UMPN Insurance UCH
UM Upper Chesapeake Employed Physician Practices Participates with the Insurance Payers below
***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
**This contract DOES NOT include CareFirst HMO plans
CAREFIRST COMMUNITY HEALTH PLAN (MARYLAND) -MCO
CIGNA Commercial
CIGNA Medicare Advantage PPO
CIGNA HEALTHSPRING (Medicare Advantage HMO) (Currently known as CIGNA MEDICARE)
**UMMC’s Greenbaum(UMMC), Serpick(SJMC) and Kaufman(Upper Chesapeake) Infusion Centers are in-network. Based on pre-acquisition legacy contract information provided by Cigna Health Spring (Harford Primary Care is non-par). Excludes the Cigna Medicare Alliance HMO plan
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)
**Excludes the BW ER Physicians practice and the Klein Family Center practice
HUMANA MILITARY
JAI MEDICAL SYSTEMS
JOHNS HOPKINS EMPLOYEE HEALTH PROGRAMS (EHP)
JOHNS HOPKINS PRIORITY PARTNERS (Medicaid)
JOHNS HOPKINS US Family Health Plan (USFHP)
KAISER COMMERCIAL
**All CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser for inpatient hospital consultation services. However, only the following CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser to provide outpatient office services: Behavioral Health, Cardiology, Cardiovascular Surgery, Vascular Surgery, Neurosurgery, Hematology Oncology, Orthopedic Spine Surgeons and Pulmonologists. All CAP REG, Upper Chesapeake, BWMC and SJMC PCP’s are non-par and all other UMMS Practices are non-Par.
KAISER MEDICAID
**All CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser for inpatient hospital consultation services. However, only the following CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser to provide outpatient office services: Behavioral Health, Cardiology, Cardiovascular Surgery, Vascular Surgery, Neurosurgery, Hematology Oncology, Orthopedic Spine Surgeons and Pulmonologists. All CAP REG, Upper Chesapeake, BWMC and SJMC PCP’s are non-par and all other UMMS Practices are non-Par.
KAISER MEDICARE
**All CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser for inpatient hospital consultation services. However, only the following CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser to provide outpatient office services: Behavioral Health, Cardiology, Cardiovascular Surgery, Vascular Surgery, Neurosurgery, Hematology Oncology, Orthopedic Spine Surgeons and Pulmonologists. All CAP REG, Upper Chesapeake, BWMC and SJMC PCP’s are non-par and all other UMMS Practices are non-Par.
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
Provider Partners Health Plan
**Includes Harford Primary Care
TRICARE Prime Humana Military (HMO)
**Patient may use their point-of-service option, or authorization/approval needs to be obtained when no other providers are available.
TRICARE Select, TRICARE Reserve Select, TRICARE Retired Reserve (non-network Provider)
UNITED HEALTHCARE (HMO PPO)
**UMMS is Non-Participating with: OneNet Workers Compensation, Core and Navigate plans.
UNITED HEALTHCARE Individual and Family Exchange Plans (AKA Compass)
UNITED HEALTHCARE COMMUNITY PLAN (MEDICAID MCO)
UNITED HEALTHCARE MEDICARE (*includes UHC’S DSNP plans for specified practices)
**Include Harford Primary Care
UNITED BEHAVIORAL HEALTH
UNITED HEALTHCARE - VA COMMUNITY CARE NETWORK -VA CCN (Administered by Optum) (replaces Veteran’s Choice and PC3 programs)
**This Veteran’s Administration program was formerly administered by Health Net Services
VA Choice/PC3
**See UNITED HEALTHCARE - VA COMMUNITY CARE NETWORK -VA CCN (Administered by Optum)
***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
**This contract DOES NOT include CareFirst HMO plans
CAREFIRST COMMUNITY HEALTH PLAN (MARYLAND) -MCO
CIGNA Commercial
CIGNA Medicare Advantage PPO
CIGNA HEALTHSPRING (Medicare Advantage HMO) (Currently known as CIGNA MEDICARE)
**UMMC’s Greenbaum(UMMC), Serpick(SJMC) and Kaufman(Upper Chesapeake) Infusion Centers are in-network. Based on pre-acquisition legacy contract information provided by Cigna Health Spring (Harford Primary Care is non-par). Excludes the Cigna Medicare Alliance HMO plan
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)
**Excludes the BW ER Physicians practice and the Klein Family Center practice
HUMANA MILITARY
JAI MEDICAL SYSTEMS
JOHNS HOPKINS EMPLOYEE HEALTH PROGRAMS (EHP)
JOHNS HOPKINS PRIORITY PARTNERS (Medicaid)
JOHNS HOPKINS US Family Health Plan (USFHP)
KAISER COMMERCIAL
**All CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser for inpatient hospital consultation services. However, only the following CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser to provide outpatient office services: Behavioral Health, Cardiology, Cardiovascular Surgery, Vascular Surgery, Neurosurgery, Hematology Oncology, Orthopedic Spine Surgeons and Pulmonologists. All CAP REG, Upper Chesapeake, BWMC and SJMC PCP’s are non-par and all other UMMS Practices are non-Par.
KAISER MEDICAID
**All CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser for inpatient hospital consultation services. However, only the following CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser to provide outpatient office services: Behavioral Health, Cardiology, Cardiovascular Surgery, Vascular Surgery, Neurosurgery, Hematology Oncology, Orthopedic Spine Surgeons and Pulmonologists. All CAP REG, Upper Chesapeake, BWMC and SJMC PCP’s are non-par and all other UMMS Practices are non-Par.
KAISER MEDICARE
**All CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser for inpatient hospital consultation services. However, only the following CAP REG, Upper Chesapeake, BWMC and SJMC specialists are contracted with Kaiser to provide outpatient office services: Behavioral Health, Cardiology, Cardiovascular Surgery, Vascular Surgery, Neurosurgery, Hematology Oncology, Orthopedic Spine Surgeons and Pulmonologists. All CAP REG, Upper Chesapeake, BWMC and SJMC PCP’s are non-par and all other UMMS Practices are non-Par.
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
Provider Partners Health Plan
**Includes Harford Primary Care
TRICARE Prime Humana Military (HMO)
**Patient may use their point-of-service option, or authorization/approval needs to be obtained when no other providers are available.
TRICARE Select, TRICARE Reserve Select, TRICARE Retired Reserve (non-network Provider)
UNITED HEALTHCARE (HMO PPO)
**UMMS is Non-Participating with: OneNet Workers Compensation, Core and Navigate plans.
UNITED HEALTHCARE Individual and Family Exchange Plans (AKA Compass)
UNITED HEALTHCARE COMMUNITY PLAN (MEDICAID MCO)
UNITED HEALTHCARE MEDICARE (*includes UHC’S DSNP plans for specified practices)
**Include Harford Primary Care
UNITED BEHAVIORAL HEALTH
UNITED HEALTHCARE - VA COMMUNITY CARE NETWORK -VA CCN (Administered by Optum) (replaces Veteran’s Choice and PC3 programs)
**This Veteran’s Administration program was formerly administered by Health Net Services
VA Choice/PC3
**See UNITED HEALTHCARE - VA COMMUNITY CARE NETWORK -VA CCN (Administered by Optum)