Frequently Asked Questions from Members
What is Signature Care?
Signature Care is a statewide network of healthcare
providers located in Indiana and northwest Ohio that can be accessed
through your group health plan. Signature Care is a preferred provider
rganization (PPO). When your employer or you choose Signature Care
as your PPO
network, you receive medical services at a special rate
from our contracted providers.
What is the advantage of using a Preferred Provider Organization (PPO)?
A PPO is a managed care network that negotiates favorable rates
for medical services from selected providers. When you use a Signature Care
provider, you save money for yourself and your employer because you are paying
your share of contracted rates.
How large is the Signature Care network?
Signature Care includes over 8,500 physicians, healthcare
providers and hospitals throughout Indiana and northwest Ohio.
How do I know if a physician or hospital is in the Signature Care network?
The Signature Care Provider Directory
can be found on the Signature Care website,
www.SignatureCarePPO.com. You can also
call a Signature Care customer service representative at 800-666-4449.
Spanish-speaking representatives are available.
How do you decide which hospitals and physicians are included in Signature Care?
Only select hospitals and physicians who have met Signature Care's
credentialing standards are contracted to participate in the PPO network. Signature
Care considers provider nominations based upon business need and credentialing approval.
As a Signature Care member, do I have to use Signature Care hospitals and providers?
You will receive better benefit coverage by using Signature Care "in-network"
participating providers. If you use a non-participating ("out-of-network") provider, your
benefits will be lower and you will pay a larger portion of the claim cost.
What is the purpose of my group health plan identification card?
Your card provides necessary information regarding your benefit
plan to providers. It shows you are a member of Signature Care and allows
immediate access to all Signature Care services. Please keep your group
identification card with you at all times. Be sure to show it each time
you visit a hospital or physician.
How do I find out about my benefits?
Refer to your group health identification card for
the telephone number for claims inquiries.
Where do I call to pre-certify a medical procedure or an inpatient hospital stay?
Refer to your group health identification card for the
telephone number listed for this purpose.
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.
Are all providers credentialed for Signature Care participation?
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.
Will I have to pay anything at the time medical services are provided?
If co-payments are required under your benefit plan, please remember
that these amounts are to be paid to the provider at the time you receive the services.
In addition, if any deductibles or co-insurance amounts will apply, the provider may
require payment at the time of service.
Where do I call with questions about my claim?
For questions about your medical claim, please call the
claims telephone number shown on your group health identification card.
How do I find the insurance company or third party administrator for my plan?
Refer to your group health identification card for the telephone
number listed for claims inquiries. If you are still uncertain, please contact
Signature Care's customer service at 260-373-9100 or toll-free at 1-800-666-4449, ext. 39100.