Billing and Insurance
Whether you have private insurance, Indiana Medicaid, Medicare, or even if you are not currently insured, Damien Center wants to work with you to find a way to get you engaged in care and keep your out-of-pocket costs as low as possible. If you need help with obtaining insurance coverage, our Insurance Enrollment Team can assist you in finding the right coverage that meets your needs. Please present your insurance card and photo ID at each visit. Copays, coinsurance, or deductibles may be due at the time of your visit.
Conveniently pay your bill online via your patient portal!
If you have questions about a billing statement you received or a general billing question, please submit a Financial Services Inquiry by clicking here.
We accept payment by check, credit card, debit card, and cash (only at the 26 N Arsenal Ave Location). For convenience, you can pay your bill online via your patient portal HERE or at any Damien Center location.
We provide this list as a resource to help you determine whether we accept your specific health insurance plan. This list is not exhaustive. We encourage you to contact your insurance company first if you have any questions about whether your specific health insurance plan will be accepted. You will be responsible for any out-of-pocket costs associated with your insurance plan.
- Anthem Blue Access
- Anthem Blue Preferred
- Anthem Blue Traditional
- Cigna Behavioral Health
- Community Health Direct
- Encore Health Network (PPO)
- IU Health Plans (Tier 2 in Network)
- United Healthcare
- United Behavioral Health
- Ambetter by MHS
Indiana Medicaid Plans
- Healthy Indiana Plan (HIP)
- Hoosier Care Connect
- United Healthcare
- Hoosier Healthwise
- Aetna Medicare (PPO)
- Anthem MediBlue (PPO)
- AARP Medicare Supplement (United Healthcare)
- Humana Medicare (PPO)
Third Party Administrators
- AIDS Drug Assistance Program (ADAP) - This program assists eligible individuals in obtaining limited FDA-approved therapeutic drugs if there is a waiting period before HIAP insurance coverage begins.
- Early Intervention Plan (EIP) - This program covers the costs associated with medical services such as doctor visits, laboratory services, specified vaccinations, and influenza shots. EIP provides funding for health care services during a waiting period before HIAP insurance coverage begins.
- Health Insurance Assistance Plan (HIAP) - This program pays the premium, deductible, co-pay and co-insurance costs to eligible individuals routed through participating Indiana Qualified Health Plans.
- PrEP Medication Assistance Program (PrEP MAP) - This program covers office visits, labs, STI treatment, and limited prescription coverage for PrEP-related care.
- Medicare Part D Assistance Plan (MDAP) - This program provides assistance toward the co-pay, co-insurance and deductible cost of a Medicare Part D prescription drug plan for qualifying individuals.
**Please note if you have an Health Maintenance Organization (HMO) plan, we may not be In-Network. Please call your insurance plan to see if your provider is In-Network.
We do not accept Out-of-State Medicaid plans and Health Maintenance Organization (HMO) plans. In some cases, we may be considered In-Network with your HMO. Please call your insurance plan to see if your provider is In-Network.
Co-Insurance. A fixed percentage you are required to pay to receive service. For example, your insurance plan may require you to pay 20% of what your provider charges and your insurance will pay the other 80%.
Co-Pay. A fixed amount you are required to pay to receive service. For example, your insurance plan may require you to pay $25 each time you see a provider and your insurance plan will pay the remaining amount.
Deductible. The amount you are required to pay before your insurance starts paying. Once you reach that amount, then your health insurance may start requiring a co-pay or co-insurance. Please note, many high-deductible plans range from $1,500 to $4,500 per year.
Health Maintenance Organization (HMO). A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won't cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.
In-Network Provider. A provider that has contracted with your insurance company to provide its members with discounted healthcare. Your insurance plan determines what you amount you will pay to your provider.
Non-Covered Benefits. Your insurance company will only pay for services that it considers medically necessary. This information is available in your plan handbook. If you receive services that your plan does not cover, you may still be required to pay out of pocket. Please call your insurance company if you are unsure if any services will be covered.
Out-of-Network Provider. A provider that has not contracted with your insurance company to provide its members with discounted healthcare. The amount you pay will always be higher if you see an Out-of-Network Provider.
Out-of-Pocket Maximum. The most you will have to pay annually for services. Once you reach this amount, your health insurance pays 100% of your In-Network costs.
Premium. The amount you pay for your health insurance. If you have health insurance through your employer, this is the amount deducted from your paycheck each month.
Prior Authorization. Your insurance may require you or your provider to get approval before rendering services before you are seen. If you don’t obtain permission, your insurance may not pay for your services and you may still be required to pay out of pocket.
For additional terms and definitions, please visit https://www.healthcare.gov/glossary/
Please see this list for our current fee schedule. Please understand that this is the rate that we charge your insurance carrier. To calculate what your actual cost will be, please contact your insurance company and provide them with the specific CPT code(s) listed on our fee schedule.
We offer financial assistance in the form of a Sliding Fee Scale based on the Federal Poverty Level (FPL). The Sliding Fee Scale may discount your services up to 100%, depending on your qualifying criteria. Please visit our Financial Assistance page for more information and learn how to apply.
Damien is committed to providing the highest quality medical, behavioral health, and pharmacy care to all patients, regardless of their ability to pay. We are pleased to offer our patients two forms of financial assistance – a Sliding Fee Scale and a Premium Assistance Program.
To apply for new Financial Assistance, please click here. New applicants can apply directly online and existing applicants can access additional forms.
The Sliding Fee Scale (SFS) is based on income and family size. You may be eligible for this discount even if you have health insurance. If you or your family members have insurance, we must bill your insurance first. If you qualify for the SFS, your discount may be applied to what you owe, and any remaining balance may be due at time of service.
The Premium Assistance Program enables eligible patients to have their insurance premiums paid in full by Damien with no obligation to use a Damien network provider or pharmacy. Because patients are still responsible for all deductibles, co-insurance, and co-pays - they will be considered for both the Sliding Fee Scale and Premium Assistance Program.
Non-Ryan White SFS - For people not living with HIV, your services will be discounted according to the table below.
Ryan White SFS - For people living with HIV and with active Ryan White coverage, your services will be discounted according to the table below. Additionally, your services are discounted to $0 once you have reached your annual cap on charges
Sliding Fee Scale FAQ
Have questions? We're here to help!
A sliding fee scale is a discount on your healthcare offered if your income and family size meet a certain threshold.
There are two sliding fee scales based on HIV status. For people living with HIV, the Ryan White HIV/AIDS Program (RWHAP) provides additional benefits to ensure that you are not overwhelmed by healthcare costs. We will continue to bill your insurance, but your deductible, co-insurance, and co-pay will be discounted to a much lower nominal fee. Additionally, patients enrolled in the Ryan White SFS are eligible to have a cap set on annual charges.
The federal government sets limits on what you will have to pay toward your total healthcare costs each year when you visit health networks that accept Ryan White grant funding. These annual limits supersede your cost-sharing agreement with your insurance company. Once you reach your annual maximum, we will continue to bill your insurance, but your patient responsibility will be discounted to $0 for eligible services until January 1st of the following year.
Eligible services that we can count toward your annual maximum include medical appointments, labs, nurse visits, behavioral health visits, co-pays, hospital visits, and prescriptions. If you have healthcare bills from outside health networks, other agencies, or pharmacies, you can submit them to count toward your annual maximum. We are not able to pay those healthcare bills, but your healthcare services with us will be discounted.
Yes, because if you qualify, you may pay less than your insurance co-pay for your services.
The amount you pay will depend on the service you receive and your FPL. Please see the Sliding Fee Scale table to determine your amount due.
- Completed Application (see link above)
- Valid Photo ID
- Proof of Address
- Proof of Household Income
We base eligibility on the Federal Poverty Level (FPL). This percentage is calculated based on two (2) factors:
- Gross Income – this is the amount of money you make each year before taxes. This includes salary, unemployment benefits, disability or social security benefits, investment income, or other sources of income that support your household.
- Family Size – this includes legal children, a civil union partner or married spouse, and legal dependents that are living together.
We will accept the following supporting documentation for proof of income:
- Two (2) most recent pay stubs
- Prior Year W-2
- Unemployment Letter from your Care Coordinator, Medical Case Manager, or PrEP Navigator
The Financial Assistance covers medical, behavioral health, and pharmacy. Depending on the patient’s FPL, services are discounted up to 100%.
Yes, you must re-apply every calendar year or anytime your financial status changes. Patients are enrolled on a rolling calendar year basis and coverage is retroactive to the beginning of the calendar year. Patients enrolled in the program will receive renewal instructions 90 days before their sliding fee scale expires, typically on December 31st of each calendar year.
Patients will receive a decision letter via e-mail with more information, explanation of discount, and instructions for appealing if they did not receive an initial approval.
If you would like to appeal the decision, please submit a ticket with a brief explanation and someone may reach out to you if we need more information. Appeals are considered based on several factors including, but not limited to, debt-to-income ratio, loss of employment, loss of health insurance benefits, financial hardships, and other extenuating circumstances. Please allow 5-10 business days for processing and final decision. Instruction on filing an appeal will be included in the decision letter.
Please know that regardless of the final decision, no patient is ever turned away for their ability to pay.
If you have questions about any of our financial assistance programs, please click HERE to access our form application to submit an inquiry to our Financial Services team.