To speak to our billing office directly, please call (301)279-6750 option 7.

We participate with the following Insurance Plans:

  • Aetna – HMO, PPO
  • Beech Street PPO
  • Carefirst
  • Carefirst Administrators
  • Cigna – HMO, PPO (Great West)
  • Coventry – PPO Only
  • GEHA
  • Golden Rule
  • Informed
  • Johns Hopkins – EHP Only
  • NCAS
  • OneNet PPO
  • Oxford
  • PHCS – Evergreen Health
  • Tricare Standard, Reserve Select, Retired Reserve, TYA Standard – (Out of Network)
  • UMR
  • United HealthCare – MAMSI, MDIPA, Optimum Choice
  • Most Maryland Health Exchange Plans

 

**We do not participate with:

  • Any form of Maryland Medical Assistance programs (This includes Amerigroup, Maryland Physicians Care, Priority Partners, United HealthCare MCO)
  • United HealthCare Compass (including plans offered by Maryland Health Exchange)
  • Travel Insurances

If your insurance plan does not appear on the list above, or you want to confirm that we do participate with your insurance policy, you may call our office at (301)279-6750 to discuss your specific situation. If we do not participate with your plan you may still join our practice; however, you will be required to pay fee-for-service at the time the services are rendered. While we do not submit claims to out of network insurance companies, we are able to provide necessary documentation should you wish to submit for reimbursement

Please familiarize yourself with the specifics of your insurance contract including coverage benefits and limitations. While we will submit claims for plans we contract with, we are not responsible for knowing the specifics of each individual policy. Should you receive or request a test or procedure that is not covered by your plan, any outstanding charges will become ‘patient responsibility’. Contact your insurance company with questions about your individual policy.

Our billing staff is available to discuss your account at your request. Billing staff can be reached Monday through Friday from 8:00 am to 5:00 pm. To reach the billing department directly call (301) 279-6750 option 5. You can also reach our billing staff at billing@potomacpediatrics.com.

All families are required to keep a credit card on file. When your family comes in for your first office visit you will be asked to put your credit card on file. Please click the link below to review our Credit Card on File Agreement and FAQ’s.

Credit Card on File Authorization & FAQ’s