Insurance

We are contracted with most insurances for physician, physician assistant, dietitian, and psychotherapy services.  All other services are not insurance-covered.  Specifics by service types are as follows:

  Physician PA Acupuncture Dietitian Psychotherapy
 

Medicare1

 

Yes

 

Yes

Not a Covered Service Diabetes and Renal Failure  

Yes

BCBS/Care First2 Yes Yes Self-Pay3 Yes6 Yes
Cigna Yes Yes Self-Pay3 Yes6 Yes
United HC Yes Yes Self-Pay3 Yes6 Yes
Aetna Yes Yes Self-Pay3 Yes6 Yes
 

Medicaid4

 

Yes

 

No

 

Not Covered

Diabetes and Renal Failure  

Yes

EHP Yes Yes Self-Pay3 Yes6 Yes
TriCare Patient Submit5 Patient Submit5 Patient Submit5 Patient Submit5 Patient Submit5
ClaimsBridge Yes Yes Self-Pay3 Yes6 Yes

1Traditional Medicare; Advantage plans contracted via commercial carriers (United HC, Aetna, etc)

2Contract with CareFirst results in coverage by all other BCBS plans

3Our acupuncturist does not participate with insurance plans; you may be able to submit receipts to your insurer and get some reimbursement

4Traditional Medicaid only; not covered by managed Medicare plans (Priority Partners, Amerigroup, etc)

5TriCare not contracted, but patient can submit claims and be reimbursed at out-of-network level

6Dietitian coverage varies by plan and employer; although we attempt to verify coverage prior to providing service, you should check with your insurer to see if you have coverage for your condition

Concierge fees are required to see a physician or physician assistant (PA) and are not insurance-covered. Sometimes they may be covered by health savings accounts – check your account to see if covered for you.  We verify coverage prior to providing any services and provide information on coverage, but ultimately it is your responsibility to understand your insurance benefits.  When we are not able to verify insurance coverage, or for services which insurance does not cover, you will be charged the amounts specified on our Fees page.