Insurance Plans
Listed below are current insurance providers. Please contact your carrier if you have any questions about coverage.
Helpful Resources:
» Glossary of Health Coverage & Medical Terms
» Health Insurance Abbreviations
| Insurance we do NOT accept. Please contact your carrier if you have any questions about coverage: KAISER PERMANENTE – MCO, (We do NOT Participate) MEDSTAR FAMILY CHOICE – MCO, (We do NOT Participate) UNITED HEALTHCARE – Compass Plans (We do NOT Participate) UNITED HEALTHCARE – Core Plans (We do NOT Participate) UNITED HEALTHCARE – Dual Complete (We do NOT Participate) UNITED HEALTHCARE – Navigate Plan (We do NOT Participate) See below for Plans we accept for services. | |
| Towson Orthopaedic Associates Insurance Participation Upd. 7/13/23 | |
| AETNA | HMO-Referrals Required |
| -AETNA MEDICARE | PPO |
| -HMO/PPO | Aetna Medicare/HMO-Referrals Required |
| AMERIGROUP | MCO- No Referrals Required |
| BLUE CROSS BLUE SHIELD – Carefirst | HMO-Referrals Required |
| -Blue Choice | POS |
| -Federal Employee Program | PPO |
| -Carefirst Administrators | EPO OPEN ACCESS -No Referrals Required |
| CIGNA | HMO-Referrals Required |
| GREAT WEST | POS PPO |
| CIGNA HEALTHSPRING (formerly Bravo Health, formerly Elder Health Care) | Online referrals from a primary care physician only-no paper referrals. No referrals from Patient First |
| COVENTRY | |
| -Coventry of Delaware -Coventry National/First Health | PPO-(Health America) |
| GOLDEN RULE | No Referrals Required |
| HUMANA -Humana Commercial -Humana Medicare Advantage Plans | *HMO plans will require a referral from your primary care provider. |
| JOHNS HOPKINS HEALTHCARE -EHP | HMO- Referrals Required PPO |
| JOHNS HOPKINS HEALTHCARE -USFHP | HMO- Referrals Required |
| MAMSI Life and Health | No Referrals Required |
| MARYLAND MEDICAL ASSISTANCE MEDICAID/MCO PLANS -Amerigroup -Maryland Physicians Care -Priority Partners -University of Maryland Health Partners -United Healthcare/Community Plan -JAI Medical MCO We do NOT participate with: * Kaiser Permanente *Medstar Family Choice | *All Medical Assistance Plans will be verified for eligibility at the point of registration. If the product is not active, the patient will be considered to be without insurance and will be responsible for payment at the time of service. |
| MEDICARE/PART B RAILROAD MEDICARE | No Referrals Required |
| MEDICARE ADVANTAGE TOA participates with the following Medicare Advantage Plans: | |
| -Aetna A Better Health | No Referral Required |
| -Aetna Medicare | No Referral Required |
| -Alterwood Health Medicare Advantage Plan | No Referral Required |
| -CareFirst Community Health Plan (Formerly UMMS Healthcare) | No Referral Required |
| -CareFirst Medicare Advantage (Formerly UMMS Healthcare) | Dual Prime No Referral Required |
| -Erickson | No Referral Required |
| -Humana Medicare Advantage | No Referral Required |
| -KeyCare Medicare Advantage Plan | No Referral Required |
| -United Healthcare Medicare Advantage | *(Only if it is a PPO and patient has out-of-network benefits) |
| PATIENTS WITHOUT INSURANCE | *Towson Orthopaedic Associates will see patients without insurance. Please speak to the office directly about our policy about payment at the time of service. |
| PLANS under MULTI PLAN/PHCS As Third Party Administrator | No Referrals Required |
| PRIORITY PARTNERS | No Referrals Required |
| ONE NET PPO (Formerly Alliance) | No Referrals Required |
| TRICARE HEALTHNET FEDERAL SERVICES | |
| -Standard Reserve Select /Tricare for Life | No Referrals Required |
| -Tricare Active Duty | -Active Duty-Referrals Required |
| -Prime | -Prime-Referrals Required |
| -Veterans Choice | -Veterans Choice-Referrals Required |
| -VA Perry Point | -New referral required for every visit |
| UNITED HEALTHCARE | |
| -Commercial Plans under UHC/PPO | -Community Plan/UHC Medical Assistance-Referrals Required |
| -Community Plan/UHC Medical Assistance | -Community Plan/UHC Medical Assistance-Referrals Required |
| -MDIPA/Optimum Choice | -MDIPA/Optimum Choice-Referrals Required -Navigate Plan (We do not participate) -Compass Plan (We do not participate) -Core Plans (We do not participate) |
| OTHER At the discretion of each office: DEPARTMENT OF LABOR LIABILITY AUTO ACCIDENTS | |
