Accepted Insurance at GBMC

GBMC EMPLOYED PROVIDERS
CONTRACTED PLANS
SUMMARY
INSURANCE PARTICIPATION
Our physicians participate with most major insurance companies, including the following:
AETNA (ALL PLANS)
AMERIGROUP –AMERIVANTAGE (MCO & MEDICARE
SPECIAL NEEDS PGM: WE ARE NOT CX’D FOR THE
PRIMARY ADULT CARE PAC PGRM)
BALTIMORE COUNTY WOMEN’S PROGRAM (WOMEN’S
CANCER PROTECTION PGM) &
DIAGNOSIS & TREATMENT – DHMH (BCCDT)
BEECH STREET (BOUGHT BY MULTIPLAN/CONCENTRA
/VIANT)
CAREFIRST BC/BS ( ALL PLANS)
CAREFIRST MHIP PRODUCT*
NCAS
CIGNA - GREAT WEST (BOUGHT BY CIGNA)
CIGNA- HEALTHSPRING – (FORMERLY BRAVO/
MEDICARE ONLY)
COVENTRY
COVENTRY DIAMOND PLAN (MEDICAID) TERMED
10.1.13
EVERCARE/SECURE HORIZONS (UHC MEDICARE-ONLY
THE IP-PPO PLAN)
EVERGREEN HEALTH
FIRST HEALTH (BOUGHT BY CONVENTRY)
HUMANA/CHOICECARE –(ALL PLANS)
INFORMED
JOHNS HOPKINS (EMPLOYERS HEALTH PLAN, PRIORITY
PARTNERS, US FAMILY HEALTH PLAN)
KAISER PERMANENTE (ALL PRODUCTS)
KAISER PERMANENTE MEDICARE PLUS (MEDICARE IS
ALWAYS PRIMARY, KP IS SECONDARY: REQUIRES
AUTHORIZATION)
KAISER MEDICARE ADVANTAGE
MARYLAND MEDICAL ASSISTANCE
MEDICARE
MEDICARE RAILROAD
MULTIPLAN
PHCS (BOUGHT BY MULTIPLAN)
RIVERSIDE HEALTHCARE
THREE RIVERS PROVIDER NETWORK
TRICARE ALL PRODUCTS
UNITED HEALTHCARE COMMERCIAL (GEHA, ONENET,
EVERCARE)
UNITED HEALTHCARE COMMUNITY PLAN
UNITED HEALTHCARE
UNITED HEALTHCARE CORE AND NAVIGATE
BENEFIT PLAN (EFF 1/1/15) NO COMPASS PLAN
UMR (UNITED’S THIRD PARTY ADMINISTRATOR)
USA MCO INC
VISION CONTRACTS
ADVANTICA(vision program for GBMC employees)
BLOCK VISION
KAISER PERMANENTE-OPHTHALMOLOGY: WE CAN
ONLY SEE SELF-FUNDED PLAN MEMBERS FOR
ROUTINE CARE ONLY (NO ON-SITE TESTING)
MARCH VISION
OPTUM VISION ( ALSO CALLED SPECTERA)
Plans we are NOT contracted with:
JAI MEDICAL SYSTEMS (MEDICAID MCO)
MARYLAND PHYSICIANS CARE (MEDICAID MCO AND
PAC)
MARYLAND PRIMARY CARE
MEDSTAR FAMILY CHOICE; MEDSTAR SELECT; MEDSTAR
MEDICARE (EXCEPT FOR OUR NEUROSURGERY AND
NEUROLOGY GROUPS (ALL PRODUCTS))
PRIMARY ADULT CARE EXCEPT FOR *UHC PAC (NEW
MEMBERS NOT ACCEPTED)
*PRODUCTS WILL BE PHASED OUT AS OF 12/31/2013
UNITED HEALTHCARE COMPASS (NEW
1/1/15)
C:\Users\gshaffer\AppData\Local\Temp\XPgrpwise\GBMC Physicians Contracted
Plans UPDATED 12.24.2014.docxlast updated 1/14/2015