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Insurance Information :

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:

Patient must be told that there is a possibility that their insurance "may not" cover their office visit for going out-of-network.
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.
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 )