Frequently Asked Questions (FAQ)

We want what’s best for our patients, and we’ve been disappointed in how many Medicare Advantage plans have continued to complicate, postpone, and deny coverage to their members. We made changes to ensure decisions about your care remain between you and your provider.

If you haven’t already, create an account at https://www.medicare.gov. Once you do, you’ll be able to compare all the Medicare options available in the area you live. You’ll also be able to ensure any prescription drugs you might take fall under whatever options you’re considering.

Reid Health participates in all Medicare supplements, including all Medigap plans.

If you’re experiencing a medical emergency, always go to the nearest emergency room. Your insurance company is required to pay for any emergency services at in-network rates.

Agreements we reached with Anthem and UnitedHealthcare in 2024 are in place through Dec. 31, 2026.

Yes. Humana Group PPO plans allow you to use your plan with in-network and out-of-network providers. As a result, you can use your Humana Group PPO Medicare Advantage plan at Reid. Humana shared you won’t see an increase in your co-pay or out-of-pocket expenses by coming to Reid for services. In other words, you don’t need to make any changes to your plan or providers. For more information, please click here.

Yes. Your Humana Medicare Advantage PPO allows you to use your plan with in-network and out-of-network providers. However, depending upon your plan structure, you might have increased co-pays or out-of-pocket expenses when doing so. Humana suggests calling the number on the back of your insurance card if you have questions about your out-of-network benefits.

Reid is not in-network with Humana Medicare Advantage HMO plans. If you choose to maintain your plan and use Reid services, you’ll have increased out-of-pocket expenses. You’re encouraged to change your Medicare Advantage plan to an Anthem or UnitedHealthcare Medicare Advantage plan or opt to participate in Traditional Medicare.

Yes. Aetna PPO ESA plans allow you to use your plan with in-network and out-of-network providers. As a result, you can use your Aetna Group PPO ESA Medicare Advantage plan at Reid. For those members who have an Aetna Group PPO ESA plan (for example, Verizon retirees), Aetna communicated to Reid you won’t see an increase in your co-pay or out-of-pocket expenses by coming to Reid for services. In other words, you don’t need to make any changes to your plan or providers.

Yes. Aetna PPO plans allow you to use your plan with in-network and out-of-network providers. As a result, you can use your Aetna Group PPO Medicare Advantage plan at Reid (for example, Ohio Retired Teachers Association members). However, depending upon your plan structure, you might have increased co-pays or out-of-pocket expenses when doing so. Aetna suggests calling the number on the back of your insurance card if you have questions about your out-of-network benefits. If the information you receive from Aetna doesn’t meet your needs, you might want to explore changing your Medicare Advantage plan to an Anthem or UnitedHealthcare Medicare Advantage plan or opt to participate in Traditional Medicare.

Reid is not in-network with Aetna Medicare Advantage HMO plans. If you choose to maintain your plan and use Reid services, you’ll have increased out-of-pocket expenses. You’re encouraged to change your Medicare Advantage plan to an Anthem or UnitedHealthcare Medicare Advantage plan or opt to participate in Traditional Medicare.

Yes. Your Devoted Medicare Advantage PPO allows you to use your plan with in-network and out-of-network providers. However, depending upon your plan structure, you might have increased co-pays or out-of-pocket expenses when doing so. Devoted suggests calling the number on the back of your insurance card if you have questions about your out-of-network benefits.

Reid is not in-network with Devoted Medicare Advantage HMO plans. If you choose to maintain your plan and use Reid services, you’ll have increased out-of-pocket expenses. You’re encouraged to change your Medicare Advantage plan to an Anthem or UnitedHealthcare Medicare Advantage plan or opt to participate in Traditional Medicare.

Reid Health’s decision to streamline the number of Medicare Advantage plans it participates in doesn’t affect commercial insurance provided through your employer, but a retiree plan that includes Medicare Advantage might be affected (see questions above).

You can reach out to the Reid Health Community Helpline at (765) 965-4250. You can also use the State Health Insurance Assistance Program (SHIP), a free and impartial counseling program for people with Medicare.

The toll-free number for people to schedule an appointment with an Indiana SHIP counselor is (800) 452-4800. SHIP counselors in Wayne County include:

• Terri Hamm: (765) 914-5423
• Neighborhood Health Center: (765) 965-4299
• Lifestream Services: (800) 589-1121
• Wayne Township Trustee: (765) 973-9392

To find SHIP counselors in other Indiana counties, go to https://www.in.gov/ship/find-an-indiana-ship-location.

Information about SHIP counselors in Ohio can be found at https://insurance.ohio.gov/about-us/divisions/oshiip.