Insurance Information

  • 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.
  • 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.

Accepted Insurance Plans:

  • Aetna
  • Anthem
  • CIGNA
  • Encore
  • 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
  • Humana
  • IU Health
  • Marketplace Exchange plans (Below)
    • Ambetter Marketplace
    • Anthem Marketplace
    • Care Source Marketplace
    • MDWise 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)
    • Care Source
    • Humana Medicare
    • Anthem Medicare
    • IU Medicare
  • Multiplan
  • ProHealth – South & CityWay only
  • Sagamore
  • SIHO
  • SmartHealth/Mission Point
  • St. Vincent CMO – North, Zionsville, Fishers, North Meridian, Carmel, Westfield
  • 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.