| Name
of Plan |
Referral Needed |
Script Needed |
Pre- Authorization Required |
|
Aetna/US Healthcare |
X
|
|
|
|
Aetna MC/PPO |
|
X
|
|
|
Alliance PPO |
|
X
|
|
|
Allmerica Financial/PHCS |
|
X
|
|
|
America's Health Plan |
|
X
|
|
|
BCBS of VA |
|
X
|
|
|
Benefit Trust Life Ins. |
|
X
|
|
|
Capital Care (BC/BS) |
X
|
X
|
|
|
CAPP CARE |
|
X
|
|
|
CareFirst BCBS of DC |
|
X
|
|
|
Carefirst BCBS of MD |
|
X
|
|
|
CCN (Community Care Network) |
|
X
|
|
|
Champus/Tricare |
|
X
|
|
|
CMSIP Children's Medical |
|
X
|
|
|
Cigna HMO |
|
|
X
|
|
Cigna PPO |
|
X
|
|
|
Community Care Network |
|
X
|
|
|
Community Healthcare Networks |
|
X
|
Bone
Density |
|
Confed Managed Healthcare, Inc. |
|
X
|
|
|
CoreSource |
|
X
|
|
|
Corvel |
|
|
X
|
|
Dunn & Bradstreet Corp. (DUNS) |
|
X
|
|
|
First Health |
|
X
|
|
|
Fortis Benefits Insurance Co. |
|
X
|
|
|
General American Life Insurance Co. |
|
X
|
|
|
Great-West Benefits Service, Inc. |
|
X
|
|
|
Guardian Life Insurance Co. of America |
|
X
|
|
|
HPO, Inc. |
|
X
|
|
|
HealthKeepers (Physicians Health Plan) |
|
|
X
|
|
Health Payors Organization |
|
X
|
|
|
Humana Group Health Plan/Choice Care Network |
X
|
|
|
|
Kaiser Permanente |
X
|
|
|
|
Kirke Van Orsdel (KVI) |
|
X
|
|
|
Mailhandlers |
|
X
|
|
|
Mamsi |
|
X
|
|
|
Mamsova |
|
X
|
|
|
MDIPA |
X
|
|
|
|
Medicaid - Virginia & Medallion Medicaid |
|
X
|
|
|
Medicare Trailblazers |
|
X
|
|
|
Medicare Railroad |
|
X
|
|
|
Medlink |
|
X
|
|
|
Motorola Health Advantage Plan (PHCS) |
|
X
|
|
|
Mutually Preferred PPO-Mutual of Omaha |
|
X
|
|
|
National Advantage Program |
|
X
|
|
|
NCHP - National Capital Health Plan |
|
|
Thallium, Muga, PET |
|
NCPPO |
|
X
|
|
|
One Health Plan |
|
X
|
|
|
Optimum Choice |
X
|
|
|
|
PHCS (Private Health Care Systems) |
|
X
|
|
|
Physicians Health Plan of Maryland |
|
X
|
|
|
SAI Med |
|
X
|
Bone Scan, DEXA, EKG, Thallium |
|
Sanus Passport |
|
X
|
|
|
Time Insurance Co. |
|
X
|
|
|
The World Bank Group (NCPPO) |
|
X
|
|
|
Total Program Admin. (UP & UP) |
|
X
|
|
|
Travelers Workers' Comp. |
|
X
|
|
|
Trigon BCBS |
|
X
|
|
|
Unicare (NCHP) |
|
X
|
|
|
United Healthcare |
|
X
|
|
|
United Payors & United Providers |
|
X
|
|
|
Washington National Insurance Co. |
|
X
|
|
