UMPN Insurance Capital
UM Capital Region Employed Physician Practices Participates with the Insurance Payers below
***All questions regarding FPI payer participation status should be sent to FPI.
***All questions regarding FPI payer participation status should be sent to FPI.
DISCLAIMER: This list should not to be used as confirmation of the member's insurance eligibility or benefits. To confirm the member's eligibility, referral requirements and benefits, call the (800) number on the member's identification card.
AETNA (HMO PPO)
AETNA (Medicare)
** Includes Aetna’s Coventry Affiliates
AETNA (Medicaid) (Aetna Better Health)
AMERIGROUP (WELLPOINT)
ALTERWOOD ADVANTAGE (Medicare Advantage HMO)
BEACON HEALTH OPTIONS (commercial)
BEACON HEALTH OPTIONS (Medicare)
CAREFIRST –Blue Essential Network
**UMMS’s providers are CareFirst Blue Essential High performance network providers.
CAREFIRST BLUE CROSS BLUE SHIELD MEDICARE ADVANTAGE -Dual Advantage Prime HMO-SNP Medicare Advantage plan (formerly the UM Health Dual Medicare Advantage plan)
**UMMS is non-par with all other CareFirst Medicare Advantage HMO plans including its Core Medicare Advantage HMO and Enhance Medicare Advantage HMO plans.
CAREFIRST BLUE CROSS BLUE SHIELD MEDICARE ADVANTAGE –PPO
**DOES NOT include CareFirst HMO plans
CAREFIRST COMMUNITY HEALTH PLAN (MARYLAND) -MCO
**Former UM Health Partners MCO plan
CIGNA Commercial
CIGNA Medicare Advantage PPO
CIGNA HEALTHSPRING (Medicare Advantage HMO) (Currently known as CIGNA MEDICARE)
COMMUNICARE MEDCARE ADVANTAGE I-SNP/C-SNP
COVENTRY NATIONAL
**SEE FIRST HEALTH
FIRST HEALTH (Aetna Rental Network Plan )
HUMANA MEDICARE ADVANTAGE – (HMO, PPO, POS and PFFS)
HUMANA MILITARY
**See Tricare
INFORMED (Conifer)
**NETWORK CLOSED/DISCONTINUED 01/01/2019
JAI MEDICAL SYSTEMS
JOHNS HOPKINS EMPLOYEE HEALTH PROGRAMS (EHP)
JOHNS HOPKINS PRIORITY PARTNERS (Medicaid)
JOHNS HOPKINS US Family Health Plan (USFHP)
KAISER COMMERCIAL
KAISER MEDICAID
KAISER MEDICARE
KEYCARE/FUTURE CARE MEDICARE ADVANTAGE I-SNP
MAGELLAN BEHAVIORAL HEALTH
MARYLAND PHYSICIANS CARE
MARYLAND MEDICAL ASSISTANCE
MEDICARE
MULTIPLAN/PHCS
ONENET PPO (United)
Optum Behavioral Health – MD Medicaid Medical Assistance
**Directly Enrolled at the Local Level via Maryland Medicaid
AETNA (HMO PPO)
AETNA (Medicare)
** Includes Aetna’s Coventry Affiliates
AETNA (Medicaid) (Aetna Better Health)
AMERIGROUP (WELLPOINT)
ALTERWOOD ADVANTAGE (Medicare Advantage HMO)
BEACON HEALTH OPTIONS (commercial)
BEACON HEALTH OPTIONS (Medicare)
CAREFIRST –Blue Essential Network
**UMMS’s providers are CareFirst Blue Essential High performance network providers.
CAREFIRST BLUE CROSS BLUE SHIELD MEDICARE ADVANTAGE -Dual Advantage Prime HMO-SNP Medicare Advantage plan (formerly the UM Health Dual Medicare Advantage plan)
**UMMS is non-par with all other CareFirst Medicare Advantage HMO plans including its Core Medicare Advantage HMO and Enhance Medicare Advantage HMO plans.
CAREFIRST BLUE CROSS BLUE SHIELD MEDICARE ADVANTAGE –PPO
**DOES NOT include CareFirst HMO plans
CAREFIRST COMMUNITY HEALTH PLAN (MARYLAND) -MCO
**Former UM Health Partners MCO plan
CIGNA Commercial
CIGNA Medicare Advantage PPO
CIGNA HEALTHSPRING (Medicare Advantage HMO) (Currently known as CIGNA MEDICARE)
COMMUNICARE MEDCARE ADVANTAGE I-SNP/C-SNP
COVENTRY NATIONAL
**SEE FIRST HEALTH
FIRST HEALTH (Aetna Rental Network Plan )
HUMANA MEDICARE ADVANTAGE – (HMO, PPO, POS and PFFS)
HUMANA MILITARY
**See Tricare
INFORMED (Conifer)
**NETWORK CLOSED/DISCONTINUED 01/01/2019
JAI MEDICAL SYSTEMS
JOHNS HOPKINS EMPLOYEE HEALTH PROGRAMS (EHP)
JOHNS HOPKINS PRIORITY PARTNERS (Medicaid)
JOHNS HOPKINS US Family Health Plan (USFHP)
KAISER COMMERCIAL
KAISER MEDICAID
KAISER MEDICARE
KEYCARE/FUTURE CARE MEDICARE ADVANTAGE I-SNP
MAGELLAN BEHAVIORAL HEALTH
MARYLAND PHYSICIANS CARE
MARYLAND MEDICAL ASSISTANCE
MEDICARE
MULTIPLAN/PHCS
ONENET PPO (United)
Optum Behavioral Health – MD Medicaid Medical Assistance
**Directly Enrolled at the Local Level via Maryland Medicaid