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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 | |
| AETNA | HMO-Referrals Required |
| -AETNA MEDICARE | PPO |
| -HMO/PPO | Aetna Medicare/HMO-Referrals Required |
| -Aetna “Better Health” Plan (eff. 5/1/22) | Referrals Required |
| AMERIGROUP | MCO- No Referrals Required |
| BLUE CROSS BLUE SHIELD-Carefirst | HMO-Referrals Required |
| -Blue Choice | POS |
| -Federal Employee Program | PPO |
| -Carefirst Administrators | EPO OPEN ACCESS -No Referrals Required |
| CIGNA | HMO-Referrals Required |
| GREAT WEST | 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 |
| JOHNS HOPKINS HEALTHCARE -EHP | HMO- Referrals Required PPO |
| JOHNS HOPKINS HEALTHCARE -USFHP | HMO- Referrals Required |
| MAMSI Life and Health | No 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 PARTNERS | No 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 | No 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 | |
