insurance accepted at washington radiology

PARTICIPATING INSURANCE PLANS

Washington Radiology works with Medicare and all major private insurance plans across the DC metropolitan area, Northern Virgina and Maryland. This comprehensive list of participating plans is listed below, along with a brief summary of their precertification requirements. If you don't see your plan listed below or if you have questions, please call us at 703-641-9133 Ext. 1195.

INSURANCE COMPANY PLAN TYPE INSURANCE REFERRAL & PRE-CERTIFICATION REQUIREMENTS
Aetna HMO | PPO | EPO | Medicare Advantage

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

Pre-Cert Contact Info: eviCore • 1-888-693-3211

Pre-Cert Website: https://www.evicore.com

HSG only for infertility – Aetna HMO only – 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.

Pre-Cert Contact Info: Anthem • 1-800-533-1120

Pre-Cert Website through AIM: https://www.providerportal.com

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

Health Services Review required for all imaging studies except x-ray, mammography. Health Services Review also required for HSG for infertility examination or treatment.

Pre-Cert Contact Info: Anthem • 1-800-533-1120

Pre-Cert 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.

Pre-Cert Contact Info: Anthem • 1-800-533-1120

Pre-Cert Website through AIM: https://www.providerportal.com

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

BCBS Out-of-State Plans PPO | HMO | POS

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

CareFirst BS NCA Indemnity

No pre-certification requirements.

CareFirst BluePreferred PPO PPO

No pre-certification requirements.

CareFirst BlueChoice HMO | POS

No pre-certification requirements.

ChoiceCare | Humana Network PPO

Member should contact ChoiceCare for pre-certification guidance.

Pre-Cert Contact Info: ChoiceCare • 1-866-825-1550

Pre-Cert Website: https://www.choicecarenetwork.com

CIGNA PPO | HMO | POS

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

Pre-Cert Contact Info: eviCore • 1-888-693-3211

Pre-Cert Website: https://www.evicore.com

CIGNA | APWU Employer Group only APWU Employer Group

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

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

Pre-Cert Website: https://www.careallies.com

CIGNA | Samba Employer Group only Samba Employer Group

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

Pre-Cert Contact Info: Care Allies • 1-800-877-9735

Pre-Cert Website: https://www.careallies.com

Compass Rose Health Plan | UMR PPO

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

Foreign Service Benefit Plan PPO

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

Pre-Cert Contact Info: Foreign Service • 1-800-593-2354

 

Johns Hopkins Health Plan EHP PPO

Pre-certification required for Cardiac Calcium Scoring, CT Heart/Angiography, Breast MRI.

Pre-Cert Contact Info: 1-800-261-2393

Pre-Cert Website: https://www.hopkinsmedicine.org

Johns Hopkins US Family Health Plan TRICARE HMO

No pre-certification requirements.

Kaiser Permanente HMO | POS

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

Mail Handlers PPO

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

Pre-Cert Contact Info: Mail Handlers • 1-800-410-7778

MDIPA | 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'.

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.

Pre-Cert Contact Info: MDIPA • 1-877-842-3210

Pre-Cert Website: https://www.unitedhealthcareonline.com

MDIPA | Washington Radiology offices in Maryland only Preferred POS only

For access to Washington Radiology's Maryland clinical offices, plan must be “Preferred” and card must state 'RAD=MONT'.

Pre-certification 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.

Pre-Cert Contact Info: MDIPA • 1-877-842-3210

Pre-Cert Website: https://www.unitedhealthcareonline.com

Medicare Government

No pre-certification requirements.

MultiPlan PPO

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

Pre-Cert Contact Info: See phone number on back of insurance card.

Pre-Cert 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 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'.

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.

Pre-Cert Contact Info: MDIPA • 1-877-842-3210

Pre-Cert Website: https://www.unitedhealthcareonline.com

Optimum Choice, Inc. | Washington Radiology offices in Maryland only Preferred POS only

For access to Washington Radiology's Maryland clinical offices, plan must be “Preferred” and card must state 'RAD=MONT'.

Pre-certification 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.

 

Pre-Cert Contact Info: MDIPA • 1-877-842-3210

Pre-Cert Website: https://www.unitedhealthcareonline.com

Peace Corps Health Benefit Program Private

Insurance referral required for all exams.

Private Healthcare Systems | PHCS PPO

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

Pre-Cert Contact Info: See phone number on back of insurance card.

Pre-Cert Website: http://www.phcs.com

Railroad Medicare Government

No pre-certification requirements.

TRICARE Standard Government

No pre-certification requirements.

United Healthcare Choice | Select HMO | PPO | POS | Excludes Medicaid product

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

Pre-Cert Contact Info: 1-866-889-8054

Pre-Cert Website: https://www.unitedhealthcareonline.com

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

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

Pre-Cert Contact Info: eviCore • 1-888-693-3211

Pre-Cert Website: https://www.evicore.com

scheduling

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To schedule with a team member in our call center, please dial 703-280-9800. To request an appointment online, click here. We look forward to seeing you at one of our seven convenient locations.