Insurances

Participating Insurances

Capital Diabetes and Endocrine Associates works with many insurance providers.

If you are unsure whether we are in-network with your plan, please contact your insurance company’s member services to confirm that we are a participating provider under your coverage.

Capital Diabetes and Endocrine Associates works with many insurance providers.

If you are unsure whether we are in-network with your plan, please contact your insurance company’s member services to confirm that we are a participating provider under your coverage.

CAREFIRST BCBS(MD)

FEP and local gov BCBS plans
BCBS HPN PLANS JAN 2021
Carefirst Community Plan

CIGNA (COMMERCIAL ONLY)

HUMANA (PPO,HMO, POS, EPO, MEDICARE-PPO, POS, PFF, HMO plans)

Humana Tricare

JOHNS HOPKINS ADVANTAGE PLAN

JOHNS HOPKINS EMPLOYER HEALTH PROGRAM (EHP)

MEDSTAR FAMILY CHOICE (MCO PLAN)

MD MEDICAID

MULTIPLAN PPO

MD PHYSICIANS CARE

MEDICARE

Aetna Medicare
Aetna Medicare Assure Premier(open access HMO)
Carefirst Medicare(only MDO)
UHC Medicare
Humana Medicare
Johns Hopkins Medicare Advantage(MA)
Anthem BCBS of VA Medicare Advantage PPO and HMO
Alterwood Medicare Advantage

PRIORITY PARTNERS (PPMCO)

RAILROAD MEDICARE/PALMETTO GBA

TRICARE CHAMP
Tricare Prime

TRI-WEST
Dr. Daniel Gozzi only

US FAMILY HEALTH PLAN (USFHP)

UNITED HEALTHCARE

MDIPA
Optimum Choice
UNITED HEALTHCARE COMMUNITY PLAN

WELLPOINT (MARYLAND ONLY)

Plans that require referrals from the patient’s Primary Care Provider

UHC MDIPA, UHC OPTIMUM CHOICE, UHC COMMUNITY PLAN, CAREFIRST COMMUNITY PLAN, PRIORITY PARTNERS, BLUE CHOICE (NON OPEN ACCESS), JOHNS HOPKINS EMPLOYER HEALTH PROGRAM (EHP), US FAMILY HEALTH PLAN (USFHP), MED STAR FAMILY CHOICE PLAN, TRICARE CHAMP, HUMANA TRICARE and ALL HMO PLANS

Plans we do not take care are listed below

Medicare HMO, CareFirst Medicare Advantage HMO, Kaiser, UMD Medical System Health Plan, United Evercare, and Cigna HealthSprings. MedStar Medicare, Anthem HealthKeepers (VA), and High Performance Network (BlueHPN EPO). PHCS / Redirect Health and Jai Medical Systems.

Please note: If Medicare is the patient’s primary insurance and they have Maryland Medicaid through a non-participating plan, the patient will be responsible for the 20% of charges that Medicare does not cover.

For any insurance plans not listed, it is the patient’s responsibility to contact their plan’s member services to confirm if Capital Diabetes and Endocrine Associates is in-network.

Our Tax ID: 82-3708609

Group NPI: 1356857643

Point-of-care Hemoglobin A1c testing is not covered by the following insurance plans: UHC (Commercial and Medicaid), Maryland Physicians Care, Johns Hopkins, Priority Partners, Humana, US Family Health Plan, and Wellpoint.