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Participating Managed Care Health Plans

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

As of March 16, 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. Please check with your health plan to verify coverage. If you do not see your health plan listed, you may contact the Office of Managed Care at 410-424-4818 for additional information.

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 plan before calling to schedule an appointment.

Please note that your health 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 with Medicare Advantage Plans.

We are participating for Maryland Medical Assistance but not for Out of State Medical Assistance Plans.

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".

In addition to your health insurer, you may contact the Office of Managed Care at 410-424-4818 for additional information.


#

4Most Health Network PPO (Stratose)

A

Aetna

  • Aexcel
  • Choice POS
  • Choice POS II
  • Elect Choice
  • Elect Choice Open Access
  • Health Fund
  • Health Network Only
  • Health Network Options
  • HMO
  • HMO Open Access
  • Managed Choice
  • Managed Choice Open Access
  • National Advantage Program
  • Open Choice
  • QPOS
  • Select
  • Select Open Access
  • Signature Administrators
  • Student Health Plan
  • Traditional Choice
  • Aetna Health Benefit Exchange Plans for 2016 Maryland Only

Amerigroup Maryland MCO

B

Beech Street PPO (A Multiplan Network)

Berkshire Health Partners via PPHN Network

Blue Cross/Blue Shield

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

C

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
  • 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
  • CareFirst Preferred Health Benefit Exchange Products

Cigna Healthcare

  • Choice Fund
  • EPO
  • GW-Cigna (Great West)
  • HMO (No Longer Marketed in MD, DC, VA; Out of State Plans Need Authorization from Cigna)
  • HMO Open Access (No Longer Marketed in MD, DC, VA; Out of State Plans Need Authorization from Cigna)
  • Indemnity
  • LocalPlus (Limited Network Health Benefit Exchange Plan, can access Johns Hopkins via Out of Area Network Open Access Plus Network)
  • Network (For Out of State Plans Need Authorization from Cigna)
  • Network Open Access (For Out of State Plans Need Authorization from Cigna)
  • Open Access Plus
  • Open Access Plus In-Network
  • POS (No Longer Marketed in MD, DC, VA; Out of State Plans Need Authorization from Cigna, can still be see with the Network Plan)
  • POS Open Access (No Longer Marketed in MD, DC, VA; Out of State Plans Need Authorization from Cigna, can still be see with the Network Open Access Plan)
  • PPO
  • Cigna Health Benefit Exchange Products 2016 (Cigna has introduced two new Narrow Networks, Connect and Focus.  Contact your Cigna Plan prior to requesting an appointment; Johns Hopkins is not viewed as part of the Connect or Focus Networks)

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

Coventry Healthcare of Delaware

  • Consumer Choice
  • HMO
  • Maryland Select
  • Open Access
  • Open Access Plus
  • PPO

Coventry Healthcare, Inc. (Johns Hopkins is participating for only these Coventry Healthcare Plans; all other outside Coventry plans would require an authorization)

  • Coventry Health Care of West Virginia Regional PPO Plan Only; (f.k.a Carelink Health Plans)
  • Coventry Health and Life Insurance
  • Coventry Health Care of Virginia Regional PPO Plan Only; (f.k.a Southern Health Services Inc) 

E

EHP

  • Classic
  • Standard (Suburban)
  • Student Health
  • Tiered 90/10 Benefit Effective 1/1/2014

Evergreen Co-Op

  • Health Insurance (For Small Groups)
  • Health POS (For Individuals)
  • Health Care (For Small Groups)
  • Health HMO (For Individuals)
  • Health Select (Limited HMO Benefit Effective 2016)

F

Federal Blue Cross

  • Basic
  • Standard

First Health Network (A Coventry Healthcare of Delaware Affiliate Company)

G

Geisinger Health Plan

  • Choice PPO with Referral (the Gatekeeper PPO)
  • Choice PPO with No Referral (the 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

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

I

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

J

Jai Medical Systems MCO

Johns Hopkins Advantage MD

 

K

Kaiser Foundation Health Plan of the Mid-Atlantic

  • Flexible Choice
  • HMO
  • POS
  • Self Funded
  • Kaiser Health Benefit Exchange Plans

M

Maryland Medical Assistance (Medicaid=Fee for Service Plan)

Maryland Physicians Care MCO

MDIPA (A United Healthcare Company)

  • HMO
  • Preferred

Medicare

  • Traditional Part A
  • Traditional Part B

Multiplan PPO

N

O

Optimum Choice (A United Healthcare Company)

  • HMO
  • Preferred

P

Pennsylvania Preferred Health Networks (PPHN)

Preferred Health Care

Preferred Health Care via PPHN Network

Priority Partners MCO

Private Healthcare Systems (PHCS) PPO (A Multiplan Network)

S

South Central Preferred PPO

T

Tricare Health Net Federal Services

  • Prime
  • Standard (Extra for the North Region)

Tricare for Life

Tricare Uniformed Services Family Health Plan (USFHP)

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.)

V

 

W