Capital Diabetes and Endocrine Associates participates with a variety of insurance providers. If you are unsure if we are in network with your insurance please contact your insurance company’s member services line and find out if we are a participating provider with your plan.
PAR INSURANCE PLANS
AETNA (NON PAR WITH AETNA BETTER HEALTH OF MD) No B12 injections
AMERIGROUP (MARYLAND ONLY)
ANTHEM BCBS (MD and VA) commercial HMO, Pathway X Tiered Hospital HMO, Pathway Tiered Hospital HMO, PPO, Participating Indemnity/Traditional Networks PAR, Medicaid HMO, Medicare Advantage PPO and HMO
CAREFIRST BCBS (Includes FEP and local gov BCBS plans) (BCBS HPN PLANS JAN 2021)
CIGNA (COMMERCIAL ONLY)
MEDICARE
JOHNS HOPKINS ADVANTAGE PLAN No injections with exception of PROLIA
JOHNS HOPKINS EMPLOYER HEALTH PROGRAM (EHP) No injections with exception of PROLIA
US FAMILY HEALTH PLAN (USFHP) No injections with exception of PROLIA
JOHNS HOPKINS MEDICARE ADVANTAGE (MA) No injections with exception of PROLIA
PRIORITY PARTNERS (PPMCO) No injections with exception of PROLIA
TRICARE
TRI-WEST- GOZZI ONLY
HUMANA (PPO,HMO, POS, EPO, MEDICARE-PPO, POS, PFF, HMO plans)
UNITED HEALTHCARE
MEDSTAR FAMILY CHOICE (MCO PLAN)
MD MEDICAID
UNITED HEALTHCARE COMMUNITY PLAN
MULTIPLAN PPO
REFERRAL REQUIRED PLANS– MDIPA, OPTIMUM CHOICE, UHC COMMUNITY PLAN, PRIORITY PARTNERS, JHU EHP, BLUE CHOICE (NON OPEN ACCESS), MED STAR FAMILY CHOICE PLAN, AMERIGROUP (now through Anthem) and ALL HMO PLANS
PLANS WE DO NOT TAKE ARE LISTED BELOW:
Medicare HMO
KAISER
UMD Medical System Health Plan
AETNA BETTER HEALTH OF MD
MD PHYSICIANS CARE (CREDENTIALING PENDING)
Cigna Health Springs
Medstar Medicare
AETNA better health of MD
PLEASE REMEMBER THAT IF MEDICARE PRIMARY AND PATIENT HAS MD MEDICAID THROUGH ONE OF THE NON PAR PLANS, PATIENT WILL BE RESPONSIBLE FOR 20% MEDICARE DOES NOT COVER.
Any plans outside of the list is the patient responsibility to contact member services to see if we are participating. Our tax id is 82-3708609 Group NPI Number 1356857643
NO A1C’s- UHC, Johns Hopkins, US Family Health plan, Priority Partners, Amerigroup