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Accepted Insurance

Whitman-Walker Health: Accepted Insurance

We are pleased to provide the following information to highlight commercial and public insurance plans that Whitman-Walker Health accepts. Whitman-Walker continuously reviews 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 enrol you in insurance if you are eligible or assist with problems you may be experiencing. Call 202.745.6151

If we do not participate in your insurance plan, you will be responsible for the full fee for your services. It’s important to note that you may have out-of-network benefits allowing you to seek reimbursement from your insurance plan for the fees that you pay WWH. Call your insurance plan’s customer service to find out more. 

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.   

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

Insurance WWH Accepts:

Medical and Behavioral Health Services

Aetna Plans – Aetna Benefit Category 1

  • Aetna Elect Choice (EPO)
    • A Whitman-Walker provider must be selected as PCP
  • Aetna Select

Aetna Plans – Aetna Benefit Category 3

  • Aetna Open Access Elect Choice
  • Open Access Aetna Select

Aetna Plans – Aetna Benefit Category 4

  • Aetna Choice POS
  • Aetna Choice POS II
  • Aetna Open Access Managed Choice

Aetna Plans – Aetna Benefit Category 5

  • Aetna Open Choice PPO

Aetna Plans – Aetna Benefit Category 6

  • 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
  • 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 POS
  • Cigna PPO
  • Cigna SAMBA FEP PPO

DC Healthcare Alliance

  • AmeriGroup
  • AmeriHealth
  • MedStar Family Choice

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

  • Fee for service – Medical, Behavioral Health, Dental
  • Managed Care Organizations – Medical, Behavioral Health, Dental
    • MedStar Family Choice
    • UHC Community Health Plan

*Dental provided through Maryland Healthy Smiles, however we only accept MedStar and UHC CHP MCO members

Medicaid – Virginia

  • Fee for service – Medical, Behavioral Health 
  • Managed Care Organizations – Medical, Behavioral Health

    • Anthem Healthkeepers Plus

*We are not contracted for dental services in Virginia Medicaid.

Medicare

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

*We only accept UHC’s Medicare Advantage plans.

TRICARE

  • TRICARE/Humana PPO (Standard)

United Behavioral Health

  • 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 Select EPO

  • UHC Select Plus HMO

  • Mamsi (PPO) 

Value Options

  • (Behavioral Health only)

Dental Services Plans

Aetna Dental

Care First Blue Cross Blue Shield Dental Plan

Cigna Dental

DC Healthcare Alliance 

*$1,000 annual limit for Alliance Dental.

  • 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 for Maryland Medicaid is provided through Maryland Healthy Smiles; note that WWH only accepts MedStar and UHC CHP MCO members.

Dominion Dental

MetLife Dental

Insurances that WWH does not accept (not exhaustive):

WWH only contracts with BCBS BlueChoice HMO, UHC Choice EPO, UHC Select EPO, UHC Select Plus HMO, DC Medicaid MCOs, and specific Maryland and Virginia Medicaid MCOs. For all other payers, WWH does not accept HMO products.

  • AARP Health Care Options
  • 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
  • United Healthcare plans from Virginia health insurance exchange and Maryland Health Connections
  • United Healthcare Choice Plus POS (VARIES**)
  • United Healthcare Compass Plan

Important information for anyone with insurance that WWH does not accept:

  • While we will bill your insurance company, you should be aware that your cost sharing may be significantly higher as Whitman-Walker Health will likely be treated as “Out of Network”. Therefore, it is entirely possible that your out-of-pocket costs may be 70-85%, depending on the specific plan. 
  • Please note that you have NO “Out of Network” benefits if you are enrolled in a Medicaid MCO that we do not accept or are enrolled in a Kaiser Health Plan. You would therefore be responsible for the full payment of services at WWH. We therefore encourage you to find an in-network provider.
  • WWH contracts with LabCorp to provide our internal lab services. Even if WWH does not accept your insurance, LabCorp might do so, therefore, please provide your insurance card to the Client Services team so LabCorp can directly bill your insurance.