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
AETNA BETTER HEALTH OF MD
ANTHEM BCBS of VA
- Commercial HMO
- Pathway X Tiered Hospital HMO
- Pathway Tiered Hospital HMO
- Preferred Provider Organization Networks (PPO)
- Participating Indemnity/Traditional Networks PAR
- Medicare Advantage PPO and HMO
CAREFIRST BCBS(MD) (No new patients until further notice, exiting patients only)
- FEP and local gov BCBS plans
- BCBS HPN PLANS JAN 2021
- Carefirst Community Plan
CIGNA (COMMERCIAL ONLY)
HUMANA (PPO,HMO, POS, EPO, MEDICARE-PPO, POS, PFF, HMO plans)
- Humana Tricare
JOHNS HOPKINS ADVANTAGE PLAN
JOHNS HOPKINS EMPLOYER HEALTH PROGRAM (EHP)
MEDSTAR FAMILY CHOICE (MCO PLAN)
MD MEDICAID
MULTIPLAN PPO
MD PHYSICIANS CARE
MEDICARE
- Aetna Medicare
- Aetna Medicare Assure Premier(open access HMO)
- Carefirst Medicare(only MDO)
- UHC Medicare
- Humana Medicare
- Johns Hopkins Medicare Advantage(MA)
- Anthem BCBS of VA Medicare Advantage PPO and HMO
PRIORITY PARTNERS (PPMCO)
RAILROAD MEDICARE/PALMETTO GBA
TRICARE CHAMP
- Tricare Prime
TRI-WEST
- Dr. Daniel Gozzi only
US FAMILY HEALTH PLAN (USFHP)
UNITED HEALTHCARE
- MDIPA
- Optimum Choice
- UNITED HEALTHCARE COMMUNITY PLAN
WELLPOINT (MARYLAND ONLY)
REFERRAL REQUIRED PLANS– UHC MDIPA, UHC OPTIMUM CHOICE, UHC COMMUNITY PLAN, CAREFIRST COMMUNITY PLAN, PRIORITY PARTNERS, BLUE CHOICE (NON OPEN ACCESS), JOHNS HOPKINS EMPLOYER HEALTH PROGRAM (EHP), US FAMILY HEALTH PLAN (USFHP), MED STAR FAMILY CHOICE PLAN, TRICARE CHAMP, HUMANA TRICARE and ALL HMO PLANS
PLANS WE DO NOT TAKE ARE LISTED BELOW:
Medicare HMO
CareFirst Medicare Advantage HMO
KAISER
UMD Medical System Health Plan
United Evercare
Cigna Health Springs
Medstar Medicare
Anthem healthKeepers(VA) and High Performance Network(BLUEHPN EPO) plan
PHCS/Redirect Health
Jai Medical Systems
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’s 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 (Commercial and Medicaid), Maryland Physicians Care, Johns Hopkins, Priority Partners, Humana, US Family Health plan, and Wellpoint