UMPN Insurance BWMC
UM BWMC 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)
**Excludes the BW Emergency physicians practice
AMERIGROUP (WELLPOINT)
**Baltimore Washington Emergency Physicians is non-par
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)
**Specialist Physicians Only; BW Heart Associates 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
**SEE TRICARE
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
MEDSTAR FAMILY CHOICE (Medicaid)
** BWMC is par for BW Heart, Drs. Osorno & De Borja only
MULTIPLAN/PHCS
ONENET PPO (United)
Optum Behavioral Health – MD Medicaid Medical Assistance
**Directly Enrolled at the Local Level via Maryland Medicaid
***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)
**Excludes the BW Emergency physicians practice
AMERIGROUP (WELLPOINT)
**Baltimore Washington Emergency Physicians is non-par
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)
**Specialist Physicians Only; BW Heart Associates 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
**SEE TRICARE
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
MEDSTAR FAMILY CHOICE (Medicaid)
** BWMC is par for BW Heart, Drs. Osorno & De Borja only
MULTIPLAN/PHCS
ONENET PPO (United)
Optum Behavioral Health – MD Medicaid Medical Assistance
**Directly Enrolled at the Local Level via Maryland Medicaid