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   The Spine Center has moved to the NEW UM SJMC Spine Institute. CALL THEM AT:  (410) 337-4882

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Main Number:  (410) 337-7900
UM SJMC Spine Institute:
(410) 337-4882

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Billing & Insurance

Insurance Plans

Listed below are current providers. Please contact your carrier if you have any questions about coverage.

Helpful Resources:
» Glossary of Health Coverage & Medical Terms
» Health Insurance Abbreviations

Providers we do NOT accept. Please contact your carrier if you have any questions about coverage:

JAI – MCO, We do NOT Participate

KAISER PERMANENTE – MCO, We do NOT Participate

MEDSTAR FAMILY CHOICE – MCO, We do NOT Participate

UNITED HEALTHCARE – Compass Plans (We do NOT Participate)

UNITED HEALTHCARE – Core Plans (We do NOT Participate)

UNITED HEALTHCARE – Navigate Plan (We do NOT Participate)

See below for Plans we accept for services.

Towson Orthopaedic Associates Insurance Participation
Upd. 7/07/22
AETNAHMO-Referrals Required
-AETNA MEDICAREPPO
-HMO/PPOAetna Medicare/HMO-Referrals Required
AMERIGROUPMCO- No Referrals Required
BLUE CROSS BLUE SHIELD-CarefirstHMO-Referrals Required
-Blue ChoicePOS
-Federal Employee ProgramPPO
-Carefirst AdministratorsEPO
OPEN ACCESS -No Referrals Required
CIGNAHMO-Referrals Required
GREAT WESTPOS
PPO
CIGNA HEALTHSPRING
(formerly Bravo Health, formerly Elder Health Care)
Online referrals from a primary care physician only-no paper referrals.

No referrals from Patient First

COVENTRY
-Coventry of Delaware

-Coventry National/First Health

PPO-(Health America)
GOLDEN RULENo Referrals Required
HUMANA
-Humana Commercial
-Humana Medicare Advantage Plans
*HMO plans will require a referral from your primary care provider.
JOHNS HOPKINS HEALTHCARE
-EHP
HMO- Referrals Required
PPO
JOHNS HOPKINS HEALTHCARE
-USFHP
HMO- Referrals Required
MAMSI Life and HealthNo Referrals Required
MARYLAND MEDICAL ASSISTANCE

MEDICAID/MCO PLANS

-Amerigroup

-Maryland Physicians Care

-Priority Partners

-University of Maryland Health Partners

-United Healthcare/Community Plan

We do NOT participate with:

* Kaiser Permanente

*JAI

*Medstar Family Choice

*All Medical Assistance Plans will be verified for eligibility at the point of registration.  If the product is not active, the patient will be considered to be without insurance and will be responsible for payment at the time of service.
MEDICARE/PART B
RAILROAD MEDICARE
No Referrals Required
MEDICARE ADVANTAGE

TOA participates with the following Medicare Advantage Plans:

-Aetna A Better HealthReferral Required
-Aetna MedicareNo Referral Required
-Alterwood Health Medicare Advantage PlanNo Referral Required
-CareFirst Community Health Plan
(Formerly UMMS Healthcare)
No Referral Required
-CareFirst Medicare Advantage
(Formerly UMMS Healthcare)
Dual Prime
No Referral Required
-EricksonNo Referral Required
-Humana Medicare AdvantageNo Referral Required
-KeyCare Medicare Advantage PlanNo Referral Required
-United Healthcare Medicare Advantage*(Only if it is a PPO and patient has out-of-network benefits)
PATIENTS WITHOUT INSURANCE*Towson Orthopaedic Associates will see patients without insurance.  Please speak to the office directly about our policy about payment at the time of service.
PLANS under MULTI PLAN/PHCS

As Third Party Administrator

No Referrals Required
PRIORITY PARTNERSNo Referrals Required
ONE NET PPO

(Formerly Alliance)

No Referrals Required
TRICARE HEALTHNET FEDERAL SERVICES
-Standard Reserve Select /Tricare for LifeNo Referrals Required
-Tricare Active Duty-Active Duty-Referrals Required
-Prime-Prime-Referrals Required
-Veterans Choice-Veterans Choice-Referrals Required
-VA Perry Point-New referral required for every visit
UNITED HEALTHCARE
-Commercial Plans under UHC/PPO-Community Plan/UHC Medical Assistance-Referrals Required
-Community Plan/UHC Medical Assistance-Community Plan/UHC Medical Assistance-Referrals Required
-MDIPA/Optimum Choice-MDIPA/Optimum Choice-Referrals Required

-Navigate Plan (We do not participate)

-Compass Plan (We do not participate)

-Core Plans (We do not participate)

OTHER

At the discretion of each office:

WORKERS COMPENSATION

DEPARTMENT OF LABOR

LIABILITY

AUTO ACCIDENTS