Transcription
Greater Baltimore Medical CenterEmployed Providers Contracted Plans SummaryInsurance ParticipationOur providers participate with most major insurance companies, including the following:ACS Benefit PlanAetna (Non-Par with Aetna Medicare Prime)Aetna Better Health of Maryland (Medicaid andD-SNP)Aetna Coventry (Non-Par with AdvantageMedicare Replacement Plan)Amerigroup (Medicaid)Baltimore County Women’s Program (CancerProtection Program, Diagnosis & TreatmentDHMH (BCCDT)CareFirst Blue Cross Blue Shield (Non-Par withAdvantage Core and Enhanced MedicarePlans)CareFirst Blue Cross Blue Shield (PAR UMMS Plans)Cigna (Non-Par with Connect Plan)Cigna GreatwestCigna HealthSpring (Medicare) (PCP’s are Non-Parwith the Alliance HMO plan)CommuniCare Advantage (Medicare I-SNP, C-SNP)First Health (Aetna)Humana/ChoiceCare (Non-Par with Medicare ChoicePPO Plan)Jai Medical Systems (Medicaid)Johns Hopkins (Employer Health Program, PriorityPartners, US Family Health Plan, AdvantageMD)Kaiser Permanente (Commercial and Medicare)Kaiser Permanente (Medicaid) - ONLY specialistswith referralsKaiser Permanente Signature (HMO) - ONLY specialistwith referralsKeyCare Advantage I-SNP (Medicare) - ONLYspecialistsMaryland Medical AssistanceMedicareMedicare RailroadMultiplan (Beech Street, PHCS, Concentra, Viant)Three Rivers Provider NetworkUnited Healthcare CommercialUnited Healthcare Community Plan (Medicaid)United Healthcare Core and Navigate (Commercial)United Healthcare Medicare Advantage & SNP(Medicare)UMR (United’s Third-Party Administrator)University of Maryland Health Partners Eff 2/1/21(Formally UMHP-Medicaid) name changedto CareFirst BCBS Community Health PlanMarylandUniversity of Maryland Health Advantage Eff 2/1/21(Formally UMHA-Dual Prime HMO-SNP)name changed to CareFirst BCBS MedicareAdvantageUSA MCO Inc.Other Insurance ParticipationMedStar (all plans) - ONLY select providers atCochlear & Audiologist services andNeurosurgeryMilitary/Vets CHAMPVA/VA Tricare East/Humana Military (all plans) VA Community Care Network/VACCNSelf-Insured Employer Contracts Gray & SonVision Contracts Davis Vision EyeMed (Access Network ONLY, Joppa LocONLY) March Vision (Medicaid and Dual Advantage) Spectera Vision Superior Vision (National, Select, & HealthPlans) VSP (ONLY GBMC Employees at Ste 505)(Full Service at Joppa)Workers Comp and Auto (ONLY for Neurosurgery,Neurology, Orthopedics, Ophthalmology, andGeneral Surgery) Corvel Healthcare Corp Prime Health ServicesPlans we are NOT contracted with:Argus VisionConifer Health Solutions (InforMed)Maryland Physicians CareMaryland Primary CareMedishare PlansHealth America One HMO & MedicareTricare West/ Health Net Federal Services
GREATER BALTIMORE MEDICAL CENTERHOSPITAL CONTRACTED PLANS SUMMARYINSURANCE PARTICIPATIONOur Facility participates with most major insurance companies, including the following:ACS Benefit PlanAetna (Non-Par with Aetna MedicarePrime)Aetna Better Health of Maryland (Medicaidand D-SNP)Aetna Coventry (Non-Par with AdvantageMedicare Replacement Plan)Amerigroup (Medicaid)Baltimore County Women’s Program (CancerProtection Program, Diagnosis &Treatment DHMH (BCCDT)CareFirst Blue Cross Blue Shield (Non-Parwith Advantage Core and EnhancedMedicare Plans)CareFirst Blue Cross Blue Shield (PAR UMMSPlans)CHAMPVA/VACigna (Non-Par with Connect Plan)Cigna GreatwestCigna HealthSpring (Medicare)CommuniCare Advantage (Medicare I-SNP,C-SNP)First Health (Aetna)Humana/ChoiceCare (Non-Par with MedicareChoice PPO Plan)Jai Medical Systems (Medicaid)Johns Hopkins (Employer Health Program,Priority Partners, US Family HealthPlan, Advantage MD)Kaiser PermanenteKeyCare Advantage I-SNP (Medicare)Maryland Medical AssistanceMedicareMedicare RailroadMultiplan (Beech Street, PHCS, Concentra,Viant)Three Rivers Provider NetworkTricare East/Humana Military (all plans)United Healthcare Commercial (Core andNavigate)United Healthcare Community Plan (Medicaid)United Healthcare Medicare Advantage & SNP(Medicare)UMR (United’s Third Party Administrator)University of Maryland Health PartnersEff 2/1/21 (Formally UMHPMedicaid) name changed to CareFirstBCBS Community Health PlanMarylandUniversity of Maryland Health AdvantageEff 2/1/21 (Formally UMHA-DualPrime HMO-SNP) name changed toCareFirst BCBS Medicare AdvantageUSA MCO Inc.VA Community Care Network/VACCNWorkers Comp and Auto Corvel Healthcare Corp Prime Health ServicesPlans we are NOT contracted with:Conifer Health Solutions (InforMed)Medishare PlansHealth America One HMO & MedicareMedStar Family ChoiceMaryland Physicians CareTricare West/ Health Net Federal ServicesMaryland Primary Care
Greater Baltimore Medical CenterOphthalmology Contracted Plans SummaryGBMC- 6569 N. Charles St, Ste 505, Baltimore, MD 21204GBMC Health Partners Eye Center at Joppa Road- 8625 Pleasant Plains Rd, Towson, MD 21286Insurance ParticipationAetna (Non-Par with Aetna Medicare Prime)Aetna Better Health of Maryland (Medicaid andD-SNP)Aetna Coventry (Non-Par with AdvantageMedicare Replacement Plan)Amerigroup (Medicaid)*CareFirst Blue Cross Blue Shield (Non-Par withAdvantage Core and Enhanced MedicarePlans)CareFirst Blue Cross Blue Shield (PAR UMMS Plans)Cigna (Non-Par with Connect Plan)Cigna GreatwestCigna HealthSpring (Medicare)CommuniCare Advantage (Medicare I-SNP, C-SNP)*Davis VisionEyeMed (Access Network ONLY, Joppa Loc ONLY)First Health (Aetna)Humana/ChoiceCare (Non-Par with Medicare ChoicePPO Plan)Jai Medical Systems (Medicaid)*Johns Hopkins (Employer’s Health Plan, PriorityPartners, US Family Health Plan, HopkinsAdvantage MD)Kaiser Permanente (Commercial and Medicare)*Kaiser Permanente (Medicaid)**Kaiser Permanente Signature (HMO)**KeyCare Advantage I-SNP (Medicare) - ONLYspecialists*March Vision (Medicaid and Dual Advantage)Maryland Medical AssistanceArgus VisionConifer Health Solutions (InforMed)Health America One HMO & MedicareMaryland Physicians CareMedicareMedicare RailroadMultiplan* (Beech Street, PHCS, Concentra, Viant)Spectera VisionSuperior Vision (Medicare Advantage and Medicaid,National, Select, & Health Plans)Three Rivers Provider NetworkTricare East/Humana Military (all plans)United Healthcare CommercialUnited Healthcare Community Plan (Medicaid)United Healthcare Core and Navigate (Commercial)United Healthcare Medicare Advantage & SNP(Medicare)UMR (United’s Third-Party Administrator)University of Maryland Health Partners Eff 2/1/21(Formally UMHP-Medicaid) name changedto CareFirst BCBS Community Health PlanMarylandUniversity of Maryland Health Advantage Eff 2/1/21(Formally UMHA-Dual Prime HMO-SNP)name changed to CareFirst BCBS MedicareAdvantageUSA MCO Inc.VA Community Cares/VACCNVSP GBMC Loc- EMPLOYEES ONLY (exams &contact lenses) Joppa Loc (full service)Workers Comp and Auto Corvel Healthcare Corp Prime Health ServicePlans we are NOT contracted with:Maryland Primary CareMedishare PlansMedStarTricare West/HNFS* Ophthalmology ONLY excludes Optometrists** Ophthalmologists as Specialty Referral ONLY
Greater Baltimore Medical CenterHealth Care at Helping Up MissionContracted Plans SummaryInsurance ParticipationAetna (Non-Par with Aetna Medicare Prime)Aetna Better Health of Maryland (Medicaid andD-SNP)Aetna Coventry (Non-Par with AdvantageMedicare Replacement Plan)Amerigroup (Medicaid)CareFirst Blue Cross Blue Shield (Non-Par withAdvantage Core and Enhanced MedicarePlans)CareFirst Blue Cross Blue Shield (PAR UMMS Plans)CHAMP VA/VACigna (Non-Par with Connect Plan)Cigna- GreatwestCigna HealthSpring (Medicare) (PCP’s are Non-Parwith the Alliance HMO plan)First Health (Aetna)Humana/ChoiceCare (Non-Par with Medicare ChoicePPO Plan)Johns Hopkins (Employer Health Plan, PriorityPartners, US Family Health Plan, HopkinsAdvantage MD)Maryland Medical AssistanceMedicareMedicare RailroadUnited Healthcare CommercialUnited Healthcare Community Plan (Medicaid)United Healthcare Medicare Advantage & SNP(Medicare)United Healthcare Core and Navigate (Commercial)UMR (United’s Third-Party Administrator)University of Maryland Health Partners Eff 2/1/21(Formally UMHP-Medicaid) name changedto CareFirst BCBS Community Health PlanMarylandUniversity of Maryland Health Advantage Eff 2/1/21(Formally UMHA-Dual Prime HMO-SNP)name changed to CareFirst BCBS MedicareAdvantageUSA MCO Inc.Plans we are NOT contracted with:ACS Benefit PlanBaltimore County Women’s ProgramCommuniCare Advantage (Medicare I-SNP, C-SNP)Conifer Health Solutions (Bought InforMed)Health America One HMO & MedicareJai Medical Systems (Medicaid)Kaiser Permanente (All Plans)KeyCare Advantage I-SNP (Medicare)Maryland Physicians CareMaryland Primary CareMedishare PlansMedStarMultiplan (Beech Street, PHCS, Concentra/ Viant)Three Rivers Provider NetworkTricare East/Humana Military (all plans)Tricare West/ Health Net Federal ServicesVA Community Care Network/VACCN
Gilchrist Elder Medical CareContracted Plans SummaryInsurance ParticipationAetna (all plans) (Non-Par with Aetna MedicarePrime (HMO) Plan)Aetna Better Health of Maryland (Medicaid)Aetna CoventryAmerigroup (Medicaid)Carefirst Blue Cross/Blue Shield (all plans)CHAMPVA/VACigna (Non-Par with Connect Plan)Cigna - GreatwestCigna HealthSpring (Medicare)First Health (Aetna)Johns Hopkins (Employer Health Plan, PriorityPartners, US Family Health Plan, HopkinsAdvantage MD)Kaiser Permanente (Commercial and Medicare)Kaiser Permanente (Medicaid) - ONLY specialistwith referralsKaiser Permanente Signature (HMO) - ONLY specialistwith referralsKeyCare Advantage I-SNP (Medicare)Maryland Medical AssistanceMedicareMedicare RailroadProvider Partners Health Plans/PPHP (MedicareAdvantage I-SNF)United Healthcare CommercialUnited Healthcare Community Plan (Medicaid)United Healthcare Core and Navigate (Commercial)United Healthcare Medicare Advantage & SNPUniversity of Maryland Health Partners (UMHP)(Medicaid)University of Maryland Health Advantage (UMHA)(Dual Prime HMO-SNP)UMR (United’s Third-Party Administrator)USA MCO Inc.Plans with Contracts In-Process:Humana/ChoiceCare (all plans)Plans we are NOT contracted with:ACS Benefit PlanBeech street (Bought by Multiplan/Concentra /Viant)Conifer Health Solutions (Bought Info Med)Health America One HMO & MedicareJai Medical Systems (Medicaid Only)Maryland Physicians CareMaryland Primary CareMedishare PlansMedStar (all plans)MultiplanPHCS (Multiplan)Three Rivers Provider NetworkTricare East/Humana Military (all plans)Tricare West/ Health Net Federal ServicesVA Community Care Network/ VACCN
Greater Baltimore Medical Center Ophthalmology Contracted Plans Summary GBMC- 6569 N. Charles St, Ste 505, Baltimore, MD 21204 GBMC Health Partners Eye Center at Joppa Road- 8625 Pleasant Plains Rd, Towson, MD 21286 Insurance Participation Aetna (Non-Par with Aetna Medicare Pr
