Inova Physician Enterprise
Insurance List Participating List Non-Participating List Aetna Better Health of Virginia (CCC Plus and D-SNP)1 Cigna SureFit Aetna PPO, POS and HMO Cigna Medicare Advantage (Inova will be par as of 1/1/21) Aetna Coventry Aetna Coresource Aetna/First Health Anthem PPO (Blue Cross of Virginia) Health First Anthem Healthkeepers (HMO) Anthem Healthkeepers Plus (Medicaid, CCC Plus and D-SNP) 1 Blue Cross Blue Shield (BCBS) Humana (All plans except Medicare Advantage and Military) BCBS Federal Employee Program (FEP) BCBS Out of State CareFirst Blue Choice (HMO) CareFirst PPO CareFirst Administrators Cigna PPO John Hopkins (All plans except US Family Health Plan) Cigna POS Cigna HMO Cigna Connect Cigna Behavioral Health Government Employees Health Association (GEHA) Kaiser Humana Medicare Advantage (As of 6/25/20) Medicare Advantage Out of State plans Innovation Health (Aetna) Optima Health Commercial John Hopkins US Family Health Plan Out of State Medicaid Magellan Complete Care of Virginia (CCC Plus and D-SNP) 1 Veterans Administration (Can be seen with referral from VA) Medicare Part A: Hospital services Virginia Medicaid (for Primary Care) Medicare Part B: Physician services Medicare Advantage plans: Virginia Medicaid Managed Care for the State of VA: Aetna, Anthem, United, Optima Health, Innovation Health, Kaiser (VA Premier-Kaiser Collaboration) Magellan, Virginia Premier, Humana (as of 6/25/2020) MedCost Virginia, MedCost Virginia Plus, MedCost Virginia Ultra (formerly known as Virginia Health Network – VHN) Multiplan/PHCS Optima Health (Medicaid, HMO-SNP and CCC Plus Plans only) 1 Tricare East (Humana Military), Tricare Select, Tricare Prime, Tricare for Life, Champ VA, Veterans Choice Program United Healthcare (UHC): PPO, POS, HMO and GEHA United Healthcare Community Plan (CCC Plus and D-SNP) 1 Virginia Medicaid (Specialists ONLY) Virginia Medicaid Medallion 4.0 & FAMIS: Aetna Better Health of Virginia, Anthem HealthKeepers Plus, United Healthcare Community Plan, Virginia Premier, Optima Health, Magellan Complete Care Virginia Premier Health Plan CCC Plus1 (Elite and Elite Plus) 1CCC = Commonwealth Coordinated Care, D-SNP = Dual Special Needs Plans
Participating: Inova hospitals and employed providers are enrolled in these insurance plans. In-network copays, coinsurances and deductibles apply. Prior authorization or referral may still be needed. Contact your insurance carrier for more information.
Non-Participating: Inova hospitals and employed providers are considered out of network for these insurance plans. Patients may be able to use out of-network benefits to access these providers, if such benefits exist.
Effective: June 25, 2020