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Participating Managed Care Health Plans for Select Locations

Companies with Contracts with Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Bayview Medical Center

As of November 22, 2016, the Johns Hopkins University (faculty physicians), Johns Hopkins Bayview Medical Center, and The Johns Hopkins Hospital have contracts with the following managed care health plans.

This list is updated periodically and subject to change. It may not be comprehensive. Before scheduling an appointment or seeking treatment, please check with your health insurance plan to verify full coverage. 

Please be advised that there may be certain services provided in our facility which are not covered by our contract with your plan. Please inquire with your health insurance plan before calling to schedule an appointment.

Please note that your health insurance plan may require you to obtain a referral from your primary care provider before being seen by our specialists.

Please be advised we are participating for Medicare but we are not contracted for most Medicare Advantage Plans, we are only contracted for the JHHC Advantage MD/MD Plus and the Geisinger Gold Advantage plans.  Medicare Advantage PPO and PFFS plans may be accepted if the patient is willing to use their out of network benefit.

We are participating for Maryland Medical Assistance but not for Out of State Medical Assistance Plans.  If you are an out of state medical assistance plan member, you must obtain an authorization from your plan to potentially be seen at Johns Hopkins; the Department will contract the Office of Managed Care to determine if a Single Case Agreement can be initiated.

Certain plans may limit the geographic area in which you are able to receive care, even for routine services.  Your plan may refer to this as a "LIMITED NETWORK".  Johns Hopkins may not be part of the Limited Network with your plan.

 


#

4Most Health Network PPO (Stratose)

A

Active Care Management

Aetna

  • Limited Benefits Insurance Plan PPO
  • Choice POS
  • Choice POS II
  • Elect Choice
  • Elect Choice Open Access
  • HealthFund - employer health fund that includes a base medical plan
  • Health Network Only
  • Health Network Options
  • HMO
  • HMO Open Access
  • Managed Choice
  • Managed Choice Open Access
  • Medicare HMO/PPO
  • Meritain Health
  • National Advantage Program
  • Open Choice
  • QPOS
  • Select
  • Select Open Access
  • Signature Administrators
  • Student Health Plan
  • Traditional Choice
  • Aetna Health Benefit Exchange - Maryland/DC Plans Only
  • International/span>
  • Transplant

American Psych Systems (APS)

Amerigroup Maryland MCO

Amerihealth DC

Anthem HealthKeepers

B

Beech Street PPO

Blue Distinction Centers for Transplant

Blue Cross/Blue Shield

  • Blue Cross Blue Shield EPO
  • Blue Cross Blue Shield National Accounts
  • Blue Cross Blue Shield Health Benefit Exchange Products
     

C

Capital Blue Cross

Corporate Medical Network (fka Canadian Medical Network)

Care First Blue Choice

  • CareFirst Blue Choice Advantage
  • CareFirst Blue Choice HealthyBlue 2.0
  • CareFirst Blue Choice HealthyBlue Advantage
  • CareFirst Blue Choice HealthyBlue HMO
  • CareFirst Blue Choice HealthyBlue Plus
  • CareFirst Blue Choice HealthyBlue PPO
  • CareFirst Blue Choice HMO
  • CareFirst Blue Choice HMO Open Access
  • CareFirst Blue Choice Opt-out Open Access
  • CareFirst Blue Choice Opt-out Plus Open Access
  • Care First Blue Choice Triple Options/Triple choice
  • Care First Blue Choice Plus POS
  • CareFirst Blue Cross Blue Shield National Accounts Blue Choice
  • CareFirst Blue Choice Health Benefit Exchange Products

CareFirst Blue Cross Blue Shield

  • CareFirst Administrators
  • CareFirst Blue Cross Blue Shield Indemnity
  • CareFirst Blue Cross Blue Shield PPO
  • CareFirst Maryland Point of Service
  • Blue Preferred PPO
  • CareFirst Preferred Health Benefit Exchange Products

Carnival Cruise Line

Cigna Healthcare

  • Choice Fund / Choice Fund Open Access
  • EPO
  • GWH-Cigna (Great West)
  • HMO 
  • HMO Open Access
  • Indemnity
  • LocalPlus (access Johns Hopkins via Out of Area Network Open Access Plus Network)
  • Network / Network POS
  • Network Open Access
  • Open Access Plus
  • Open Access Plus In-Network
  • POS
  • POS Open Access
  • PPO
  • Cigna Health Benefit Exchange Plans (Not Connect and Focus) - par via the OAP network
  • Cigna International
  • Cigna Transplant

Cigna HealthSpring (fka Bravo Health)

Conifer Health Solutions (f.k.a InforMed/CHP Health Plan)

CorVel CorCare PPO

Coventry Healthcare, Inc.

  • Coventry Health Care of West Virginia Regional PPO Plan Only; (fka Carelink Health Plans)
  • Coventry Health and Life Insurance
  • Coventry Health Care of Virginia Regional PPO Plan
  • Coventry International

D

Delmarva Health Plan

E

Educators Health Partners

EHP

  • Classic
  • Student Health
  • Tiered 80/20
  • Tiered 90/10

Evergreen Co-Op

  • Health Insurance (For Small and Large Groups)
  • Health Care (for Small and Large Groups)

EverCare

F

Federal Blue Cross

  • Basic
  • Standard

First Health Network ( Coventry Healthcare of Delaware Affiliate)

G

Geisinger Health Plan

  • Choice PPO with Referral (Gatekeeper PPO
  • Choice PPO with No Referral (non-Gatekeeper PPO)
  • Choice PPO (HDHP)
  • Choice Smart Steps PPO with No Referral
  • Choice Short Term PPO with No Referral
  • Health Options TPA
  • HMO
  • HMO Direct No Referral
  • HMO Direct No Referral with Point of Service (POS) Rider
  • HMO with Point of Service (POS) Rider
  • Indemnity
  • Kids (CHIP Plan)
  • Solutions
  • Solutions Direct No Referral
  • Geisinger Health Benefit Exchange Plans

Geisinger Gold Medicare Advantage Plan

  • Gold HMO
  • Meridian Gold HMO
  • Gold PPO
  • Meridian Gold PPO
  • Gold Secure

GEHA

Global Excel Management

Great West Healthcare/Integrated Cigna-Great West Healthcare See Cigna

H

Health America of Pennsylvania

  • CCPPO
  • HMO
  • POS
  • PPO

HealthSmart/ACCEL Network PPO

Hopkins ElderPlus

Humana/Choice Care Network PPO
Humana/National POS Network

I

InforMed/CHP Health Plan (d.b.a. Conifer Health Solutions)

InterGroup Services

Interlink

J

Jai Medical Systems MCO

Johns Hopkins Advantage MD

K

Kaiser Foundation Health Plan of the Mid-Atlantic

  • Flexible Choice
  • Added Choice
  • HMO
  • Medicare Cost Plan
  • POS
  • Self-Funded
  • Select
  • Signature
  • Kaiser Health Benefit Exchange Plans (Not the Medicaid product)

Kemper National Services PPO

L

LifeTrac

M

Magellan

Managed Health Network (MHN)

Maryland Cancer Control

Maryland Medical Assistance

DC Medicaid

Maryland Physicians Care MCO

MDIPA (A United Healthcare Company)

  • HMO
  • Preferred

Medicare

  • Traditional Part A
  • Traditional Part B

Multiplan PPO

N

National Healthcare Solutions

National Provider Network

O

Olympus managed Healthcare

Optimum Choice (A United Healthcare Company)

  • HMO
  • Preferred

P

Peace Corps Health Benefit Program/Seven Corners

Pennsylvania Preferred Health Networks (PPHN)

Preferred Health Care

Preferred Health Care via PPHN Network

Preferred Mental Health Management

Priority Partners MCO

Private healthcare Systems (PHCS) PPO (Multiplan Network)

Provider Partners health Plan

Q

Quality Health management

S

South Central Preferred PPO

Sedgewick

T

Three Rivers Provider Network

Travel Care Services

Tricare Health Net Federal Services

  • Tricare Prime
  • Tricare Prime Remote
  • Tricare Prime Overseas
  • Tricare Prime Remote Overseas
  • Tricare Reserve Select
  • Tricare Retired Reserve
  • Tricare Standard/Extra
  • Tricare Standard Overseas
  • Tricare Young Adult Prime
  • Tricare Young Adult Standard

Tricare for Life

Tricare Uniformed Services Family Health Plan (USFHP)

Trusted Health Plan

  • DC Healthy Families
  • Alliance Program

U

United Healthcare

  • Choice
  • Choice Plus
  • Edge via Choice Plus Network
  • EPO
  • Indemnity
  • Options PPO
  • POS
  • Select
  • Select Plus
  • Shared Services via Choice Plus or Options PPO Network
  • Health Benefit Exchange Products 2016 (JHU/JHCP providers/clinicians are NOT participating with the Compass, Core and Navigate HBE products.  Johns Hopkins Hospital , Johns Hopkins Bayview Medical Center and Howard County General Hospital are.  In order to have services with the physicians within the hospitals, a Single Case Agreement between Johns Hopkins and United must be completed prior to obtaining an appointment. For the United All Savers HBE product, Johns Hopkins providers and hospitals are participating.)

USA Managed Care

V

Value Optins VHB

W

Wellpoint Behavioral Health