Participating Insurance Information
Ellis & Badenhausen Orthopaedics accepts most insurance plans, including workers’ compensation, Medicare, and Medicaid. You can use our insurance search tool to see if your insurance is accepted at E&B:
| Anthem Capitol Bue Cross and Blue Shield |
| Anthem Dual Advantage HMO/SNP |
| Anthem Blue Card Program (look for suitcase on front right bottom corner) |
| Anthem Enhanced Choice PPO |
| Anthem HMO and POS |
| Anthem PPO |
| Anthem Indemnity/Traditional/Standard |
| Anthem Kentucky Pathway PPO Network |
| Anthem Kentucky Pathway HMO Network |
| Anthem Indiana Individual Exchange Network/Indiana Individual Off Exchange Network |
| Anthem Medicare Advantage HMO Network |
| Anthem Medicare Advantage PPO Network |
| Anthem Medicaid |
| Anthem Kentucky HEALTH (Medicaid product) |
| Anthem MediBlue Dual Advantage (HMO SNP) (medicare/medicaid product) |
| Anthem Mediblue Plus HMO |
| Anthem BCBC Wellmark Blue PPO |
| Anthem ULBAN prefix- MUST BE SEEN AT UofL Facility -- card has UofL on it |
| Anthem Ford (FGP prefix) - (NON PAR with PT, Physician services covered) |
| Anthem Blue Access PPO HSA |
| Anthem Carefirst Administrators - DTC prefix (PPO Plan with Bluecard) |
| Anthem Mediblue Services PPO Indiana |
| Anthem Carefirst - Must be billed to the local BCBS plan. Current address of Atlanta, GA is correct as of 1/9/23 |
| Anthem Premera - AMK Prefix, must have referral from Anthem and PCP. Call x4240 for any questions. |
| Anthem Silver Pathway HMO (XTK/XTJ/E7E) |
| Anthem Healthy Indiana Plan – IN Medicaid |
| Anthem Hoosier Healthwise – IN Medicaid |
| Anthem Indiana Medicaid |
| Anthem Healthsync HSA |
| Anthem Health Insurance LivingWell CDHP PPO |
| Anthem Gold Pathway HMO (XTI) |
| Anthem Bronze Pathway |
| Anthem Independence Personal Choice (BCBS) PPO |
| Humana Edge |
| Humana Medicaid Healthy Horizons |
| Humana Gold Plus (HMO D-SNP) - OV / SX ONLY - no Physical Therapy |
| HumanaChoice (PPO D-SNP) |
| Humana Honor (we take also if says USAA) |
| Humana open access |
| Humana PPO |
| Humana POS |
| Humana HMO Select |
| Humana Gold Plus Diabetes and Heart (HMO C-SNP) ***PLEASE MAKE SURE IT DOES NOT SAY COMMUNITY*** |
| Cigna (most plans) |
| Cigna APWU (HIGH OPTION) |
| Cigna (Samba Federal Health High Option Open Access Plus) |
| Cigna/Sisco |
| Cigna True Choice Medicare Ppo(oon with oon benefits) |
| Cigna ppo (leading edge) |
| Cigna Center Care PPO(health and Life) |
| Cigna Allied |
| Cigna Aultcare |
| ALL Indiana Medicaid/IN Medicaid Products: MD ONLY - PT Non PAR |
| Caresource HIP/Healthy Indiana Plan (Indiana Medicaid) - MD ONLY - PT Non PAR MUST HAVE PCP REFERRAL |
| Caresource Hoosier Healthwise (Indiana Medicaid) - MD ONLY - PT Non PAR MUST HAVE PCP REFERRAL |
| Passport (KY Medicaid Product) |
| Molina (Medicaid) |
| HCS Medicaid MUST HAVE PCP REFERRAL |
| Anthem Healthy Indiana Plan (IN Medicaid) - MUST HAVE PCP REFERRAL |
| Anthem Hoosier Healthwise (IN Medicaid) - MUST HAVE PCP REFERRAL |
| Anthem Hoosier Care Connect (IN Medicaid) - MUST HAVE PCP REFERRAL |
| Indiana Medicaid Gainwell - NO PCP REFERRAL REQUIRED |
| MDWise Healthy Indiana Plan (IN Medicaid) - MUST HAVE PCP REFERRAL |
| MDWise Hoosier Healthwise (IN Medicaid) - MUST HAVE PCP REFERRAL |
| MHS Healthy Indiana Plan (IN Medicaid) - MUST HAVE PCP REFERRAL |
| MHS Hoosier Healthwise (IN Medicaid) - MUST HAVE PCP REFERRAL |
| MHS Hoosier Care Connect (IN Medicaid) - MUST HAVE PCP REFERRAL |
| UHC Hoosier Care Connect (IN Medicaid) - MUST HAVE PCP REFERRAL |
| Aetna Choice POS II (does NOT say health fund) |
| Aetna – most plans |
| Aetna medicare Assure 1 (hmo d snp) cannot do pt, also ck to see if need referral from pcp |
| Aetna medicare Premier (HMO) |
| Aetna Open Choice PPO |
| Aetna Medicare Value Plan (HMO) |
| Aetna Medicare Value Plan (PPO) |
| Aetna Signature Administrators |
| Marpai (Aetna Signature Administrators PPO) |
| Meritan Health- (CHECK PRE EXISTING!) |
| Meridian Health (Aetna) |
| National General Accident &Health (Aetna open choice ppo)Pre-existing applies |
| Preferred One (Aetna) |
| United Healthcare – All Commercial products |
| United Healthcare- Navigate (Needs Referrals) |
| United Healthcare UMR |
| United Healthcare Golden Rule (CHECK PRE EXISTING) |
| United Healthcare Group Medicare Advantage PPO oon with oon benefits |
| United Healthcare "Navigate" ** Check Insurance Card - many require referral through PCP- patients responsible for obtaining referral |
| United Healthcare HPHC |
| United Healthcare Community (Medicaid) |
| United Healthcare US Health Group - Choice Plus Network (Freedom Life) |
| United Healthcare Missionary Options PPO Network |
| United Healthcare - Bind (Should say UHC choice plus network)Use subscriber Id as ID# not the patient |
| United Healthcare -Surest(Bind is now Surest only change is name same address)eff 09-01-2022 call for copay may be different by provider |
| United Healthcare - Medicare PPO, No copay or referrals needed. |
| United Healthcare - AARP Medicare Advantage PPO, OON with OON benefits. |
| United Healthcare AARP Medicare Advantage Choice PPO ,OON with OON benefits (copays may be higher) |
| United Healthcare -AARP Medicare Supplement Plan F and G (which means patient resp.for partb ded.) |
| United Healthcare -Navistar Group Medicare Advantage PPO OON with OON benefits |
| United Healthcare NEXUSACO OA (NO REFERRAL REQ'D) |
| United Healthcare United Healthcare Core |
| United Healthcare Medicare Advantage PPO (we are OON, but they will pay because we accept Medicare) |
| United Healthcare Global Expatriate Insurance Choice Plus |
| United Healthcare WebTPA (Choice Plus) - Must call on every one of these to make sure referral not required |
| United Healthcare Select Plus commercial |
| ACE Medicare Supplement |
| Advanta (PHCS) |
| Advisory Health Administrators PHCS (if it says Center Care we are oon w/oon benefits) |
| AFRP SGIC (Multiplan) **PRE EXISTING CLAUSE **Limited Benefits Plan |
| Aither Health (PHCS) we are not in network, but they have OON benefits |
| Alliance Health and Life Insurance ( Aetna Network) EPO PLAN we are OON |
| Allied Benefit System (Encore Network, All State Benefits) PPO |
| Allsavers Uhc |
| Allstate Health Solutions administered through Meritain Health preexisting may apply |
| Allstate Health Solutions (First Health Network) LIMITED BENEFITS PLAN |
| Ambetter MHS (Healthy Indiana Plan Medicaid) |
| Ameriben/Communicare(ck benefits should be open access) |
| American Health Resources Inc. Secondary insurance gap policy |
| AmeriHealthNewJersey(NationalAccess)phcs |
| Assurant |
| Banker's Life |
| Baptist Community Care Network/BCC |
| Beechstreet/PHCS/Multiplan |
| Benefit Adminstrative Systems (BAS) |
| Benicomp |
| BlueGrass Health Plan (AIMM) |
| Boone-Chapman (Aetna) |
| Bright Spring Health Services (Quantam Health) |
| C and O Employees Hospital Association |
| Caresource (KY Marketplace) IF IT SAYS KY MARKETPLACE ON IT WE ARE PAR |
| Caresourec of Indiana |
| Christian Care- Medishare Med Ben |
| Colonial Penn MC Support |
| Custom Design Benefits |
| EBMS (PHCS NETWORK) |
| Encore Combined PHCS (Best to call every time to check Network status) |
| First Health Network(check to see if limited benefits) |
| Flume Insurance(PHCS) |
| Forethought Life Insurance (Medicare Supplement) Follows Medicare guidelines and Electronic crossover |
| Freedom Select (PHCS) file to Free Market Administrators Plan code MISC7E is par but limited plan |
| GEHA (load to 4701) |
| GPA/PHCS, Multiplan |
| Gravie Aetna Signature Administrators |
| Great Southern Life Insurance Co. Medicare supplement plan F covers ded/coins |
| Group Resources part of First Health Network PPO |
| Health Scope |
| HealthEOS |
| HealthComp (PHCS) |
| HMA (PHCS) |
| HPI Kindercare - Open Access through PHCS |
| IHP Premier (PHCS) |
| Imagine 360 |
| Impact Health Limited Benefits (Multiplan) will say underwritten by AFSLIC |
| Impact Health Sharing |
| IncentiCare (Has in network and out of network benefits) |
| Independence Administrators (BCBS) |
| Key Benefit Administrators |
| Key Benefit Administrators (UofL Health) ONLY IF SECONDARY |
| Liberty Healthshare(ck to see on limited benefit plan) |
| Lifestyle Insurance (“First Health” must be listed on the card) |
| Lucent Health |
| Mayo Clinic (First Health Network) |
| MedBen |
| Medico |
| Medical Mutual of Ohio - through Aetna Open Choice PPO |
| Medi-Share |
| Medivest |
| MultiPlan |
| MultiPlan Medicare Advantage |
| Mutual of Omaha (secondary) |
| MVP Health Care |
| MVP Health Care |
| Nippon Life Benefits (Aetna Signature Admin) |
| Optimed Health (PHCS) |
| Paragon ( No network benefits ) call for benefits |
| Passport Marketplace (All offices except NA) |
| PEHP -Out of network, has Out of network benefits. Call to double check/ patient |
| PHCS |
| Pivot Health Insurance administered by Insurance Benefit Administrators (open access) |
| Prestige Healthcare (PHCS) there is a prestige plus on non par but this is just Prestige |
| Priority Health through Cigna PPO |
| Reliant (advisory health and wellness) ***INJECTIONS REQ. PRE-CERT*** |
| Sagamore |
| Signature Advantage Hmo ALL PROVIDERS PAR as of 01/01/2024 |
| SIHO Insurance (PHCS) ONLY Dr. Griffin, Rueff, Nawab, Price, Salamon, Schaper, Smith, Sinicrope, Rhea, Barnes and Street |
| SummaCare |
| Texas True Choice |
| The American Worker (First Health Network) |
| The Health Plan (first health network) oon but oon benefits pays 60% instead of 80% higher oop |
| The Health Plan (PHCS) in network |
| Trustmark Small Business Benefit(Starmark) |
| UHC AARP medicare Advantage Patriot PPO (We will par as of 1/1/2021) |
| UMWA (Cigna netwrok) |
| Underwriters(Centercare administered through PHCS network) |
| Unified Group Programs INC/Optimed Health |
| Unified Life Insurance through Multiplan network |
| United National Ins Group (through PHCS network) |
| Value Point (must say by MultiPlan) |
| Web TPA call on each policy for benefits/eligibility depends on zip code if needs referral |
Our accepted insurance plans are subject to change. Please contact your insurance company to verify eligibility and coverage.
Popular insurance plans that we do not accept include:
All Wellcare plans
Aetna Better Health
Anthem Workers’ Comp
Passport Medicare Advantage Plan
United Healthcare U of L Cardinal Care Plan
If your insurance plan requires you to pay a copayment, co-insurance, and/or a deductible, you will need to pay at the time of your visit. For your convenience, we accept cash, checks, Visa, MasterCard, Discover, and American Express.
If surgery is required, separate statements will be sent to you for each provider of services.
If your claim is denied or not paid within a timely manner, we request that you file a personal claim with your health insurance and pay the charges in full. We recommend you notify your employer should there be any delays in settling your workers’ compensation claim.
If you have a question related to insurance or your bill, please contact our billing specialists at (502) 587-7269. You may pay a bill by contacting the billing office or pay online.