Western Kentucky University

WKU Health Services : In Network Insurance Companies

In Network Insurance Companies

WKU Health Services will courtesy bill any insurance with the exception of Medicare or Medicaid. We will bill HMO plans, however, these plans normally require pre-authorization or a referral from your Primary Care Manager(PCM) which is the responsibility of the member/patient to receive. Payment and coverage amounts will differ according to the insurance company's plan/benefit design and out-of-network benefits, therefore payment from these plans is not guaranteed.

At the time of service please be prepared to pay your co-pay, provide a copy of your insurance card and present a form of identification. 

We are in network and participating providers with the following insurance companies:

  • Academic Health Plans
  • Aetna1 (see note below)
  • Anthem Blue Cross/Blue Shield of Kentucky2 (see note below)
  • Bluegrass Family Healthcare
  • CHA Health
  • CIGNA3 (see note below)
  • Champ VA
  • First Health Network
  • Humana/Humana Choice Care PPO
  • PPO NEXT
  • Private Health Care Systems (PHCS)
  • Employee Benefits Administrators
  • TriCare (Health Net) - Standard4 (see note below)
  • United Health Care of Kentucky

1 With Aetna HMO plans the insured needs to go to their employer and get an enrollment form and say they are an "out of area dependent."

2 Blue Cross/Blue Shield has a variety of plans. It is advised that you call your plan provider and determine if you need a new card.

3 CIGNA - If the insured has an out-of-state HMO plan they need to contact CIGNA to see if their plan offers Guest Privileges.

4 Ft. Knox (Ireland Army Hospital) and Ft. Campbell (Blanchfield Army Hospital) will no longer be issuing referrals for Tricare Prime patients to Primary Care facilities such as WKU Health Services. If your Primary Care Manager(PCM/family doctor) is located at either of these facilities, Tricare will ask you to pay a percentage of your visit charges instead of a copay. These facilities are requesting you be seen at their office or have your PCM changed to a local provider. For more information, please contact your PCM.

To verify that your insurance is in-network with WKU Health Services please contact your insurance company and reference our
tax ID #616055628 or verify by one of our physicians. WKUHS physicians are Robert A. Redden, M.D. - NPI#1770580722; Patricia A. Blewett, M.D. - NPI#1811993967 and Ray Rowland, M.D. - NPI#1942251954

Please note: We do not participate in Medicare or Medicaid, therefore we cannot file these claims. Payment and coverage amounts will differ according to the insurance company's plan/benefit design and out-of-network benefits. We strongly advise you to understand your policy and network benefits.

Please contact Linda Heady, Insurance & Billing Coordinator 270-745-5034 or healthservices-billing@wku.edu for all other insurance and billing inquiries.

 

 Last Modified 10/3/13