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Insurance and Referrals

 
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Our office participates with most of the major insurance companies in the Baltimore area. Prior to your visit, it is very important to check with your insurance company to assure that we are participating members, and obtain a referral from your primary physician if necessary. Please have your doctor fax the referral (and any appropriate medical records) to us at 410-825-4945 at least 48 hours prior to your visit. If the referral is not received, we may not be able to see you.
 
Please be sure to bring your current insurance card with you to each visit. Copays and deductibles are due at the time of service.
 
If we do not participate with your insurance, or if you are self pay, payment is required at the time of service. We will furnish documentation for you to submit to your insurance company. In case of financial hardship, a payment plan can be arranged.
 
Below is a list of our current participating insurance companies:
 
Aetna
  • Choice POS
  • Choice POS Open Access
  • Choice POS II (Open Access)
  • Open Access Elect Choice EPO
  • Open Access Managed Choice POS
  • Elect Choice EPO
  • Elect Choice EPO (Open Access)
  • HMO
  • HMO (Open Access)
  • Open Choice PPO
  • QPOS
Blue Cross Blue Shield
  • Blue Choice Network
  • Maryland POS
  • FEP
  • Blue Preferred
  • Nat'l Capital Area Indemnity
  • Select Preferred Providers PPN/PPO MD
  • Select Preferred Providers PPN/PPO DC
  • Preferred Provider Org - MD Indemnity
  • Personal Comp - Indv. Coverage
CIGNA
  • Choice Fund
  • Network HMO/POS
  • Open Access/Open Access Plus In-Network
  • PPO & EPO
  • Indeminity
Coventry
  • HMO
  • POS
  • PPO-Health Assurance
EHP
  • Basic
  • Premium
  • Classic
GHMSI (Under BCBS Regional - DC area)
    PPO HMO Indemnity
Humana
  • PPO & EPO
  • POS
  • Choice Care
Life Bridge Health
 
Multiplan
  • Multiplan PPO*
  • PHCS PPO
NCPPO
 
Tricare
    PPO (only)
United HealthCare
  • Choice/Choice Plus/Choice HMO
  • Options PPO
  • Select EPO/ SelectHMO
  • Select Plus POS/ Select Plus HMO
  • MAMSI Life & Health
  • MDIPA
  • Optimum Choice
  • OneNet
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Copyright © 2008-2017, Pediatric Consultants, All rights reserved. 
Kenneth C. Schuberth, M.D., 10807 Falls Road, Suite 200, Lutherville, MD 21093
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