Insurances & Fees

District Endocrine participates with Medicare and major Commercial payors, including Aetna, Anthem BCBS, Apostrophe, CareFirst BCBS, Cigna Healthcare, HealthNet Federal Services (HNFS), United Healthcare, and WebTPA – Custom Ink. We no longer accept new patients with any Medicaid (primary or secondary) plans. We are accepting patients who have Tricare as secondary insurance. If your plan/insurance is not listed, please confirm with the office if we are participating in your insurance for new patients. 

 

The following is the list of insurance and plans with which we participate. The list will be updated from time to time as needed. Please verify your insurance plan and coverage with our office, as this is a partial list, and plans change frequently. 

 

List of Accepted Insurances

 

Plan Name

Product

  Aetna Commercial/Medicare  Aetna Commercial HMO
  Aetna Commercial/Medicare  Aetna Commercial PPO
  Aetna Commercial/Medicare  Aetna Commercial/Medicare
  Aetna Commercial/Medicare  Aetna Innovation Health
  Aetna Commercial/Medicare  Aetna Medicare Advantage
  Aetna Commercial/Medicare  Aetna Medicare HMO Innovation
  Aetna Commercial/Medicare  Aetna Signature Adminstators Tier 2/Non-Preferred
  Aetna Commercial/Medicare  Coresource-OSU Healthplan
  Aetna Commercial/Medicare  Coventry Healthcare HMO (In State Plans only)
  Aetna Commercial/Medicare  Coventry Healthcare PPO
  Aetna Commercial/Medicare  Coventry Medicare
  Aetna Commercial/Medicare  Healthsmart/Aetna Signature Administrators
  Aetna Commercial/Medicare  Mail Handlers Benefit Plan
  Aetna Commercial/Medicare  Meritain Health
  Aetna Commercial/Medicare  Starmark – Trustmark
  Aetna Commercial/Medicare  Valley Health/Booz Allen Tier 2
  Anthem BCBS  Anthem Commercial HMO
  Anthem BCBS  Anthem Commercial PPO
  Anthem BCBS  Anthem Healthkeepers
  Anthem BCBS  Federal Employee Program (FEP)
  Apostrophe  Apostrophe
  CareFirst BCBS  CareFirst (TPA ) Third Party Administrator
  CareFirst BCBS  CareFirst Adminstrators
  CareFirst BCBS  Carefirst BlueChoice
  CareFirst BCBS  Carefirst HealthyBlue
  CareFirst BCBS  CareFirst MedPlus
  CareFirst BCBS  CareFirst PPO
  CareFirst BCBS  Federal Employee Program (FEP)
  CareFirst BCBS  Maryland Point of Service (MPOS)
  CareFirst BCBS  National Accounts (NASCO)
  Cigna Healthcare  APWU American Postal Workers Union
  Cigna Healthcare  Cigna Commercial HMO
  Cigna Healthcare  Cigna Commercial PPO
  Cigna Healthcare  Cigna Healthcare
  Cigna Healthcare  Cigna Open Access
  Cigna Healthcare  Confier Health Solutions Tier 2
  Cigna Healthcare  Great West
  Cigna Healthcare  Health Partners
  Cigna Healthcare  NALC – National Association of Letter Carriers
  Humana  Humana
  Humana  Humana Commercial
  Humana  Humana Gold Choice
  Humana  Humana Gold Plus
  Humana  Humana Medicare
  Humana  Humana PFFS
  Lifeworks Advantage  Lifeworks Medicare Advantage HMO
   Medicare – Novitas –  Medicare – Novitas – DC/Surr. Counties
  DC/Surr. Counties 
  Medicare – Palmetto GBA – VA  Medicare – Palmetto GBA – VA
  Multiplan/PHCS  Multiplan/PHCS
  United Healthcare  AARP Medicare Complete Plans
  United Healthcare  All Savers Health Plan
  United Healthcare  Compass
  United Healthcare  Core and Core Essential
  United Healthcare  Erickson Advantage Champion/Guardian Plans
  United Healthcare  Erickson Advantage Plans
  United Healthcare  GEHA
  United Healthcare  Golden Rule
  United Healthcare  Group Medicare Advantage Plans
  United Healthcare  Heritage – United Healthcare of the River Valley – Formerly John Deere Health
  United Healthcare  Medica
  United Healthcare  MedicareDirect PFFS
  United Healthcare  Mid Atlantic Health Plan – MD-IPA and MAMSI Life Choice (formerly MAMSI)
  United Healthcare  Mid Atlantic Health Plan – Optimum Choice and MAMSI Life Choice (formerly MAMSI)
  United Healthcare  Nexus ACO
  United Healthcare  Nursing Home Plan (formerly Evercare)
  United Healthcare  Oxford
  United Healthcare  Student Resources
  United Healthcare  UMR
  United Healthcare  United Choice Advanced and Choice Plus Advanced
  United Healthcare  United Choice and Choice Plus
  United Healthcare  United Edge
  United Healthcare  United Healthcare
  United Healthcare  United Medicare Advantage
  United Healthcare  United Navigate
  United Healthcare  United Options (PPO) and Non-Options (HMO)
  WebTPA Custom Ink  WebTPA Custom Ink

 

Termination Policy (briefly)

 

 

TWO NO shows/ Missed Appointments/Late cancellations will result at the end of the patient-physician relationship, and patients will be discharged from the Practice. Patients may be asked to explain why they could not make it to the appointment. 

Inappropriate, rude, threatening, or abusive behavior with any member/staff of the clinic will result in the termination of the Patient-Physician Relationship. We take the safety of our staff very seriously. If deemed, law enforcement will also be called to ensure the employees’ safety.

Payment Options

 

We accept cash, Visa, Mastercard, Discover, American Express, and personal checks.

 

Card-on-File

 

We require* patients to keep a credit card on file to make the checkout process easier, faster, and more efficient. You will no longer receive statements from us. Still, you will continue to receive your Explanation of Benefits (EOB) from your insurance carrier once your claim has been processed, detailing the charges and payments made on your behalf.

At check-in, we will:

  • scan the credit card of your choice, including your Flexible Spending Account (FSA) or Health Savings Account (HSA) card

After your insurance has paid its portion, we will:

  • notify you via email of the balance owed
  • charge the balance owed to your card on file
  • email a receipt for the charge

Your credit card information will always be fully protected by our off-site, card-processing partner Elavon and not on our computers, as industry standards require (Payment Card Industry Data Security Standard – PCI-DSS).

*Excluded certain insurance plans where CCOF is not applicable.

 

Fees

 

No Shows
Missed Appointment$75
Late Cancellation$75
Missed Procedure$200
 

Out-Of-Network

New PatientsTotal Charge or Minimum $233 Deposit
Established PatientsTotal Charge or Minimum $103 Deposit
 

Self-Pay

New PatientsWe are accepting new cash patients.
Established PatientsContinue to provide service if already established with us. 

*Excluded certain insurance plans where No Show Fee is not applicable.

 

Additional Resources

 

Avoiding Surprises in Your Medical Bills (PDF) English – Spanish 

Understanding Healthcare Prices: A Consumer Guide (PDF) English – Spanish