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Home > Members > FAQ
Frequently Asked Questions

SIHO is available to answer your questions over the phone, in-person and on-line. In order to assist you with your health care benefits 24 hours a day, Client Services' most frequently asked questions are available at your fingertips. For other questions contact SIHO Client Services by:

Phone: (812) 378-7070
(800) 443-2980 outside Bartholomew County
Mail: SIHO Client Services
P.O. Box 1787
Columbus, IN 47202-1787
Online: Contact Us

All health care benefits are listed in your Summary Plan Document.



Claims


How do I file a claim?
How long do I have to file a claim?
A provider has billed me; how do I know how much of the bill to pay?
What is deductible?
What is a copayment or coinsurance?
How does my out-of-pocket maximum work?
What is Coordination of Benefits?
Do I need to complete and return a Coordination of Benefits questionnaire?



Appeals


Do I have the right to appeal a claim denial or claims payment?



Physicians and Other Providers


How do I find a SIHO Network Provider?
What is the advantage of using a SIHO Network Provider?
How is my claim processed if I do not use a SIHO Network Provider?
What is a Primary Care Physician (PCP)?
How do I choose or change my Primary Care Physician (PCP)?
Can I change my PCP any time that I wish?
Can I utilize a non-network provider?



Eligibility


How can my newborn be covered from birth?
How do I add or delete family members from my plan?
Can I cover a dependent child away at school?
How long can my children remain on my health plan?
What happens if I quit or am terminated from my job?
Do I have coverage under pre-existing conditions?



Miscellaneous


What do I do in case of an emergency?
How do I order additional ID Cards?
Should I carry my ID card at all times?
What does HIPAA actually do for me as a SIHO Member?




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