Accepted Insurance Plans

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At CardioCare, we believe that quality heart health services should be accessible to everyone. We’re proud to work with a wide range of insurance providers to ensure our Maryland and Washington, DC, patients can receive the specialized cardiac care they need without financial barriers.

Important: Insurance coverage and benefits can vary by plan type and individual policy. We recommend verifying your coverage details with your insurance provider before your appointment.

Accepted Insurance Plans

Accepted Insurance Plans CardioCare

To ensure you receive the care you need, we work with several major insurance networks.

Major Insurance Networks We Accept

Medicare: All Medicare plans accepted
Aetna Network: Including Continental Life, Foreign Service Benefit Plan, Meritan Health, The Mail Handlers Benefits
Cigna Network: Including APWU-Cigna, NALC, Samba, Cigna Health Spring
United Healthcare Network: Including Desert Mutual, Golden Rule, Oxford, Student Resource, UMR
Carefirst BCBS: Local, Federal, Administrators, and Network Leasing plans
Humana: Prior authorization required for diagnostic studies
Johns Hopkins: All plans
USAA: All plans
GEHA: Prior authorization for nuclear studies and catheterizations

Additional Accepted Plans

AARP (secondary only), Advantage MD-Johns Hopkins, Assurant Health, Bankers Life, Coresource, Coventry Health Plan, Felra/UFCW, GPM Life, Guaranteed Trust Life, HealthNet Federal/Tricare, KPIC-PHCS, Loomis, Mutual of Omaha, NCAS, Physicians Mutual.

Limited Acceptance Plans (Dr. Marshall Only)

Amerigroup MD (MD Medicaid)
Maryland Physicians Care
MD Medicaid
MedStar Family Health
Priority Partners

Plans We Do Not Accept

Kaiser
Amerigroup DC
DC Medicaid
BCBS Horizon of New Jersey

INSURANCE CO.	PARTICIPATE?	ADDITIONAL INFO	INSURANCE CO.	PARTICIPATE?	ADDITIONAL INFO
AARP	Yes	Secondary plan only	HealthNet Federal/Tricare	Yes
Advantage MD-Johns Hopkins	Yes	Medicare replacement plan	Humana	Yes	Prior auth required w/ diagnostic studies
Aetna	Yes	Prior auth required for diagnostic studies, referrals required w/ HMO policies	Johns Hopkins	Yes
Amerigroup DC	No		Kaiser	No
Amerigroup MD	Dr. Marshall only	MD Medicaid	KPIC — PHCS	Yes	PHCS network
APWU — Cigna	Yes	American Postal Workers Union	Loomis	Yes
Assurant Health	Yes		Maryland Physicians Care	Marshall only
Bankers Life	Yes	Typically second to Medicare	MD Medicaid	Only Dr.Marshall
BCBS Horizon of New Jersey	No		MDIPA/Opt Choice	Yes	Referral required – UHC network
Carefirst BCBS (Local)	Yes	3-letter alpha prefix followed by 9#s	Medicare	Yes
Carefirst BCBS Federal	Yes	R followed by 9#s	Medicare Railroad	Yes
Carefirst Administrators	Yes	Says “Administrators” at the top of the card. Also, group# is the same as the alpha prefix	MedStar Family Health	Only Dr.Marshall
Carefirst Network Leasing	Yes	Prefix is A and 2 numbers located in the middle of the card. Union info in the top right corner.	Meritan Health	Yes	Aetna network
Cigna	Yes	Prior auth required for diagnostic studies, referrals required w/ HMO policies — AKA: Connecticut General	Mutual of Omaha	Yes
Cigna Connect	No		NALC	Yes	National Association of Letter Carriers -Cigna Network
Continental Life	Yes	Part of the Aetna Network	NCAS	Yes
Coresource	Yes	Could be w/ Aetna, PHCS or Multiplan	Oxford	Yes	UHC network
Coventry Health Plan	Yes		Physicians Mutual	Yes
DC Medicaid	No		Priority Partners	Marshall only
Desert Mutual	Yes	United Healthcare network	Samba	Yes	Cigna network
Felra/UFCW	Yes		Student Resource	Yes	UHC network – make sure pt is covered for the school year – also may require referral from the student medical center
Foreign Service Benefit Plan	Yes	Now under the Aetna network, but refer to the card for the claims mailing address	The Mail Handlers’ Benefits	Yes	Aetna network
GEHA	Yes	Prior auth for Nuclears and Caths –bill through United Healthcare Shared Service, unless secondary to Medicare	UMR	Yes	UHC network
Golden Rule	Yes	Part of the UHC network	United Healthcare	Yes	Prior auths for diagnostic studies – referrals for HMO policies
GPM Life	Yes		USAA	Yes
Guaranteed Trust Life	Yes		Cigna Health Spring	Yes

Do You Have Questions About Your Coverage?

Our insurance specialists are here to help verify your benefits and answer any questions about coverage for your cardiac care needs. Please call us to confirm your specific plan coverage before scheduling your appointment.