Encore/Encircle Combined

Our combined network empowers you to save out-of-pocket dollars on your health care

As an industry leader in savings, the Encircle/Encore Combined network allows members to enjoy deep discounts and complete network access to all providers and hospitals in the Encore network.  When members choose an Encircle facility they will pay less out of pocket.

The Encircle/Encore Combined network gives employers and payors:

  • Best commercial pricing in most metropolitan markets
  • Expansive network access within the state of Indiana with access to over 100 hospitals and tens of thousands provider locations
  • Flexibility to customize three tiered plan designs – great for hospital-based plans
  • Can be used in conjunction with a national network for coverage outside of Indiana
  • Affordable network access rates (pepm) that help maintain low administrative costs
  • Access to Encore’s Value-added products

*Important Note – To maximize savings and avoid inconvenience, always check to make sure your physician has admitting privileges at the hospital you wish to use for inpatient hospitalizations.  If you want to utilize an Encircle hospital, be sure your physician has admitting privileges to that hospital.

Value-Added Products
Our members have access to a wide range of complimentary programs like VSP which provides discounts on vision services, and Epic which gives members savings on hearing service plans with the country’s largest coalition of hearing physicians and audiologists.  Encore is also the only PPO in Indiana that offers savings of 40% to 50% off the overall average national price for LASIK through Qualsight.

And should the need arise, members also benefit from Encore’s relationship with IU Health Transplant Center in Indianapolis, both in the renowned quality of service and in cost saving benefits.

Contact an Encore Sales or Account Executive at (888) 446-5844 to discuss how you can use Encore Health Network’s suite of .

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My Payor Download



If you have any questions, please contact webmaster@encoreconnect.com
Special Authorization is required to access the Payor Updates.
Please contact one of the following Account Executives for access:
· Holly Joyce at (317) 621-4263 or hjoyce@encoreppo.com, or
· Kevin McShay at (317) 621-4264 or kmcshay@encoreppo.com

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Notice

Encore has entered into a new arrangement for chiropractic services with HSM, Inc. HSM, Inc., a Minnesota-based specialty network services organization, will administer the chiropractic network for our Encore and Encircle service areas.

HSM will directly hold contracts with all participating chiropractors; therefore, there are some changes of which you should be aware. Regarding billing, chiropractors will now send their claims directly to HSM. HSM will collect the data in their system, including treatment plans for case management, and forward claims to the appropriate Encore payor. The payor will send all payment directly to HSM, who will in turn reimburse the chiropractor according to the negotiated rates.

If you are interested in becoming a participating chiropractor in the Encore Health Network, please contact HSM at 800-432-3640 or visit their web-site at www.hsminc.com.

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Current Worker's Comp Payors

Arete USA D/B/A The Covenant Companies
HealthSmart
HFN, Inc
Indiana University
InterPlan Health Group
IU Health Plan
MCMC LLC
ASU Group
Major Hospital
ACS CompIQ Corporation, A Xerox Company

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Payor and Provider Resources

Payors please contact Account Executive Kevin McShay at (317)621-4264 or kmcshay@encoreppo.com for access.

For any provider issue, please contact Provider Contracting Coordinator, Tina Bilodeau at (317)621-4269 or tbilodeau@encoreppo.com.