UMPFI Insurance

UMMC 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)
  
  
• 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
  
  
• COMMUNICARE MEDCARE ADVANTAGE I-SNP/C-SNP
  
  
• CORVEL CORPORATION (Workers Comp)
  
  
• COVENTRY NATIONAL
  **SEE FIRST HEALTH
  
  
• FIRST HEALTH (Aetna Rental Network Plan )
  
  
• HUMANA CHOICE CARE NETWORK  (COMMERCIAL)
  
  
• HUMANA MEDICARE ADVANTAGE – (HMO, PPO, POS and PFFS)
  
  
• HUMANA MILITARY
  **SEE TRICARE
  
  
• JAI MEDICAL SYSTEMS
  **UMCMG and Maryland General Clinical Practice Group providers only
  
  
• JOHNS HOPKINS EMPLOYEE HEALTH  PROGRAMS (EHP)
  
  
• JOHNS HOPKINS PRIORITY PARTNERS (Medicaid)
  
  
• JOHNS HOPKINS US Family Health Plan (USFHP)
  **JHHC Tricare Prime -UMMC, Mid-town and UMROI Hospitals and Mid-town’s UMCMG practices are contracted. 
  
  
• 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
  
  
• NPPN (Stratose/Zelis)
  
  
• ONENET PPO (United)
  
  
• Optum Behavioral Health – MD Medicaid Medical Assistance 
  **Directly Enrolled at the Local Level via Maryland Medicaid
  
  
• Provider Partners Health Plan
  
  
• 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)
  
  
• UNITED HEALTHCARE Individual and Family Exchange Plans (AKA Compass)
  
  
• UNITED HEALTHCARE COMMUNITY PLAN (MEDICAID MCO)
  
  
• UNITED HEALTHCARE - VA COMMUNITY CARE NETWORK -VA CCN (Administered by Optum) 
  **Replaces Veteran’s Choice and PC3 programs
  
  
• USA MANAGED CARE
  
  
• VA Choice/PC3
  **See UNITED HEALTHCARE - VA COMMUNITY CARE NETWORK -VA CCN (Administered by Optum)