Frequently Asked Questions from Brokers
What is Signature Care?
Signature Care is a statewide network of healthcare providers
located in Indiana and northwest Ohio that can be accessed through an employer's
group health plan. Signature Care is a Preferred Provider Organization (PPO).
When an employer chooses Signature Care as its
PPO network, health
plan participants receive medical services at a negotiated rate from our
contracted providers.
How large is the Signature Care network?
Signature Care includes over 8,500 physicians, healthcare providers
and hospitals throughout Indiana and northwest Ohio.
What advantages does Signature Care offer?
Signature Care negotiates special prices for medical services from
select, credentialed providers. When an employer chooses Signature Care as its
PPO network,
health plan participants receive medical services at a contracted
rate from our PPO
providers.
How are providers selected to participate in Signature Care?
Signature Care is an "open access"
PPO. Members may choose any
network specialty provider without a primary care physician referral.
Only select hospitals, physicians and healthcare providers who have
met Signature Care's credentialing standards are contracted to participate in the
PPO network.
What is credentialing?
Credentialing, as it applies to Signature Care, is the process
of validating the qualifications of health care professionals.
Why are health care professionals credentialed?
Health care professionals are credentialed to confirm that
their professional qualifications have been stated correctly. Before
health care professionals can become Signature Care providers, their
professional qualifications, such as education, training and licensure,
are verified for accuracy and completeness.
Are all providers credentialed for Signature Care?
The following health care professionals who provide care to
Signature care members are credentialed: Doctors of Medicine (MD); Doctors
of Osteopathic Medicine (DO); Doctors of Podiatric Medicine (DPM.); Doctors
of Chiropractic (DC); Doctors of Dental Surgery (DDS); Nurse Practitioners (NP);
Clinical Nurse Specialists (CNS); Certified Nurse Midwives (CNM); Certified
Registered Nurse Anesthetists (CRNA); Psychologists (PsyD, PhD, EdD in
Clinical Psychology); Licensed Mental Health Counselor (LMHC); Licensed
Marriage and Family Therapist (LMFT) and Licensed Clinical Social Worker (LCSW).
What information is verified when a health care professional is credentialed?
Verifications are appropriate for certain specialties and include all
or some of the following: education, training, experience, competence, board
certification, professional license(s), malpractice insurance and, if applicable,
hospital affiliation and authorization to prescribe medication.