Participating Managed Care Health Plans for Johns Hopkins University (faculty physicians), Johns Hopkins Bayview Medical Center, and Johns Hopkins Hospital: 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 | Insurance Carrier | Services Covered | | | 4Most Health Network PPO | Tertiary Care1 | | | A | | Aetna - HMO
- QPOS
- USACCESS
- Elect Choice
- Managed Choice
- Open Choice (PPO)
- Traditional Choice (Indemnity)
| Broad Specialty Care4
| Alliance Health Plan of Lancaster | Tertiary Care1 | Amerigroup Maryland MCO | Broad Specialty Care4 | | | B | | Beech Street PPO | Broad Specialty Care4
| BlueChoice - Blue Choice HMO
- Blue Choice Opt-out Open Access
- Blue Choice Opt-out Plus
| Broad Specialty Care2,4 | C | | Carefirst Blue Cross Blue Shield - Blue Cross Blue Shield PPO
- Maryland Point of Service
- Blue Preferred (DC PPO)
| Broad Specialty Care2,4 | | CNA/CoreSource Primary Care Network HMO | Broad Specialty Care4 | CIGNA Healthcare of the MidAtlantic - HMO
- HMO Open Access
- POS
- POS Open Access
- Network
- Network Open Access
- PPO
- PPO Plus
- EPO
- Indemnity
| Primary Care3 &
Broad Specialty Care4 | CIGNA Healthcare National | Primary Care3 &
Broad Specialty Care4 | | CCN PPO | Broad Specialty Care4 | Coventry Healthcare of Delaware | Broad Specialty Care4 | Coventry Healthcare, Inc. (Outside of Delaware) - Carelink Health Plans
- Coventry Healthcare of Georgia, Inc.
- Coventry Healthcare of Iowa, Inc.
- Coventry Healthcare of Kansas, Inc.
- Coventry Healthcare of Louisiana, Inc.
- Coventry Healthcare of Nebraska, Inc.
- Group Health Plan, Inc.
- HealthCare USA, Inc.
- Southern Health Services, Inc.
- WellPath Select, Inc.
| Broad Specialty Care4 | | E | | | EHP | Primary Care3 &
Broad Specialty Care4 | | | | F | | Federal Employee Program (Carefirst FEP) - Blue Cross Blue Shield Basic
- Blue Cross Blue Shield Standard
| Broad Specialty Care4 | | Fidelity Benefit Administrators PPO | Broad Specialty Care4 | | First Health PPO | Broad Specialty Care4 | | | | H | | | HealthAmerica of Pennsylvania HMO | Broad Specialty Care4 | Health Assurance | Broad Specialty Care4 | | Humana Choice Care Network PPO | Broad Specialty Care4 | | | | I | | | InforMed/CHP Health Plan | Broad Specialty Care4 | | | | J | | | Jai Medical Systems MCO | Broad Specialty Care4 | | | | K | | | Kaiser Permanente HMO | Tertiary Care1 | | Kaiser Select | | | | | M | | MAMSI - Optimum Choice (HMO)
- MDIPA (HMO)
- MDIPA Preferred (POS)
- Optimum Choice Preferred (POS)
- Alliance PPO
| Broad Specialty Care4 | | Maryland Physicians Care Medicaid MCO | Broad Specialty Care4 | | Multiplan PPO | Broad Specialty Care4 | | | | N | | | National Capital PPO | Broad Specialty Care4 | | | | O | | | One Health PPO | Broad Specialty Care4 | | | | P | | | Preferred Health Care (PHC) PPO | Tertiary Care1 | Preferred Health Network (PHN) - PHN HMO
- PHN Opt-Out
- PHN Triple Option POS
| Broad Specialty Care4 | | Prime Source Health Network | Tertiary Care1 | | Priority Partners Medicaid MCO | Primary Care3 &
Broad Specialty Care4 | | Private Healthcare Systems (PHCS) PPO | Broad Specialty Care4 | | | | S | | | South Central Preferred PPO | Broad Specialty Care4 | Sierra TRICARE - Prime (HMO)
- Standard (PPO)
| Broad Specialty Care4 | | T | | | TRICARE Uniformed Services Family Health Plan (USFHP) | Broad Specialty Care4 | | | | U | | United Healthcare - Choice
- Choice Plus
- Select
- Select Plus
- EPO
- POS
- Options PPO
- Indemnity
| Broad Specialty Care4 | | USA Managed Care Organization – PPO | Broad Specialty Care4 | | | | W | | | Western Maryland- PPO- POS | Broad Specialty Care4 |
Please be advised that there may be certain services provided at our facility which are not covered by our contract with your health 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 one of our specialists. In addition to your health insurer, you may contact the Office of Managed Care at (410) 424-4817 for additional information.
1 – Definition of Tertiary Care: Specialized consultative care, usually on referral from primary or secondary medical care personnel, by specialists working in a center that has personnel and facilities for special investigation and treatment. (Secondary medical care is the medical care provided by a physician who acts as a consultant at the request of the primary physician.) 2 – Please check with your provider for participation. 3 – Definition of Primary Care: Basic or general health care traditionally provided by doctors trained in: family practice, pediatrics, internal medicine, and occasionally gynecology. 4 – Definition of Broad Specialty Care: Specialized health care provided by physicians whose training focused primarily in a specific field, such as neurology, cardiology, rheumatology, dermatology, oncology, orthopaedics, ophthalmology, and other specialized fields. |
