GBMC EMPLOYED PROVIDERS CONTRACTED PLANS SUMMARY INSURANCE PARTICIPATION Our physicians participate with most major insurance companies, including the following: AETNA (ALL PLANS) AMERIGROUP –AMERIVANTAGE (MCO & MEDICARE SPECIAL NEEDS PGM: WE ARE NOT CX’D FOR THE PRIMARY ADULT CARE PAC PGRM) BALTIMORE COUNTY WOMEN’S PROGRAM (WOMEN’S CANCER PROTECTION PGM) & DIAGNOSIS & TREATMENT – DHMH (BCCDT) BEECH STREET (BOUGHT BY MULTIPLAN/CONCENTRA /VIANT) CAREFIRST BC/BS ( ALL PLANS) CAREFIRST MHIP PRODUCT* NCAS CIGNA - GREAT WEST (BOUGHT BY CIGNA) CIGNA- HEALTHSPRING – (FORMERLY BRAVO/ MEDICARE ONLY) COVENTRY COVENTRY DIAMOND PLAN (MEDICAID) TERMED 10.1.13 EVERCARE/SECURE HORIZONS (UHC MEDICARE-ONLY THE IP-PPO PLAN) EVERGREEN HEALTH FIRST HEALTH (BOUGHT BY CONVENTRY) HUMANA/CHOICECARE –(ALL PLANS) INFORMED JOHNS HOPKINS (EMPLOYERS HEALTH PLAN, PRIORITY PARTNERS, US FAMILY HEALTH PLAN) KAISER PERMANENTE (ALL PRODUCTS) KAISER PERMANENTE MEDICARE PLUS (MEDICARE IS ALWAYS PRIMARY, KP IS SECONDARY: REQUIRES AUTHORIZATION) KAISER MEDICARE ADVANTAGE MARYLAND MEDICAL ASSISTANCE MEDICARE MEDICARE RAILROAD MULTIPLAN PHCS (BOUGHT BY MULTIPLAN) RIVERSIDE HEALTHCARE THREE RIVERS PROVIDER NETWORK TRICARE ALL PRODUCTS UNITED HEALTHCARE COMMERCIAL (GEHA, ONENET, EVERCARE) UNITED HEALTHCARE COMMUNITY PLAN UNITED HEALTHCARE UNITED HEALTHCARE CORE AND NAVIGATE BENEFIT PLAN (EFF 1/1/15) NO COMPASS PLAN UMR (UNITED’S THIRD PARTY ADMINISTRATOR) USA MCO INC VISION CONTRACTS ADVANTICA(vision program for GBMC employees) BLOCK VISION KAISER PERMANENTE-OPHTHALMOLOGY: WE CAN ONLY SEE SELF-FUNDED PLAN MEMBERS FOR ROUTINE CARE ONLY (NO ON-SITE TESTING) MARCH VISION OPTUM VISION ( ALSO CALLED SPECTERA) Plans we are NOT contracted with: JAI MEDICAL SYSTEMS (MEDICAID MCO) MARYLAND PHYSICIANS CARE (MEDICAID MCO AND PAC) MARYLAND PRIMARY CARE MEDSTAR FAMILY CHOICE; MEDSTAR SELECT; MEDSTAR MEDICARE (EXCEPT FOR OUR NEUROSURGERY AND NEUROLOGY GROUPS (ALL PRODUCTS)) PRIMARY ADULT CARE EXCEPT FOR *UHC PAC (NEW MEMBERS NOT ACCEPTED) *PRODUCTS WILL BE PHASED OUT AS OF 12/31/2013 UNITED HEALTHCARE COMPASS (NEW 1/1/15) C:\Users\gshaffer\AppData\Local\Temp\XPgrpwise\GBMC Physicians Contracted Plans UPDATED 12.24.2014.docxlast updated 1/14/2015