Accepted Insurance

We are pleased to provide the following information to highlight commercial and public health insurance plans that Whitman-Walker Health accepts. We continuously review our insurance relationships to ensure that we are accessible to our patients and the community.

We are proud to offer help from our Public Benefits and Insurance Navigation Team to discuss your health insurance options and enroll you in insurance if you are eligible or assist with problems you may be experiencing. Call 202.745.6151.

We provide this list as a resource to help you determine whether we accept your specific health insurance plan. This list is not exhaustive. We encourage you to contact your insurance company if you have any questions about whether your specific health insurance plan will be accepted. You will be responsible for any out-of-pocket costs associated with your insurance.

Questions?

If you have questions about insurance, please contact our Patient Health Billing team at 202.797.3524.

Insurance WWH Accepts:

Medical and Health Service Plans

Aetna Plans

Aetna Elect Choice (EPO) – A WWH provider must be selected as PCP
Aetna Select
Aetna Open Access Elect Choice
Open Access Aetna Select
Aetna Choice POS
Aetna Choice POS II
Aetna First Health Network
Aetna Meritain
Aetna Open Access Managed Choice
Aetna Open Choice PPO
Aetna Traditional Choice

BCBS HMO Plans – A Whitman-Walker provider must be selected as PCP.

BlueChoice HMO
Blue Choice HMO Opt-Out Open Access
Blue Choice HMO Opt-Out Plus

BCBS PPO Plans

BCBS PPO
BCBS Access PPO
Blue Preferred PPO
FEP Basic Option
FEP Blue Focus
FEP Standard Option
Maryland Indemnity/Traditional
Maryland Point of Services (MPOS)
NASCO PPO National Account
NCA Indemnity/Traditional

BCBS Anthem

Anthem BCBS PPO

CIGNA

Cigna Open Access Plus
Cigna POS
Cigna PPO
Cigna PPO Wellfleet Johns Hopkins University
Cigna SAMBA FEP PPO

DC Healthcare Alliance – No Behavioral Health coverage.

AmeriGroup
AmeriHealth
MedStar Family Choice

GEHA

GEHA – United Healthcare Shared Services (Payer ID: 39026)

Great West

Great West

Medicaid – District of Columbia

Fee for service – Medical, Behavioral Health, Dental
Managed Care Organizations – Medical, Behavioral Health, Dental
AmeriGroup
AmeriHealth
HSCSN
MedStar Family Choice

Medicaid – Maryland

Managed Care Organizations – Medical, Behavioral Health, Dental
- MedStar Family Choice
- UHC Community Health Plan

*BH services provided through Carelon and you must be in an MCO we accept.

*Dental services provided through Maryland Healthy Smiles and you must be in an MCO we accept.

*We expect to accept Aetna Better Health and CareFirst Community Health Plan by April 1, 2025.

Medicaid – Virginia

Managed Care Organizations – Medical, Behavioral Health
Anthem Healthkeepers Plus
*WWH is not contracted for dental services with Virginia Medicaid.

Medicare

Fee for service
UHC DSNP – DC, Maryland, and Virginia
UHC Medicare Advantage plans

*We only accept UHC’s Medicare Advantage plans.

PHCS

PHCS ( Payer ID: 95606) *Depending on the network.

TRICARE

TRICARE/Humana PPO (Standard)

United Behavioral Health

United Healthcare

United Healthcare Choice
United Healthcare Choice EPO – A WWH provider must be selected as PCP.
United Healthcare Choice Plus POS (VARIES**)
United Healthcare Student Resources
UHC of the Mid-Atlantic – Navigate and Core Benefits Contracts
UHC Mamsi (PPO)
UHC Select EPO
UHC Select Plus HMO – A WWH provider must be selected as PCP
UHC Surest

Value Options

Behavioral Health Only

Dental Service Plans

Aetna Dental

Care First Blue Cross Blue Shield Dental Plan

Cigna Dental

DC Healthcare Alliance – *$1,000 annual limit for Alliance dental services.

AmeriGroup
AmeriHealth
MedStar Family Choice

Medicaid – District of Columbia

Fee of Service
AmeriGroup
AmeriHealth
HSCSN
MedStar Family Choice

Medicaid – Maryland

MedStar Family Choice
UHC Community Health Plan

*Dental services provided through Maryland Healthy Smiles and you must be in an MCO we accept.

*We expect to accept Aetna Better Health and CareFirst Community Health Plan by April 1, 2025.

Dominion Dental

Metlife Dental

Insurances that WWH does not accept (not exhaustive)

AARP Health Care Options
Aetna HMOs
BCBS Anthem HMO
BCBS EOP Plans
Cigna EPO Connected Plans
Cigna HMO Plans
First Health Network (unless claims go to Aetna)
Kaiser Health Plan
Maryland Point of Service
Maryland Primary Adult Care (PAC)
Medicare Advantage Plans
OneNet (PPO) formerly known as Alliance (VARIES**)
Optimum Choice
Tricare Prime
UHC plans from Maryland Health Connections (MDONEX) and Virginia health insurance exchange (VAONEX)
United Healthcare Compass Plan
UHC Harvard Pilgrim

Important Patient Information

Patient Check-In and Check-Out

All patients must check in and present your insurance card and identification card and confirm your current address.
We ask all patients to complete registration updates at least every 6 months.
All patients must check out after seeing their provider to ensure they pay any fees, see phlebotomy if needed, and schedule their follow-up appointments.

Patients with more than one health insurance plan

Please ensure you provide information on all sources of health insurance to us. If you have an employer health insurance plan, that will usually be primary. If you have Medicare and employer health insurance because you are still working, your employer insurance will be primary. If you maintain your employer health insurance after you retire or stop working, then Medicare will be primary. If you also have Medicaid, that will be the payer of last resort and pay only after your primary insurance.
Coordination of benefits: You are responsible for making sure your insurance plans all have information about your other insurance plans — this is to ensure “coordination of benefits” between the plans.
When a health insurance plan ends, it is important to update the other insurance plan so they can ensure they remove it.

Patient Fees and Cost Sharing

Your copayment/co-insurance/cost sharing is due at the time of check-in for your visit.
Deductibles and patient balances will be billed after your insurance processes your claim.
Self pay patients must pay their full balance at the time of their visit.
We will only provide LabCorp insurance information for plans that WWH is in network. Lab charges for self-pay patients will be added to charges for visits.
If your insurance doesn’t cover a specific service you seek from WWH, you will be Self Pay.
All patients who are under 200% of the Federal Poverty Level may apply for a sliding fee discount which may reduce your cost of services. Income documentation is required.
No patient shall be denied service based on their inability to pay.

Patient Statements

We send patient statements by text message when there is a balance on your account after your insurance has processed.

Important Notes for Out of Network Insurance

If WWH is out of network with your insurance, we encourage you to switch to an in-network provider.
For individuals that WWH does not accept and have out of network benefits, we encourage you to find an in network provider.
If you choose to receive care at WWH, you will be Self Pay – Full Fee.
Self pay patients may not schedule follow up appointments if there is a balance on their account.
Self pay patients must pay their full balance at the time of their visit and you are responsible for submitting to your plan for reimbursement.
For individuals who have Kaiser, Tricare Prime, Maryland or Virginia Medicaid MCOs, or Medicare Advantage plans that WWH does not accept, WWH is out of network, and we encourage you to switch to an in network provider. These plans do not offer out of network benefits and we cannot serve as your primary care provider, meaning we cannot complete prior authorizations or referrals.

WWH offers several services as "retail" services: Aesthetics (laser hair removal and fillers), Acupuncture (also offered to patients as a wellness service), and a few others.

These services are full fee services and not subject to any discounts.
We do not bill insurance and these are self-pay only.
If your insurance covers these services, you may seek reimbursement from your insurance plan but you will be expected to pay the full fee at the time of service.

Need Help with Insurance or Have Concerns about Costs

Our Public Benefits and Insurance Navigators can help you with eligibility for sliding fee, insurance options, and any programs to reduce out of pocket costs.

Call the Insurance Helpline 202.745.6151.

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