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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. 5/09/22
AETNAHMO-Referrals Required
-AETNA MEDICAREPPO
-HMO/PPOAetna Medicare/HMO-Referrals Required
-Aetna “Better Health” Plan
(eff.  5/1/22)
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)
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 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