UM Upper Chesapeake 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)

BEACON HEALTH OPTIONS (commercial)

BEACON HEALTH OPTIONS  (Medicare)

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. Based on pre-acquisition legacy contract information provided by Cigna Health Spring (Harford Primary Care 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

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

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  
**Includes Harford Primary Care

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 MEDICARE (*includes UHC’S DSNP plans for specified practices)  
**Include Harford Primary Care

UNITED BEHAVIORAL HEALTH

UNITED HEALTHCARE - VA COMMUNITY CARE NETWORK -VA CCN (Administered by Optum) (replaces Veteran’s Choice and PC3 programs)  
**This Veteran’s Administration program was formerly administered by Health Net Services

VA Choice/PC3  
**See UNITED HEALTHCARE - VA COMMUNITY CARE NETWORK -VA CCN (Administered by Optum)