• We look forward to providing you with exceptional surgical care.

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    FAQ

    Are you in network with my insurance?

    Our physicians are contracted with most insurance companies; however, we are not part of every health insurance plan. It is important that you check to determine if our physicians are contracted with your specific insurance plan. While we see all patients, there may be more cost to you if we are not part of your insurance plan or if you do not follow all of the plan rules. It is your responsibility to know the details of your plan.
    We will file a claim with your insurance company, but we expect payment in full of any co-pays at the time of service. We accept credit cards, personal checks, money orders, or cash. We will make every effort to work with you to resolve any payment issues before billing you for the remaining balances, including deductibles. It is our financial policy to obtain payment in full from patients with prior collection accounts.

    Why do you ask me for the same information and copy my insurance cards every year?

    Many patients change insurance companies, address and other account information frequently. If the most current information is not used to file your service claims, insurance companies reject the claim or you the patient get billed incorrectly. This causes dissatisfaction for some of our patients. We have found that although this may be viewed as inconvenient or unnecessary to some of our patients, we are merely trying to make sure that their claims are handled as accurately and efficiently as possible.

    Does it matter which doctor I see?

    In general, no. All of our physicians are experienced clinicians with Board Certification in their area of expertise. Patients may be referred to a physician who has specific training in their area of need.

    How can I best be prepared for my office visit?

    If you are new to our practice or have not been seen for over a year, please come early to allow time to fill out necessary paperwork. Bring a written list of all of your current medications or bring them in a bag to your appointment. Write down a list of all prior major illnesses, operations, hospitalizations, and medical allergies. Be aware of what illnesses run in your family. Don't forget to bring your driver’s license and current insurance cards with you. (To save time you can print our Registration & Medical History Forms located on this site. Fill out and bring along with your to your appointment.)

    What can I expect at my first visit?

    Please plan to arrive at the office 20 minutes before your scheduled appointment time to finalize new patient registration. Please bring your driver's license, insurance card(s) and medication list. If your coverage requires a co-payment, you must be prepared to pay at the time of service. If you do not have insurance, you will be considered a self-pay patient and will need to bring a $125 down payment for your visit. (You will be balance billed for any remaining charges.) The visit with your surgeon will begin with a review of your medical history and the reason for your visit, including any current symptoms you may be experiencing.

    Where is your office located?

    Office location maps can be found on the Locations & Contacts page linked at the top of each page of our website. Feel free to contact our office for further assistance.

    How do I get a prescription refill?

    The quickest way to obtain authorization for a prescription refill is to submit a request via secure messaging on our Patient Portal. You can find the link to our portal at the top of this page. You may also call our office to request your refill. Please be prepared to supply your name, date of birth, name of medication, exact dosage, phone number and location of your local pharmacy, and a number where you can be reached. Our staff will confirm with the physician and send the prescription in to your pharmacy or contact you with questions. We request a minimum of 48 hours notice for refills. Please do not wait until you have run out of medication to call. Our on call physician will not normally refill prescriptions for other physicians which may extend the amount of time needed for the refill.

    What is the Patient Portal?

    For your convenience, you may access your records on our secure Patient Portal via the Patient Portal link at the top of the page. Using this service, you can communicate with our office anytime that is convenient to you. You will be able to update your demographics, request appointments and prescription refills, access your medical and visit information, securely send documents, and ask any questions you may have.

    How do I begin using the Patient Portal?

    To begin using these services, you will need to create a secure account by registering with the portal. You can find the REGISTRATION link on the right side of the first page. For your privacy, the system will require you to enter a PIN number. During your first visit at our office, you will be given a letter containing your PIN number. If you have not yet visited our office, you may contact a Customer Service Representative for your PIN number. After this has been completed, please allow 24-48 hours for your account to be verified.

    Is my follow-up appointment included in the cost of my procedure?

    Depending on what procedure has been performed, your follow-up visit may fall within a Global Period. Global Periods vary by procedure. Feel free to contact a Customer Service Representative to find out if your visit falls within a Global Period. If your visit falls within a Global Period, then your follow-up visit (related to your procedure) will be included in the cost of your procedure.

    How can I pay my bill?

    We accept cash, check, money order, or Visa or MasterCard. You can mail your payment to our Goshen location or contact our Customer Service Department to pay by phone. Unfortunately, you are not currently able to make payment thru our Patient Portal, but we do hope to have this option available to our patients in the future. If you need to set up payment arrangements, you can secure message our Billing Department via our Patient Portal. You may also contact them at 574-535-9100 and ask to speak with a Patient Billing Specialist.

    How do I request my medical records?

    We need your authorization to release your medical records to you or another office. You can find our Medical Records Release form in our For Patients section under Forms. Please complete this form and mail or fax to our Goshen Office. You can also stop by any office to complete this form. Records can be picked up, faxed, or mailed. Records will be sent within 1 week unless a specific request date is listed.

    Do you offer payment plans?

    Yes, we do offer payment plans. If you need to set up payment arrangements, you can secure message our Billing Department via our Patient Portal. You can also contact our office and ask for our Billing Department. They will work with you to establish a payment plan.

    How do I get an off/return to work note?

    If you have been seen recently by one of our providers, you can contact a Customer Service Representative to obtain a work note. In some instances, an office visit may be required to evaluate your recovery. These notes can be picked up or faxed directly to your employer, if a fax number is supplied.

    I got a recall letter. What is this?

    For certain procedures, our providers follow standard quality measures for follow-up of care. We follow and establish criteria for repeat procedures based on risk factors and personal and family history. Once you have had the procedure, you are entered into our recall database and tracked. When you are due for your follow-up procedure, you will be mailed/emailed a recall/reminder letter. This letter instructs you to contact our office to schedule your next appointment.

    Who do I contact if I have questions regarding my surgery?

    You can ask questions 24 hours a day via secure messaging on our Patient Portal. We will respond to your questions during our normal business hours. You can access the portal at the top of each website page. You may also contact our office at the numbers listed on our Locations & Contacts link. Depending on the nature of your questions, our Customer Service Representative will direct your call or secure message to the proper department.

    Do you have any information describing the surgeries?

    Yes, we do have information regarding many of our procedures. See the Surgical Procedures link at the top of each page on our website. If you don't see anything listed for your procedure, we may have information available for you in the office.

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    Insurance Network

    Our office participates with most insurance plans and networks. As contracts change as may this list. To determine if our practice accepts your specific policy call the customer service number listed on the back of your insurance card or feel free to contact one of our customer service representatives with questions. Please bring your insurance card to your visit. This enables our staff to have the information needed to schedule and authorizes visits/procedures as well as billing.

    Participating Insurers & Payors

    PPO Plans

    Advantage Health Solutions
    Aetna
    Anthem
    Cigna
    Cofinity
    Coventry
    Community Health Alliance (CHA)
    Encore Health Network
    First Health Network (Coventry)
    Goshen Preferred Network
    Great-West Healthcare/Cigna
    Humana ChoiceCare Network
    Indiana Health Network (IHN)
    IU Health Employee Plan
    Lutheran Preferred Network
    Medi-Share/Christian Care (PHCS)
    Meritain Health
    Multi-Plan
    North America Administrators
    PHCS
    Sagamore Health Network
    Savility (Multi-Plan)
    Select Health Network
    Signature Care PPO SuperMed Network (Medical Mutual of Ohio)
    Three Rivers Provider Network
    Unicare Access
    United Healthcare

    HMO Plans

    Anthem
    Humana (Not Gold)
    Physicians Health Plan (PHP Classic)

    Medicare Advantage Private Fee for Service (PFFS)

    Accepting all plans

    Medicare Advantage PPO Plans

    Anthem (XPF & XPG prefix only)
    Humana ChoiceCare
    United Healthcare: PPO Focus PPO

    Medicare Advantage HMO Plans

    IU Health Medicare Adv: Select, Select Plus, & Choice HMO/POS
    United Healthcare: HMO & Profile HMO

    Amish

    Plain Church Group Ministry
    Plain Church/Select Health Network
    Immergrun

    Medicaid

    Anthem (Hoosier Healthwise, Healthy Indiana Plan, & Hoosier Care Connect)
    CHIP (Children’s Medicaid)
    Emergency Only
    Enhanced Services Plan (ESP)
    MDwise (Hoosier Healthwise & HIP Programs)
      **HIP: MDwise HIP Excel, MDwise HIP IU Health, & MDwise HIP SHN
    MHS (Hoosier HealthWise, Healthy Indiana Plan, & Hoosier Care Connect)
    QMB (Medicare is primary)
    Pregnancy Only
    Presumptive & Hospital Presumptive Eligibility
    Presumptive Eligibility for pregnant women
    Restricted
    Traditional

    Marketplace Exchange- Accepted Plans

    Anthem: Pathway, Pathway X, Direct Access, Blue Access, Blue Preferred, & Blue Preferred X
    IU Health Plans
    MDwise Marketplace- Connect & Select Health Network
    United Healthcare- Choice & Choice HAS

    *Not Contracted: W/ Out Of Network Benefits

    Aetna MCR ADV Plans
    Aetna HMO
    Aetna NAP (NOT contracted w/NAP alone- Ok if it has CHA, PPO, or Multiplan.)
    Allied Benefit Systems- Affordable Care Plan For: ( ADEC, Entech, Grace Village, Triangle Rubber, Farimont Homes, Gulf Stream, & Mastercraft)
    Beech Street
    Champ/VA
    Humana Gold PFFS (MCR ADV)
    Immergrun
    Medical Mutual (Select Health Network)
    Three Rivers Preferred Network
    Tricare

    Need Referrals

    Humana HMO
    Tricare (Prime/Prime Remote/Young Adult Prime)
    UHC Navigate
    Veteran's Affairs

    Note: While our offices may be in-network with a specific insurance, not all hospitals we provide services at are. It is the patient’s responsibility to verify and know what hospital they can use before any procedure or surgery is scheduled.

    Disability

    Disability forms can be very time consuming to complete and for this reason a cost of $10.00 will be charged for each form. Payment must be received before forms will be completed.

    Blue Cross/BlueShield/Anthem

    We are Preferred Providers for BCBS. If you have this coverage, we will file a claim with them for our services. The patient will be responsible for any deductible, coinsurance and non-covered service.

    *We do not currently participate with their marketplace product.

    Medicare

    We are participating physicians with Medicare. Medicare patients are responsible for 20% coinsurance, any deductible amount not met, and any non-covered service.

    Medicaid

    Patients must present a current valid Medicaid card.

    If your plan requires a referral, please obtain one and bring it to your scheduled appointment.

    If you are on restricted medicaid, please have your primary care provider add our practice, the provider you will be seeing, as well as the hospital/surgery center for your procedure.

    PPO

    We participate with several managed care programs. Any co-payment is due at the time of service.

    Other/Third-party

    We will file an insurance claim form for you. However, we want to make sure that you understand that payment for services is your responsibility. Your insurance policy is between you and your insurance company. We cannot guarantee payment of your claims. Your insurance company my only pay a portion of the bill or reject your claim. Contact must be made by you, the policy holder, for an explanation. Reduction or rejection of the claim does not relieve your financial obligation.

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    Forms

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    Office Policies

    Appointments

    In scheduling appointments, it is our intent to see you as soon as possible. Our staff and physicians will make every effort to accommodate urgent add-on requests. Please be aware that due to the nature of our surgical practice emergencies are common and may cause delays. As a surgical practice, our physicians are not in the office everyday, and due to the nature of your need you may be seen by a physician’s assistant or another designated physician. Please allow 20 minutes prior to your appointment to complete the registration process. We will make every effort to see you on time at your scheduled visit. Individuals arriving early for their appointments may not be taken until the scheduled time to avoid delaying other patients unnecessarily. For your appointment please bring with you your drivers license, insurance cards, and all medical reports, X-rays, scans, etc., that need the doctor’s review during your consultation. Patients are expected to bring these upon arrival to the office the day of the appointment or have them sent in advance. Due to experience with these items getting delayed if sent through the mail, we prefer the patient obtain these materials and bring them the day of their appointment, email them in advance via our Patient Portal, or have the hospital or their physicians office fax them. Not having any of these items my delay the scheduling of your surgery/procedure.

    Cancellations

    We reserve your appointment exclusively for you. We request 48 hours notice for rescheduling and/or cancellation of an appointment so that another patient may be able to utilize this slot. For appointments cancelled with less then 48 hours notice, a cancellation fee may be charged.

    Physician/Clinical Questions

    You can submit non-urgent questions to our physicians and nurses via secure messaging on our Patient Portal. For urgent needs, please call our office at the numbers listed on our Locations & Contacts page. Your calls/messages will be routed to the appropriate clinical staff. Complete messages may be taken as needed. Please let them know where you may be reached, including both day and evening numbers. Your call or secure message will be returned at the first opportunity. Urgent calls will be immediately routed to the designated clinical staff and prioritized accordingly. We have a physician on call at all times.

    If you have an urgent need outside of our normal business hours, we have an after hours service that will direct messages to our on call physician.

    Prescription Refills

    For refills, we ask that you provide at least 72 hours notice. Please submit requests via our Patient Portal or call the Pharmacy and request them to call our office for authorization on the refill. This will facilitate your request in a more timely manner. The clinical staff will submit your request to your physician. Once the refill has been authorized, it will be called to your pharmacy. If there is a problem with the request, you will be notified by the clinical staff.

    Testing, Orders and Results

    Testing will not be performed by a facility without a physician’s order. You must take your physician’s order with you to the testing site. Please be aware there is a 72 hour turnaround time for non-urgent calls requesting duplicate copies of original orders from our office. Radiology and Pathology results are generally available within 3-5 working days. You will be able to view your results thru our Patient Portal. You will automatically be called with your results. If you have not received a call from our office within 5-7 working days from the date of your test or procedure, please call and ask for the clinical staff.

    Patient Identification

    For your protection and security, a photo identification will be requested at the time of treatment.

    Surgical Scheduling

    After you have consulted with one of our doctors and surgery is indicated, our Surgical Coordinators will assist you in coordinating all aspects, including preoperative testing and understanding insurance/financial responsibilities of your surgery. Please do not hesitate to call one of our Surgical Coordinators to assist you with any questions. You can find our numbers on our Locations & Contacts page.

    Medical Records

    It is important that we maintain current and accurate records on your behalf. Upon registration for each visit at the Practice, you will be asked if there have been any changes in your name, address, telephone number, insurance coverage, medications, allergies, medical conditions and any other information pertinent to your care. It is your responsibility to ensure updates are provided. Your cooperation in keeping us informed helps us to better serve you.

    Once registered on our Patient Portal, you will be able to view and update your demographic and insurance information. You will also be able to view your medical records. If you would like to request copies of your medical records, please complete the Medical Records Release form in our Forms section under the For Patients tab.

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    Patient Education (Links)