Aetna Elect Choice     Aetna Open Choice
    Aetna EPO *   Aetna POS
*   Aetna HMO Aetna PPO
*    Aetna Managed Choice

*   

Aetna QPOS
*    Aetna Managed Choice II (Point of Service)
  

ANTHEM: BLUE CROSS BLUE SHIELD

(All BCBS plans from any state)                                                                                                      Top
BCBS Federal 
*    BCBS HMO Kentucky 
BCBS Ford
     

APCP (ASSOCIATION OF PRIMARY CARE PHYSICIANS):

Cumberland Health Plan (CHP)                                                                                                      Top
Direct Care America (DCA) 
Employers First 
National Preferred Physicians Network (NPPN) 
One Health Plan, Inc.
Private Health Care Systems (PHCS)
     

CCN (COMMUNITY CARE NETWORK)     [Formerly "ONESOURCE'l

 

CHAMPUS - TRICARE

TriCare Standard                                                                                                                           Top
TriCare PPO
     

    CIGNA (if PCP is listed on insurance card)

             COMMISSION FOR CHILDREN

  FIRST HEALTH   (must call insurance company with Kentuckiana ENT tax id number to determine if your plan is  covered).
       
  GREAT WEST   (must call insurance company with Kentuckiana ENT tax id number to determine if your plan is  covered).

     *      HEALTH CARE PREFERRED

     *      HEALTHSOURCE

             HEALTHSTAR

             HEALTHWISE

 

HUMANA                                                                                                                                                Top

Humana Freedom *   Humana HMO (refer to PCP CAP list)
Humana Freedom Plus Humana KPP
Humana Gold *   Humana KPPA
*   Humana Gold Plus (refer to PCP CAP list)    Humana Select
     

Humana HMO (POS) (uses KPPA Network)

Humana POS (Uses KPPA Network)

Humana KPPA-EPO

MEDICAID

Kentucky Medicaid
*   Indiana Medicaid
    

MEDICARE                                                                                                                                            Top

Kentucky Medicare
Indiana Medicare
    

NEW ENGLAND FINANCIAL/MUTUAL (ONE HEALTH)

     *     PASSPORT  - Kentucky Medicaid HMO

            TPI (THE PHYSICIANS INCORPORATED):                                                                                       Top

Anthem Indiana Traditional
Anthem Preferred Care of Indiana (PCI)
Anthem Preferred Network (PPN)
Anthem Health Plan (AHP)
Anthem Traditional Indemnity

Anthem PPO                                                                                                                                 Top
Option 2000/2000 Advantage
AH Preferred Option
Blue Preferred Access

*   Anthem HMO                                                                                                                                Top
HMO Kentucky
AH HMO/POS
AH Small Group HMO

       

*   Anthem Blue Preferred Primary                                                                                                   Top
*   Anthem Blue Preferred Primary Plus
*   Anthem Senior Advantage 
Archdiocese of Indianapolis 
Beach Mold & Tool 
Beech Street 
Bluegrass Health Network 
Brown & Williamson PPO 
Employers First (PPO)
Jones Plastic (PPO) 
Multiplan PPO
Norton One 
Preferred Health Network PPO 
    

PHP Profile Product:  Top        
American Heritage Life  Houchens Industries, Inc.
      Inmar Enterprises, Inc  ISCO Industries 
      Winn Dixie  Presco Tech Industries 
American Medical Security (AMS) Roll Forming Corp.
Central Benefits  Southwest Airlines 
Concord Custom Cleaners  TransMedic Carriers, Inc.
Eddie Gilstrap Motors  Washington County Employees

 

PHP Profile Plus Top        
American Plastic Molding   Kentucky Baptist Homes for Children
Atlas Machine & Supply   King's Daughters' Hospital  
Baptist Healthcare System   Kleinert, Kutz & Assoc.  
Bloomington Hospital of Orange County, Inc.  Koetter Woodworking 
Blue River Services, Inc.   Manning Equipment Co. 
Bramco, LLC   Medical Center of So. IN  
Caldwell Industries   Mercer Transportation 
Central Benefits   New Albany/Floyd County School Corp.  
        New Hope Services   New Hope Services 
        Scott County Indiana Employees NTS Development Co.  
Cummins Cumberland   Our Own Hardware  
Deco Paper Company   Packaging Un-Limited 
D.J., Inc/Nypro   Perennal Health Systems  
Dover Resources/C. Lee Cook   ProLift Industrial Equipment  
Fastline Publications   Republic Bank &. Trust Co.
Flexible Materials Robinson-Nugent, Inc.
Galt House - Executive Inn - Executive West Samtec
Genesis Plastics & Engineering Sodrel Truck Lines, Inc.
Grand Aire Express  St Joseph Catholic Orphan Society
Haas Cabinet Co., Inc.   Stock Yards Bank & Trust  
Hussey Copper, Inc.  TopWorx, Inc.  
Insuramax, Inc.   Twin Lakes Reg. Med. Ctr.
John Kenyon Eye Center   V. G. Reed & Sons  
Keller Manufacturing, Inc.  Valu Discount, Inc.  
Kentuckiana Trucking Company, Inc.   ZeoChem  

 

ProAmerica   Top        
ACHD   Labor Leasing, Inc.
Advanced Receivables   Lumonics Corp. - Opt II  
AFCO Metals, Inc. M. S. Carriers  
Aldworth Company   Mai Systems Corp.  
Allied Holdings   Manhattan Construction  
AM. Academic Suppliers Mark IV/Dayco - Louisville  
AM. Ins. Co. of Texas   Mark VII  
Am. Trucking Assoc., Inc.   Max & Erma's Restaurants  
Assured Investors Life   Monterey Mushroom  
Bayshores Med. Group (HMO Wrap)   Multiple Unit Security Trust II  
Bettye J. Blankenship   N. Glantz & Son, Inc
Bill E Riddel   National Financial Ins. Co.  
Brazos Sportswear, Inc.   National Foundation Life Ins. Co.  
Carole B. Westel   Nelson Tree Service Co.  
Carry Companies of IL   Newway Photographics  
Computer Task Group   Nussbaum Trucking, Inc.  
Contra Costa Health Plans   Outdoor Systems  
Counts & Assoc. Inc.   Pekin Group
Cynthia G. Carries Pilot Construction  
Dairyland Comp. & Consulting   Pioneer Standard Elec.  
Data Processing Sciences   R. G. Barry Corp.  
David B. Dennard   Republic Parking Systems  
Delores A. Collendrina Resser Management Corp.  
Diamond Auto Glass Works   Richard L. Lewis  
Disciples of Christ   Ris Paper Co., Inc.  
Donna G. Mills   Road Once   
Efficient Market Services   Rocor International  
Falcon Drilling, Inc.   Roof Right Roofing  
Freedom Life Ins.   Sam Sayed  
Garver & Garver   Sample With Incentives  
Gelman Sciences, Inc.   Security Life Ins. Co.   
General Car & Truck Leasing   Sheffield Steel-Sand  
Gilbert K. Wang   Sight & Sound Distribut.  
Glenn M. Miller   Signature Inns, Inc.  
Goddy's Family Clothing   Silverado Foods  
Hughes Supply, Inc.   Supreme Corporation  
Innovision   Swifty 0il Company  
Institutional Distributors   Theratx, Inc.  
Irvin R. Pleasants   United Investors Group  
Just Add Water   Waddel & Reed, Inc.  
Key Industries   Warehouse Services, Inc.  
LaPetite Academy   Zep Manufacturing Co.

     

PruNetwork/Prudential PPO   Top        
ADT  Security Premark  
AT&T   Rohm & Haas  
Brown Forman   Saint Gobain  
Henkel   Southern Baptist  
Hiram Walker   TransAmerica  
Kroger   Verifone  

 

*   Sagamore POS Ambassador Care (Kentucky physicians only)  
Meijer Food Store  

         

Sagamore PPO (Kentucky physicians only)                                                                                 Top
Teamcare  
Unicare PPO (formerly Nass Mutual)  
VHA Tri State Health Plans  

      *     TRIPOINT HMO   

TRIPOINT PPO

UNITED HEALTHCARE

                        All United HealthCare Plans

 

   (  *  =  Referral Required )

   
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