Insurance

We participate with several insurance carriers.



The following list is provided as a general guideline only. We encourage everyone to call your insurance carrier to confirm participation prior to scheduling an appointment.

Blue Shield of Maryland

Blue Shield National Accounts

Blue Shield Federal

Blue Choice

EHP

United Healthcare PPO

MDIPA / Optimum Choice

Mamsi

Coventry National Network

Cigna

Aetna

Tricare

Tricare HMO (US Family Plan)

Informed

PHCS / Multiplan

Medicaid, Priority Partners, Medstar, Maryland Physicians Care & Carefirst Community Health Plan

We do not currently participate with workers compensation and personal injury protection plans. We will however, provide you with a copy of the daily encounter form that can be submitted to workers compensation and PIP plans.

  • Consumer-Directed Healthcare

    Due to the rising costs of healthcare, consumer-directed healthcare plans (CDHC) have begun to take the place of managed care plans. Healthcare costs have risen exponentially over the past year. Employer costs and individuals purchasing their own health insurance are turning to CDHC in the hope it will control their healthcare benefit costs. A consumer-directed healthcare plan’s monthly premium is lower than other health insurance plans but it shifts more costs to the patient. The patient becomes responsible for higher deductibles and out-of-pocket expenses.


    Most patients on CDHC plans will have a greater financial responsibility than they did previously. After years of making small co-payments, patients will be asked to pay substantially higher amounts until their deductible has been met. Customarily deductibles are $1200 for individuals and $2400 for a family.


    Patients will see this out-of-pocket increase on their statements that are sent monthly from our office. Payment is expected upon receipt. Pediatric Partners, LLC offers payment options to make the burden of these higher costs easier to bare. By selecting, printing, and completing our Automatic Payment Plan you will have the flexibility of how much and when to make your payment.


    It is inappropriate to request Pediatric Partners, LLC to reduce your bill for your deductible, copay, and/or co-insurance. The waiver of deductibles, copays, and/or co-insurances can constitute insurance fraud.