Patient Resources
Everything you need to get started, including service locations, insurance information, intake steps, and required forms.
Getting started with care is straightforward: schedule your appointment, complete your evaluation, and begin treatment. The information below outlines payment policies, insurance participation, required forms, and your rights regarding cost estimates. If you have questions at any point, we are available to help.
Payment Policies and Accepted Forms of Payment
Payment is expected at the time of treatment unless other arrangements have been made in advance. We accept cash, checks, HSA/FSA cards, and debit cards.
Credit cards may be used; however, credit card payments do not qualify for the 10%–15% prompt‑pay discount. For most patients, using an eligible payment method provides the best value.
Patients who pay in full at the time of service with an eligible method receive a 10%–15% discount.
Financial assistance is available for patients experiencing demonstrable hardship. Please contact our administrative team before your appointment if you believe you may qualify.
Missed Appointments
To maintain appointment availability for all patients, cancellations must be made at least 24 hours in advance. Missed appointments or late cancellations may result in a fee. We understand that unexpected situations happen: illness, car trouble, and family emergencies are part of life. We apply this policy with discretion and always take circumstances into account.
If you have questions about your balance or need assistance understanding a statement, our chaos coordinator is available to help.
Insurance Participation and Coverage Information
We participate with a limited range of insurance plans, but we can file insurance claims with all companies, regardless of network participation. If you are a member of an in‑network plan, your co‑pay or co‑insurance is due at the time of treatment. If your insurance is out of network, payment is due at the time services are rendered, and we will file the claim with your primary insurance provider on your behalf. Coverage varies by plan, and benefits are not guaranteed until verified directly with your insurer. If you are self pay, then we offer a 10-15% fee reduction via our prompt payment discount.
Medicare
Please note we are a non-participating network provider. Payment is made by the patient at the time services are rendered, and we will file a claim with Medicare. Medicare will mail a reimbursement check directly to the patient for all covered services.
Medicare Advantage
We can file claims with all Medicare Advantage plans. We are not in network with any Medicare Advantage plan, payment is due at the time of service, and we will submit the claim to your plan on your behalf. Coverage and reimbursement for out of network services are determined by your Medicare Advantage carrier.
Medicaid/HIP
We are currently in the credentialing process with Traditional Indiana Medicaid. Once participation is finalized, we will update this page. Please check back for the most current information.
We are not a participating provider with any Indiana HIP managed care plans. We can file a claim on your behalf; however, most HIP policies have traditionally not covered out‑of‑network services.
Sagamore Plus
We are a fully participating PPO provider.
Anthem Blue Cross Blue Shield
We are a non‑participating PPO provider with Blue Cross Blue Shield. PPO members may still receive services with us, and we can file claims on your behalf.
We are out of network with BCBS HMO plans.
All other Insurance Companies
We are out of network with United Healthcare, Aetna, Humana, Cigna, UMR. If you have a PPO plan, you may still have out‑of‑network coverage. We will be happy to file your claim with your insurance provider.
Personal Injury
We do accept personal injury cases. If your treatment is related to an accident and will be submitted to an attorney or liability carrier, please let us know at the time of scheduling. We will provide the necessary documentation and billing, but payment arrangements may differ from standard insurance claims
Intake Forms
To streamline your first visit, please complete the required forms before your appointment. These forms help us understand your medical history, current concerns, and any relevant background information If you prefer to complete forms in person, please arrive 15 minutes early. If you have more than one complaint, please use the additional complaint form for each area to be examined.
Good Faith Estimate
Under federal law, uninsured and self pay patients have the right to receive a Good Faith Estimate for the cost of services. While outpatient clinics are not required to provide estimates for insured patients, you may request an estimate at any time, and we are happy to provide one.
A Good Faith Estimate outlines expected charges for services and helps you plan for care with clarity and confidence.