Accepted Insurance

Patients & Visitors / Accepted Insurance

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 enroll you in insurance if you are eligible or assist with problems you may be experiencing. Call 202.745.6151.

If we do not participate with 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 paid Whitman-Walker Health. 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 and payments, please contact our Patient Health Billing team at 202.797.3524.

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

BC/BS Plans

HMO Plans

  • BlueChoice HMO
    • A Whitman-Walker provider must be selected as PCP
  • Blue Choice HMO Opt-Out Open Access
  • Blue Choice HMO Opt-Out Plus

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

  • AmeriHealth
  • CareFirst Community Health Plan (formerly Trusted Health Plan)
  • 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)
    • AmeriHealth
    • CareFirst Community Health Plan (formerly Trusted Health Plan)
    • HSCSN
    • MedStar Family Choice

     

Medicaid – Maryland

  • Fee for service – (Medical, Behavioral Health, Dental)
  • Managed Care Organizations – (Medical, Behavioral Health) 
    • MedStar Family Choice
      • (Note: No adult dental benefits for Maryland Medicaid)

 

Medicaid – Virginia

  • Fee for service
  • Managed Care Organizations – (Medical, Behavioral Health)
    • Anthem Healthkeepers Plus
      • (Note: No adult dental benefits for Virginia Medicaid)

Medicare

  • Fee for service
  • Whitman-Walker Health does not accept any Medicare Advantage plans

TRICARE

  • TRICARE/Humana PPO (Standard)

United Behavioral Health

  • United Behavioral Health

United Healthcare

  • United Healthcare Choice
  • United Healthcare Choice EPO
    • A Whitman-Walker 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 Mamsi (PPO)

Value Options

  • (Behavioral Health only)

** While we will bill your insurance company for this plan, you should be aware that your cost sharing may be significantly higher as Whitman-Walker Health may be treated as out of network so your costs may be 70-85 percent, depending on the specific plan.

Dental Services Plans

Aetna Dental

Care First Blue Cross Blue Shield Dental Plan

Cigna Dental

District of Columbia Medicaid / Alliance

  • DC AmeriHealth Alliance ($1,000 annual limit) – Scion
  • DC AmeriHealth Medicaid – Scion
  • DC HSCSN – QPA
  • DC Medicaid Fee for Service
  • DC MedStar Alliance ($1,000 annual limit) – Avesis
  • DC MedStar Medicaid – Avesis
  • DC Trusted Health Plan Alliance ($1,000 annual limit) – Avesis
  • DC Trusted Health Plan Medicaid – Avesis

MetLife Dental

Dominion Dental

Insurances that Whitman-Walker Health does not accept (not a full list):

Whitman-Walker Health only contracts with BCBS BlueChoice HMO and DC Medicaid MCO products and specific Maryland and Virginia Medicaid MCOs. For all other payers, Whitman-Walker Health 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 Choice Plus POS (VARIES**)
  • United Healthcare Compass Plan

    Let's Keep in Touch

    Get the latest Whitman-Walker Health community news delivered to your inbox!