Insurance Information at Monarch Medicine Urgent Care

Accepted Insurance Providers

At Monarch Medicine Urgent Care, we are committed to providing accessible and comprehensive healthcare services to our community. Understanding your insurance options is crucial for a seamless healthcare experience. We accept a wide range of insurance plans to ensure you receive the care you need without unnecessary financial stress.

We accept most major commercial insurance providers, including but not limited to:

• Blue Cross Blue Shield (BCBS):
  • Blue Access
  • Blue Preferred Primary
  • Blue Preferred Primary Plus
  • Blue Traditional
• Cigna:
  • OAP (open access plus), Cigna
  • PPO, Cigna
  • HMO, Cigna
• Encore:
  • Advisory Health Administrators
  • Allied Benefit Systems, Inc.
  • ASU Group (WC)
  • Aultra Administrative Group
  • Automated Group Administration, Inc. (AGA)
  • Auxiant
  • Community Health Direct (ProHealth)
  • Consociate Health TPA
  • Core Benefits, Inc.
  • Cornerstone Benefit Administrators (keep active)
  • Dunn & Associates Benefit Administrators, Inc.
  • EBMS, Inc.
  • Employee Plans, LLC
  • Hawaii Mainland Administration, LLC
  • Health Alliance Medical Plans, Inc.
  • Indiana University (WC) (TPA)
  • Indiana University Health Plans (UST)
  • Kentucky Health Administrators
  • Key Benefit Administrators, Inc.
  • Lucent Health Solutions North America Admin
  • Major Health Partners
  • MCMC, LLC
  • Medical Benefits Companies (MedBen)
  • Medova Lifestyles Healthcare TPA
  • Meritain Health
  • National Benefit Associates Buchta Trucking Trust
  • Nova Healthcare Administration Inc
  • Paramount Preferred Options
  • Pekin Life Insurance Company
  • People 1st Health Strategies (TPA)
  • Physicians Health Plan of Northern Indiana, Inc.
  • Pro-Claim Plus
  • Professional Benefit Administrators, Inc.
  • SISCO
  • Southeastern Indiana Health Org. (SIHO)
  • Underwriter’s Services Corporation (USC)
  • Unified Group Services, Inc.
  • United Claim Solutions, LLC (dba Valenz)
  • WebTPA
  • Zelis – Global Care
  • Zelis – PHX
• Aetna:
  • Aetna Affordable Health Choices® limited benefits insurance plan (SRC only)
  • Aetna Select℠
  • Aetna Voluntary Plans
  • Aetna HMO
  • Aetna Managed Choice® POS
  • Aetna Open Choice® PPO
  • Aetna Choice® POS II (Open Access)
  • Aetna Select℠ (Open Access)
  • Aetna Elect Choice® EPO (Open Access)
  • Aetna Managed Choice® POS (Open Access)
  • Aetna North Carolina State Health Plan – Effective 2025
  • Aetna Choice® POS II (Aetna HealthFund®)
  • Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®)
  • Aetna Open Access® Managed Choice® POS (Aetna HealthFund®)
  • Open Access Aetna Select℠ (Aetna HealthFund®)
  • Open Choice® PPO (Aetna HealthFund®)
  • Aetna with Innovation Health Aetna Select
  • Aetna with Innovation Health POS
  • Aetna with Innovation Health PPO
  • Aetna National Advantage™ Program24
• United Healthcare:
  • All Savers® Health Plan
  • Surest
  • UnitedHealthcare® Charter
  • UnitedHealthcare® Choice and Choice Plus
  • UnitedHealthcare® Choice Advanced and Choice Plus Advanced
  • UnitedHealthcare® Core and Core Essential
  • UnitedHealthcare EDGE®
  • UnitedHealthcare Navigate®
  • UnitedHealthcare® NexusACO®
  • UnitedHealthcare® Options PPO Plans
  • UnitedHealthcare® Tiered Benefit Plans

Please note that this list is not exhaustive and may change as insurance companies update their policies. We recommend contacting your insurance provider to confirm that we are in-network with your specific plan.

Payment Information

• Co-Payments: For patients with insurance, your co-pay is due at the time of your visit. Our system communicates directly with your insurance provider to determine the exact co-pay required under your policy, allowing us to inform you of any amount due during your visit.
• Billing: We handle the billing to your insurance for any remaining balances. After your insurance processes the claim, they will inform us of any amount that is your responsibility, and we will then bill you for any remaining balance.
• Self-Pay Patients: If you do not have insurance, Monarch Medicine offers discounted rates for self-pay patients when payment is made at the time of your visit. We provide a 30% discount for patients who pay in full at the time of their service. Please see our Transparent Pricing page for details and examples.

Health Share Programs

We participate in health share or Medi-Share programs by billing visits as self-pay, applying the 30% discount at the time of service, and assisting with any documentation you might need for reimbursement. Additionally, we offer MyChart access, providing immediate access to the documents you might need for quick reimbursement. Please check with your health share program for specific limitations to reimbursement on their end.

OUT OF NETWORK

We are currently out-of-network with Medicaid and Medicare. Medicare patients can still be seen under our self-pay program ensuring access to quality care. Unfortunately, Medicaid does not permit out-of-network options at this time.

Contact Us

For any questions regarding insurance or billing, please contact us:

• Phone: (317) 804-4203
• Email: [email protected]

Our knowledgeable staff is here to help you navigate insurance questions, provide billing estimates, and clarify payment options, ensuring you have all the information you need for an informed decision.

Have questions? Visit our Contact Us page.