October 18, 2017
September 15, 2017
Insurance Plans
Listed below are current providers. Please contact your carrier if you have any questions about coverage.
Towson Orthopaedic Associates Insurance Participation – 2/09/2016
| AETNA
AETNA MEDICARE HMO/PPO |
HMO-Referrals Required
PPO Aetna Medicare/HMO-Referrals Required |
| AMERIGROUP | MCO- 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 RULE | No Referrals Required |
| JAI | MCO -We do not participate |
| JOHNS HOPKINS HEALTHCARE
-EHP (We do not participate with Priority Partners) |
HMO-Referrals Required
PPO |
| JOHNS HOPKINS HEALTHCARE
-USFHP (We do not participate with Priority Partners) |
HMO-Referrals Required |
| KAISER PERMANENTE | MCO-We do not participate |
| MAMSI Life and Health | No Referrals Required |
| MARYLAND MEDICAL ASSISTANCE
MEDICAID/MCO PLANS -Amerigroup -Maryland Physicians Care -University of Maryland Health Partners -United Healthcare/Community Plan We do NOT participate with: * Kaiser Permanente *JAI *Medstar Family Choice *Priority Partners |
*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 |
No Referrals Required |
| MEDSTAR FAMILY CHOICE | MCO-We do not participate |
| 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 PARTNERS | MCO-We do not participate |
| 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 -Compass Plan (We do not participate) -Core Plans (We do not participate) -Navigate Plan (We do not participate) |
-Community Plan/UHC Medical Assistance-Referrals Required
-MDIPA/Optimum Choice-Referrals Required
|
| OTHER
At the discretion of each office: WORKERS COMPENSATION DEPARTMENT OF LABOR LIABILITY AUTO ACCIDENTS |