Pricing Information - About

Accepted Insurance Carriers

Eskenazi Health is contracted with a variety of health insurance carriers to accept a number of plans, which are listed below. If you have further questions about health insurance, please visit our financial counseling page or contact one of our financial counselors at 1.855.202.1053.

Medicare Advantage

Aetna Medicare	Humana Medicare Advantage	Medicare Inpatient Psyc

Anthem Medicare	Humana Medicare Behavioral Health	Medicare Replacement - Generic Care Improvement

Anthem Medicare Select HMO Hospital	Medicare A	Railroad Medicare

CareSource Medicare	Medicare A and B	UnitedHealthCare Medicare Advantage

Communicare Advantage	Medicare B	Zing Health Advantage

*IU Health Physicians participate in the Anthem Medicare Advantage PPO plan but not in the Anthem Medicare Advantage HMO plan.

Medicaid

Anthem Behavioral Health	CareSource Medicaid Hoosier Hoosier Healthwise (HHW) & Healthy Indiana Plan (HIP)	Medicaid QMB Also and Only

Anthem Medicaid Hoosier Care Connect (HCC)	MDwise Behavioral Health	Medicaid Traditional

Anthem Medicaid Hoosier Healthwise (HHW)	MDwise Hoosier Healthwise (HHW)	MHS Hooiser Care Connect

CareSource Behavioral Health	MDwise Hoosier Healthwise (HHW) Family Planning	MHS Hoosier Healthwise (HHW) Medicaid

Cenpatico Behavioral Health (MHS)	Medicaid 590 Program	UnitedHealthCare Medicaid

Eskenazi Health would like to remind all patients covered by Medicaid to visit FSSABenefits.IN.gov to report any changes and check eligibility. This needs to be done to ensure patients do not lose their health care coverage through Medicaid.

Earlier this year, eligibility redeterminations resumed, with a plan to return to normal operations by July 2024. Some redeterminations will be done automatically based on information the state has available. However, in many situations, the state of Indiana will need to ask the member for information about themselves and their family, such as current address, employment status, income, age and family size.

Patients with questions or concerns about eligibility redeterminations may contact a member of the Eskenazi Health Financial Eligibility Services team by calling 1.855.202.1053 or scheduling an appointment online through Eskenazi Health MyChart. Patients are asked to log into their Eskenazi Health MyChart account to learn more.

Commercial

Aetna Commercial	HealthLink-Anthem Subcontractor	UnitedHealthCare

Anthem Commercial	Mail Handlers Benefit Plan	UnitedHealthCare Choice Plus POS

Anthem Dental	Meritain Health by Encore	UnitedHealthCare Community Plan

Anthem Plans (HMO, PPO etc)	MHS Exchange - Ambetter by MHS	UnitedHealthCare Railroad

CIGNA HMO	Sagamore (TPA-CT)	UnitedHealthCare Select Plus POS

CIGNA PPO	SIHO

Encore IU Health Plans (TPA)	UMR by UnitedHealthCare

First Health / Coventry - by Aetna (CT)	UniCare - Anthem Subcontractor

Healthy Indiana

Anthem Healthy Indiana Plan (HIP)		MHS Healthy Indiana Plan (HIP) Plus

MDwise Healthy Indiana Plan (HIP) State Plan Plus and Basic		MHS Healthy Indiana Plan (HIP) State Plan Basic

MHS Healthy Indiana Plan (HIP) Basic		MHS Healthy Indiana Plan (HIP) State Plan Plus

Additional

Center of Hope	Kindred Health	Superior Vision (CareSource and Anthem)

Children's Special Health Care Services (CSHCS)	LaRue Carter	Veterans Administration Hospital Clinic

Indiana Department of Health	Marion County Public Health Department RWSP (Ryan White Program)	Wards of the court

Indiana Victims Services	Spectera (UHC)

Estimates and Price Transparency

In the interest of price transparency, Eskenazi Health provides pricing for professional and hospital charges, frequently shopped services, pharmaceuticals, supplies, and max charges for inpatient stays. Our charges are the same for all patients. A patient may request an estimate for the amount he or she will be charged for nonemergency medical services. Please call 1.855.202.1053 and select option 3 to request an estimate. More information about Good Faith Estimates is available.

Price Transparency (356005697_eskenazihealth_standardcharges)
Shoppable Services

Patient Guide to Pricing (Spanish Translation)
Self-Service Price Estimate Tool

Disclaimer (Exoneración de responsabilidad-Internet)

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost. Eskenazi Health is committed to empowering patients, in partnership with their care team, to make informed decisions about their health care. This includes helping patients understand the cost of their care, as well as financial assistance that may be available. Because every patient and care plan is unique, we encourage you to call us at 1.855.202.1053 for an accurate and personalized price estimate for your care.

Any patient may request an estimate of the expected charges for non-emergency health care services that have been ordered, scheduled or referred and state law requires that health care providers and facilities provide you with an estimate of the expected bill for medical items and services within five business days of the request.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees. Please call 1.855.202.1053 and select option 3 to request an estimate.
If you request an estimate and the actual charge for the health care services exceeds your Good Faith Estimate by the greater of: (i) $100; or (ii) 5%, we will provide a written explanation as to why the charges exceed the estimate.
Make sure to save a copy or picture of your Good Faith Estimate. A Good Faith Estimate is valid for 30 days. If you have questions or for more information about your right to a Good Faith Estimate, please visit www.cms.gov/nosurprises/consumers or call 1.800.985.3059.

In compliance with federal law, Eskenazi Health provides a list of standard charges. The amount a patient pays is based on many factors, including health insurance, benefit plans and other applicable discounts, and the services provided based on each patient’s unique needs; accordingly, each patient’s financial responsibility may vary. The list of standard charges is not a contract or guarantee of the actual costs for the services that may be provided to you.

Subject to the No Surprises Act, you may incur other charges from physicians and other providers separate from the hospital charges for the services identified in the list of standard charges. The other charges could include, for example, pathology, radiology, anesthesia, emergency care, and other physician or surgeon charges. These services may be billed directly by your physician or another third-party provider.

If you have insurance:

Your insurer determines what services are covered and sets the rate for your deductible, co-pay and co-insurance obligations. You are financially responsible for your deductible, co-pay and co-insurance amounts owed after insurance coverage, subject to the No Surprise Act.
There is no guarantee that your insurance will cover the services. If your insurer denies a claim because they deem the service not medically necessary, not appropriately pre-authorized, or the facility is out of network for non-emergency services, you may be obligated to pay the total charges, subject to the No Surprise Act. If the service is not covered, Eskenazi Health will assess your eligibility for a discount.
Your insurer may or may not have a contractual arrangement with Eskenazi Health and its medical staff. We encourage you to confirm that services received at Eskenazi Health are in your health insurance network.

If you do not have insurance or are self-pay:

If you don’t have insurance or don’t intend to use insurance to pay for scheduled non-emergency health care services, federal law requires that health care providers and facilities provide you with an estimate of the expected charges for medical items and services at least one business day before the scheduled services are to be performed.

If you are uninsured or not using insurance to pay for your health care services and receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Eskenazi Health will consider your residency and other information to determine your eligibility for a discount. You can contact Financial Eligibility offices at 1.855.202.1053 for an appointment.

Eskenazi Health values innovation and development, and our services continue to grow and change to better serve the community. If you are unable to locate the item or service you are searching for, please contact 1.855.202.1053. Rates, codes, and services are subject to change, and our standard charges are updated at least annually. The listed charges may not reflect the current charges for every item and service and are subject to change at any time without notice. A Good Faith Estimate is only valid for 30 days.

To learn more about your rights under the No Surprise Act, please read about Your Rights and Protections Against Surprise Medical Bills.