ASC Managed Care Contracts

Aetna

Contract plans include:

  • Coventry Plan
  • Cofinity Plan

ASC Contracted Communities: 

Anthem or Blue Cross/Blue Shield

Contract plans include:

  • Blue Preferred Primary and Primary Plus Blue Access
  • Blue Traditional
  • Medicare Advantage HMO and PPO Managed Medicaid (Healthy Indiana Plan & Hoosier Care Connect)
  • Workman’s Compensation

ASC Contracted Communities: 

  • The HCC is MDM at Medicaid rates.
  • The HIP is MDM at 130% of MD rate.
  • All GM retirees go through NaviHealth
  • Workman’s Compensation
Anthem Floor-to-SNF (Commercial)

Insurance holder must have both the member ID Alpha prefix and participating hospital.

Member ID Alpha prefixes accepted:

  • VOK
  • XPF
  • XPG
  • XPK
  • VOP
  • XPS
  • XTG
  • XTH
  • JLA
  • JWF
  • JWO
  • VOH
  • JRG
  • JRI
  • VOC
  • VOD
  • VOE
  • VOT
  • ZOE
  • ZRB
  • AAN
  • CBH
  • DAH
  • JQB
  • JQF
  • MBL
  • MHG
  • VGD
  • WSP
  • WZV
  • XDK
  • XKJ
  • XLU
  • XNS
  • YGJ
  • YGZ
  • YUR
  • YLV
  • YVK
  • YRA
  • YRE
  • YVK
  • ZDX
  • ZDZ
  • ZVR

Participating acute hospitals:

  • Adams County Memorial
  • Baptist Health Floyd
  • Community Health System
  • Davies Community
  • Deaconess
  • Elkhart General
  • Eskenazi
  • Franciscan Health Hospitals
  • Good Samaritan
  • Greene County
  • Hancock Regional
  • Hendricks Regional
  • Highpoint Health
  • IU Health
  • Jackson CO. – Schneck
  • Major Health
  • Marion General
  • Memorial – South Bend
  • Parkview Health
  • Pulaski Memorial
  • Putman Co. Reid
  • Scott Memorial
  • St. Joe – Kokomo
  • St Vincent Hospitals
  • Union
  • Witham Health
  • Woodlawn Hospital

ASC Contracted Communities: 

CareSource

ASC Contracted Communities: 

Cigna or Sagamore Health Network

ASC Contracted Communities: 

Encore Health Network

ASC Contracted Communities: 

IU Health

Contract plans include:

  • Medicare Advantage
  • Commercial
  • Marketplace (QHP)

ASC Contracted Communities: 

Managed Health Services (MHS)

Contract plans include:

  • Managed Medicaid Plans – HIP, Hoosier Care Connect & Hoosier HealthWise
  • Commercial Plan – AmBetter
  • Medicare Advantage – AllWell

ASC Contracted Communities: 

MDWise - Excel

Contract plans include:

  • Managed Medicaid – HIP

ASC Contracted Communities: 

Southern Indiana Health Organization, Inc. (SIHO)

ASC Contracted Communities: 

Evansville:

• Columbia Healthcare Center

United HealthCare (AARP)

Contract plans include:

  • AARP Medicare Complete Choice
  • United HealthCare (UHC)
  • United Medical Resources (UMR)
  • NaviHealth provides admission pre-certification on United’s behalf
  • Optum CarePlus*

ASC Contracted Communities: 

Humana Healthcare

NaviHealth provides admission pre-certification and concurrent review on Humana’s behalf.

The following SNFs are contracted with Humana MCR & Commercial:

The following SNFs are contracted with Humana Commercial only:

The following SNFs are not contracted with either of the Humana plans:

 
Veteran's Administration Long Term Care Contract
VA Choice Short Term Care

ASC Contracted Communities: 

Other Insurances

For more information about the following plans, please call 888-996-8272.

  • Beech Street
  • Corvel
  • Galaxy Health Network
  • HealthSmart
  • Interplan Health Group (IHG)
  • Provider Network (NPPN) PHCS Savility
  • Sterling (PFFS & PPO plans only)
  • USA MCO