Insurance | Neurology, Neurosurgery, Interventional Pain Management, Physical Medicine & Rehabilitation, Rheumatology and Behavioral Medicine located in Norwood, Anderson and Westside, OH and Crestview Hills, KY

Commercial Coverage

Aetna	Includes: Mail Handlers Benefit Plan, Meritain, Starmark Comments: Student Health Plans require insurance referrals before services rendered
Anthem	Includes: Out of state policies, Blue Connection (replaced Trihealth Benefit Solutions) Excludes: Anthem MDCD, Short Term Pathway Comments: Prefix HCY and AMK require insurance referrals before services rendered
Cigna	Includes: NALC (National Association of Letter Carriers), Samba
**Cigna Behavioral	Includes: Wirtz
Custom Design Benefits	Excludes: JWL prefix
Humana
OH PPO Connect
MedBen	Includes: For Medical Mutual, Custom Design Benefits and OH PPO Connect only
Medical Mutual
Mutual of Omaha
NGS Coresource
Tricare/Healthnet Federal	Includes: Champva, Tricare, VA Community Care Network, Veterans Administration Comments: Require insurance referrals before services rendered. Referrals are provider specific.
United Healthcare	Includes: All Savers, all Charter plans, all Compass plans, GEHA, Golden Rule, all Navigate plans, all Nexus plans, Oxford Health, River Valley, Student Resources, UMR Comments: All Charter, all Compass, all Navigate, all Nexus require insurance referrals before services rendered. Referrals are provider specific.
Western Southern

**REMINDER - Any out-of-network commercial coverage can be billed if the patient has out-of-network benefits. Please contact the billing office with questions**

Medicaid & Managed Medicaid Coverage

Humana MDCD	Excludes: If primary schedule in KY only
IN MDCD (traditional)
KY MDCD (traditional)	Includes: See excludes list - All other providers including Jessica MacDonald Excludes: Caneris, Hughes, Schmerler and all other Neuropsychologists
OH MDCD (traditional)	Excludes: If primary schedule in OH only
Wellcare of KY MDCD	Excludes: If primary schedule in KY only

**PLEASE REFER TO ABN CHEAT SHEET FOR GUIDANCE IF NOT IN NETWORK**

Medicare & Managed Medicare Coverage

Aetna MDCR
Anthem MDCR
Bright Health MDCR
Cigna MDCR
Humana MDCR
Medical Mutual MDCR
Medicare KY (traditional)
Medicare OH (traditional)
Medigold
Mutual of Omaha MDCR
Railroad MDCR
UHC MDCR	Includes: AARP MDCR Complete, UHC Community Dual Plan (do not confuse with UHC Community Health MDCD)

**PLEASE REFER TO ABN CHEAT SHEET FOR GUIDANCE IF NOT IN NETWORK**

Workers' Compensation

BWC (Bureau of Workers' Compensation)
Department of Labor

**PLEASE CONTACT THE BILLING OFFICE FOR OTHER WORKERS' COMPENSATION CARRIERS**