Questions to Ask Your Insurance Company
Please call the number on the back of your insurance card to determine your benefits prior to your first appointment. Bring this information with you. While we can sometimes access this information for you, please note that benefits are paid at the time a claim is submitted, subject to the provisions of your policy. We will do our absolute BEST to keep you accurately informed of your costs, however, much depends upon the accuracy of information provided by your insurance provider.
Is referral from my Primary Care Physician (PCP) required?
This is rare, but required in some instances before benefits are available.
Is Dr. Baney a member of my insurance and/or mental health provider panel?
If so, what are my “in-network” benefits?
If not, what are my “out-of-network” benefits, if any?
Do I have a co-pay (fixed fee) or co-insurance (%) amount due at the time of service?
Do I have a deductible amount? How much of my deductible has been met and how much remains? When does my deductible period renew?
Do my outpatient mental health/substance abuse benefits require pre-authorization of sessions?
If so, inform Dr. Baney when setting your appointment
Are there types of disorders, conditions, diagnoses, or treatment modalities excluded from coverage? For example, must “medical necessity” exist? Is marital or family counseling excluded? Are there other limitations?
Insurance Panel Coverage
Insurance companies change/merge frequently. Be sure to call the phone number on the back of your insurance card to receive current information, or, consult your benefit administrator at your place of employment. Not All Plans Are Listed Below. While we will be glad to consult with you regarding insurance benefits, final determination is made by your insurance plan. For updates and additional coverages, Contact us here, or by calling 260-469-0090.
- AARP Plans
- Anthem BC/BS
- Blue Cross, Blue Shield (plans nationwide)
- GE Health Care Preferred
- Lutheran Preferred
- Medical Mutual
- Physicians Health Plan (PHP)
- Preferred One
- Principle Financial Group
- Signature Care
- Three Rivers Preferred
- Value Options
- PLEASE NOTE: For United Healthcare & United Behavioral Health/Optum plans, I am not a member of their provider panels; however, Out-of-Network benefits may apply.
- I am not a provider for Medicaid/ Healthy Indiana Plan (HIP) or other Medicaid products.