UMPN Insurance Charles Regional
UM Charles 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
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)
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)
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
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 - VA COMMUNITY CARE NETWORK -VA CCN (Administered by Optum) (replaces Veteran’s Choice and PC3 programs)
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)
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
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)
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)
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
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 - VA COMMUNITY CARE NETWORK -VA CCN (Administered by Optum) (replaces Veteran’s Choice and PC3 programs)
VA Choice/PC3
**See UNITED HEALTHCARE - VA COMMUNITY CARE NETWORK -VA CCN (Administered by Optum)