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URGENT ORTHO CLINIC

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Main Number:  (410) 337.7900
UM St. Joseph 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.

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 – Navigate Plan (We do NOT Participate)

UNITED HEALTHCARE – Compass Plan (We do NOT Participate)

See below for Plans we accept for services.

Towson Orthopaedic Associates Insurance Participation
Upd. 8/10/2021
AETNA

AETNA MEDICARE

HMO/PPO

*Towson Orthopaedic Associates does not participate in “Aetna Better Health” plan.

HMO-Referrals Required

PPO

Aetna Medicare/HMO-Referrals Required

AMERIGROUPMCO- No Referrals Required
BLUE CROSS BLUE SHIELD-Carefirst

-Blue Choice

-Federal Employee Program

-Carefirst Administrators

HMO-Referrals Required

POS

PPO

EPO

OPEN ACCESS -No Referrals Required

CIGNA

GREAT WEST

HMO-Referrals Required

POS

PPO

CIGNA HEALTHSPRING

(formerly Bravo Health, formerly Elder Health Care)

On line 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
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 Referral Required
MEDICARE ADVANTAGE PLANS

*We do not participate with all Medicare Advantage plans unless the patient has OUT OF NETWORK BENEFITS.

These plans: Please check for OUT OF NETWORK BENEFITS

-Erickson

-Humana

-UHC/Medicare Advantage

-Johns Hopkins Advantage (HMO)

No Referrals Required
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
UNIVERSITY OF MARYLAND HEALTH PARTNERS

-Medicare Advantage/University of Maryland Health Advantage

MCO -No Referrals Required
TRICARE HEALTHNET FEDERAL SERVICES

-Standard Reserve Select /Tricare for Life

-Tricare Active Duty

-Prime

-Veterans Choice

-VA Perry Point

 

No Referrals Required

-Active Duty-Referrals Required

-Prime-Referrals Required

-Veterans Choice-Referrals Required

-New referral required for every visit

UNITED HEALTHCARE

-Commercial Plans under UHC/PPO

-Community Plan/UHC Medical Assistance

-MDIPA/Optimum Choice

-Community Plan/UHC Medical Assistance-Referrals Required

-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