Participating Insurance Plans

Insurance Company Plan Type Insurance Referral & Pre-Certification Requirements
Aetna HMO, PPO, EPO, Medicare Advantage

Pre-certification required for MRI, MRA, CT, CTA.

Contact Info: eviCore 1-888-693-3211

Website: https://www.evicore.com

HSG only for infertility – Aetna HMO only – Patient to call 1-800-575-5999

For 2nd or more OB sono, patient to call phone number on back of insurance card.

Anthem BS of Virginia Indemnity

Health Services Review required for MRI, MRA, CT, CTA, HSG for infertility examination or treatment.

Contact Info: Anthem 1-800-533-1120

Website through AIM: https://www.providerportal.com

Anthem HealthKeepers HMO, POS, Excludes 'Plus' Medicaid product

Health Services Review required for MRI, MRA, CT, CTA, HSG for infertility examination or treatment.

Contact Info: Anthem 1-800-533-1120

Website through AIM: https://www.providerportal.com

Anthem KeyCare PPO

Health Services Review required for MRI, MRA, CT, CTA, HSG for infertility examination or treatment.

Contact Info: Anthem 1-800-533-1120

Website through AIM: https://www.providerportal.com 

For 3rd or more OB sono, patient to call the phone number on the back of insurance card. 

CareFirst BlueChoice HMO, POS

No pre-certification requirements. 

CareFirst BluePreferred PPO PPO

No pre-certification requirements. 

CareFirst BS NCA Indemnity

No Pre-certification requirements. 

 

ChoiceCare | Humana Network PPO

Member should contact ChoiceCare for pre-certification guidance.

Contact Info: ChoiceCare 1-866-825-1550

Website: https://www.choicecarenetwork.com

Cigna PPO, HMO, POS

Pre-certification is required for MRI, MRA, CT, CTA, HSG for infertility examination or treatment.

Contact Info: eviCore 1-888-693-3211

Website: https://www.evicore.com

Cigna | APWU Employer Group Only APWU Employer Group

Pre-certification required for MRI, MRA, CT, CTA, HSG.

Contact Info: Care Allies 1-800-582-1314

Website: https://www.careallies.com

Cigna | Samba Employer Group Only Samba Employer Group

Pre-certification required for MRI, MRA, CT, CTA, HSG.

Contact Info: Care Allies • 1-800-582-1314 

Website: https://www.careallies.com

Compass Rose Health Plan | UMR PPO

Member should call the home plan phone number on the back of the insurance card for pre-certification guidance. 

Foreign Service Benefit PPO

Pre-certification required for MRI, MRA, CT, CTA, HSG.

Contact Info: Foreign Service 1-800-593-2354

John Hopkins Health Plan EHP PPO

Pre-certification is required for MRI, MRA, CT, CTA, HSG for infertility examination.

Contact Info: 1-800-261-2393

Website: https://hopkinsmedicine.org/johns_hopkins_healthcare

John Hopkins US Family Health Plan TRICARE HMO

Pre-certification is required for MRI, MRA, CT, CTA, HSG for infertility examination.

Contact Info: 1-800-808-7374

Website: https://www.hopkinsmedicine.org/john_hopkiins_healthcare

Kaiser Permanente HMO, POS

Authorized referral is required for all exams with the exception of screening mammograms. 

Mail Handlers PPO

Pre-certification is required for MRI, MRA, CT, CTA, HSG.

Contact Info: Mail Handlers 1-800-410-7778

MDIPA | Washington Radiology Offices in Maryland Preferred POS Only

For access to Washington Radiology's Maryland clinical offices, plan must state 'Preferred' and card must state 'RAD=MONT.' Pre-certification is required for CT of the brain, chest, musculoskeletal, colonography, abdomen/pelvis (without contrast); MRI of the brain, musculoskeletal, heart; HSG for infertility examination or treatment. Referral is required for MRI of breast, neck, face, orbits, IACs; MRA of the head.

Contact Info: 1-877-842-3210

Website: https://www.unitedhealthcareonline.com

MDIPA | Washington Radiology Offices in Virginia and D.C. HMO, POS

For access to Washington Radiology's Virginia clinical offices, card must state 'RAD=NOVA.' In D.C., card must state 'RAD=DC.' Pre-certification is required for CT of the brain, chest, musculoskeletal, colonography, abdomen/pelvis (without contrast); MRI of the brain, musculoskeletal, heart; HSG for infertility examination or treatment. Referral is required for MRI of breast, neck, face, orbits, IACs; MRA of the head.

Contact Info: 1-877-842-3210

Website: https://www.unitedhealthcareonline.com

Medicare PPO

Pre-Certification requirements vary. Members should check with their insurance company.

See phone number on the back of insurance cars.

Website: https://www.multiplan.com

OneNet PPO PPO

Pre-certification requirements vary. Members should check with their benefits manager or call the member service number listed on their card. 

Optimum Choice, INC. | Washington Radiology Offices in Maryland Only Preferred POS Only

For access to Washington Radiology's Virginia clinical offices, card must state 'Preferred' and card must state 'RAD=MONT.' Prior notification is required for MRI, MRA, CT, CTA, 3D Rendering, HSG for infertility or treatment.

Contact Info: MDIPA 1-877-842-3210

Website: https://www.unitedhealthcareonline.com

Optimum Choice, INC. | Washington Radiology Offices in Virginia and DC Only HMO, POS

For access to Washington Radiology's Virginia clinical offices, card must state 'RAD=NOVA.' In DC, card must state 'RAD=DC.' Prior notification is required for MRI, MRA, CT, CTA, 3D Rendering, HSG for infertility or treatment.

Contact Info: MDIPA 1-877-842-3210

Website: https://www.unitedhealthcareonline.com

Peace Corps Health Benefit Program Private

Insurance referral is required for all exams. 

Private Healthcare Systems | PHCS PPO

Pre-certification requirements vary. Members should check with their Employee Benefits Plan Manager.

See the phone number listed on the back of insurance card.

Website: https://www.phcs.com

TRICARE Standard Government

No pre-certifications requirements. 

United Healthcare Choice | Select HMO, PPO, POS, Excludes Medicaid Product

Prior notification is required for MRI, MRA, CT, CTA, 3D Renderings.

Contact Info: 1-866-899-8054

Website: https://www.unitedhealthcareonline.com

United Healthcare Choice | Select | GEHA Employer Group Only GEHA Employer Group

Pre-certification is required for MRI, MRA, CT, CTA.

Contact Info: eviCore 1-888-693-3211

Website: https://www.evicore.com