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Insurance Participation Information

Listed below are Managed Care and Other Insurance Plans that participate with Potomac Hospital as of May 1, 2010. If you have questions regarding your plan's participation with Potomac Hospital, please call (703) 670-1546 or (703) 670-1696.

Insurance pre-authorization guidelines have been established for Infusion Center patients. Click here to view the guidelines.

Potomac Hospital also participates with Medicare, Medicaid, TRICARE and most Non-Managed Care Insurance Plans.

Specific information on different insurance plans can be found by clicking on the underlined insurance companies. Please contact your insurance company for their authorization and referral procedures for respiratory therapy, CT scans, MRIs, diabetes management, nutrition counseling, physical therapy, EMGs and sleep studies, or if you have specific questions about the servMay 4, 2010

Insurance requirements and coverage can change quickly. The information here may not be current for your individual plan. For this reason we recommend that you contact your insurance company or your benefits manager to confirm your plan's coverage and to make sure that services are covered at Potomac Hospital.

Expenses Not Covered By Insurance

Deductibles, co-insurance and other charges not covered by your insurance will be requested at the time you are registered, or a deposit on such charges may be requested prior to your discharge from the hospital. If you provide accurate secondary insurance information, you will not be requested to pay these charges.

If you believe you will have difficulty paying the bill, it is important that you contact one of our Patient Account Representatives at (703) 670-1335. For payment of these expenses the hospital will accept cash, personal and travelers’ checks, and most major credit cards.

Potomac Hospital has a variety of payment options available to our patients. Patient Account Representatives are available at (703) 670-1335 to assist you in determining if you qualify for financial assistance, discounts, or whether there are programs available that will help pay your balance. You will also be advised of any federal, state, or local financial assistance programs for which you may be eligible.

Managed Care and Other Insurance Plans that participate with Potomac Hospital

Aetna - except elective outpatient lab services

Anthem - except elective outpatient lab services

CareFirst (Blue Cross Blue Shield) PPO

CIGNA

First Health Network - Mail Handlers

Great West / Cigna HealthCare  PPO - Prior authorization is required for CT scans, MRIs and MRAs

Foreign Service Benefit Plan

Associated Benefit /Compass Rose Plan

Rural Carrier Benefit Plan

Kaiser

MAMSI Life and Health/UnitedHealthcare - except elective outpatient lab services

MD IPA/UnitedHealthcare

Optimum Choice/UnitedHealthcare

Medicaid

Medicare

NCPPO

OneNet PPO/A United Healthcare Company (formerly Alliance)

PHCS (Private HealthCare Systems) PPO

TRICARE

UnitedHealthcare MidAtlantic


 

 

This page was last updated on January 4, 2012