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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 July 24, 2014, 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.

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.

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


A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

 

#

4Most Health Network PPO

A

Aetna

  • Advantage PPO (An Individual PPO)
  • Aexcel
  • Affordable Health Choices PPO
  • 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 Plan
  • Open Choice
  • QPOS
  • Select
  • Select Open Access
  • Signature Administrators
  • Student Health Plan
  • Traditional Choice

Amerigroup Maryland MCO

B

Beech Street PPO (A Multiplan Network)

Berkshire Health Partners via PPHN Network

C

Care First Blue Choice

  • Blue Choice Advantage
  • Blue Choice HealthyBlue 2.0
  • Blue Choice HealthyBlue Advantage
  • Blue Choice HealthyBlue Dual Option
  • Blue Choice HealthyBlue Triple Option
  • Blue Choice HMO
  • Blue Choice HMO Open Access
  • BlueChoice MHIP HMO
  • Blue Choice Opt-out Open Access
  • Blue Choice Opt-out Plus Open Access
  • Blue Choice Triple Option

CareFirst Blue Cross Blue Shield

  • CareFirst Administrators
  • CareFirst Blue Cross Blue Shield Indemnity
  • CareFirst Blue Cross Blue Shield PPO
  • CareFirst Blue MHIP Federal PPO
  • CareFirst Blue MHIP PPO
  • CareFirst Maryland Point of Service
  • Blue Cross Blue Shield EPO
  • Blue Cross Blue Shield Federal Basic
  • Blue Cross Blue Shield Federal Standard
  • Blue Cross Blue Shield National Accounts

Central Susquehanna Health Care Providers via PPHN Network

Cigna Healthcare

  • Choice Fund
  • EPO
  • Fundamental Care
  • 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
  • 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

Coventry Healthcare of Delaware

  • Consumer Choice
  • HMO
  • 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)

  • Carelink Health Plans (Regional PPO Plan Only)
  • Coventry Health and Life Insurance
  • Coventry Health Care National Network
  • Coventry One National
  • Southern Health Services Inc (Regional PPO Plan Only)

E

EHP

  • Classic
  • High Option (Suburban)
  • Standard (Suburban)
  • Student Health
  • Tiered Benefit Effective 1/1/2014

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
  • Solutions
  • Solutions Direct No Referral
  • Solutions Direct No Referral with Point of Service (POS) Rider
  • Solutions with Point of Service (POS) Rider

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

K

Kaiser Foundation Health Plan of the Mid-Atlantic

  • Flexible Choice
  • HMO
  • POS
  • Self Funded

M

MDIPA (A United Healthcare Company)

  • HMO
  • Preferred

Maryland Physicians Care MCO

Multiplan PPO

N

O

One Net PPO (A United Healthcare Company)

Optimum Choice (A United Healthcare Company)

  • HMO
  • Preferred

P

Pennsylvania Preferred Health Networks (PPHN)

Preferred Health Care

Preferred Health Care via PPHN Network

Preferred Healthcare System 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)

Tyoga CareNet via PPHN Network

U

United Healthcare

  • Choice
  • Choice Plus
  • Edge via Choice Plus Network
  • EPO
  • Indemnity
  • Integrated Services via Choice Plus Network or Options PPO
  • Navigate
  • Navigate Balanced
  • Navigate Plus
  • Options PPO
  • POS
  • Select
  • Select Plus

V

 

W

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