Physician Center
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Insurance

GCM accepts most major insurances. Insurance carrier requirements are dynamic and change frequently. Often, benefits depend on the plan that you or your employer has chosen.  Pre-authorization of some radiology procedures, usually CT/CTA scans, MRI/MRA scans and PET/CT has become standard procedure for some insurance carriers. Insurance carriers might provide the pre-authorization directly, or use a third party utilization management company to provide the authorization.

Please remember the best source of information is the number on your insurance card. Please have it available when you call to schedule your appointment. Our highly trained staff will work with you, your referring physician and your insurance carrier to obtain any required pre-authorization.  If you do not see your insurance carrier listed, please call our offices and we will contact your insurance carrier to verify our eligibility to provide you service.  

Insurance Participation

Company Plan Type Pre-Certification Requirements Phone Web Site
Aetna HMO Required for CT, MR & PET/CT; required for HSG with infertility diagnosis 888-693-3211    https://www.medsolutionsonline.com
Aetna PPO, POS, Medicare Advantage Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT 888-693-3211    https://www.medsolutionsonline.com
AmeriChoice (UHC Community Plan) MCO Required for MR and PET/CT 800-318-8821 http://www.americhoice.com
Anthem Indemnity Required for CT, MR & PET/CT 800-533-1120 http://anthem.com
Blue Cross Blue Shield (out of state plans) HMO, PPO, POS Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT call number on card http://www.bcbs.com
CareFirst Indemnity, HMO, POS, PPO, Blue Choice, Blue Preferred All studies subject to CareFirst Medical Policy, pre-certification is not currently required 888-567-9155 https://member.carefirst.com
Cigna HMO, PPO, POS Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT 888-693-3211 https://www.medsolutionsonline.com
Coventry PPO Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT call number on card www.coventryhealthcare.com
GEHA PPO Required for CT, MR & PET/CT 888-693-3211 https://www.medsolutionsonline.com
Johns Hopkins Healthcare EHP, Priority Partners, US Family Health Required for bone density (DEXA), Breast MRI & PET/CT 888-495-4998 www.hopkinsmedicine.org/johns_hopkins_healthcare
MAMSI Life & Health PPO Required for PET/CT with non cancer diagnosis; required for HSG with infertility diagnosis 877-842-3210 www.myuhc.com
MDIPA & Optimum Choice HMO For DC office insurance card must have "RAD=DC"; CT & MR studies require pre-certification; MR studies can be seen in all offices and require pre-certification; Breast Biopsy and PET/CT can be seen in Bethesda office; PET/CT requires pre-certification with a non cancer diagnosis 877-842-3210 www.myuhc.com
MDIPA & Optimum Choice Preferred CT, MR and PET/CT with a non cancer diagnosis require pre-certification 877-842-3210 www.myuhc.com
Medicaid Government Some plans require pre-certification for CT, MR and PET/CT; refer to plan phone number and/or web site on card call number on card  
Medicare Government Not required 800-633-4227  
Medicare Advantage Plans HMO, PPO, POS Plans generally follow Medicare guidelines; check your plan benefits for additional information; refer to plan phone number and/or web site on card call number on card  
Multiplan PPO Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT; refer to plan phone number on back of card call number on card www.multiplan.com/patients
Onenet PPO PPO Dependent on employer group and plan coverage; some groups require pre-certification for CT, MR and PET/CT; refer to plan phone number on back of card 800-342-3289 www.onenetppo.com/participants
Tricare/ Health Net Federal Services Government Not required 877-874-2273 www.tricare.mil
United Healthcare HMO, PPO, POS United calls this process "Radiology Notification"; pre-certification may be required for CT, MR & PET/CT studies; some employer groups are excluded, refer to specific plan benefits for more details 866-633-2446 www.myuhc.com