Listed below are Managed Care and Other Insurance Plans that participate with Potomac Hospital as of February 1, 2008. If you have questions regarding your plan's participation with Potomac Hospital, please call (703) 670-1546 or (703) 670-1696.
Insurance pre-authorization guidelines have been established for Infusion Center patients. Click here to view the guidelines.
Potomac Hospital also participates with Medicare, Medicaid, TRICARE and most Non-Managed Care Insurance Plans.
Specific information on different insurance plans can be found by clicking on the underlined insurance companies. Please contact your insurance company for their authorization and referral procedures for respiratory therapy, CT scans, MRIs, diabetes management, nutrition counseling, physical therapy, EMGs and sleep studies, or if you have specific questions about the services that are covered under your health plan.
Insurance requirements and coverage can change quickly. The information here may not be current for your individual plan. For this reason we recommend that you contact your insurance company or your benefits manager to confirm your plan's coverage and to make sure that services are covered at Potomac Hospital.
Expenses Not Covered By Insurance
Deductibles, co-insurance and other charges not covered by your insurance will be requested at the time you are registered, or a deposit on such charges may be requested prior to your discharge from the hospital. If you provide accurate secondary insurance information, you will not be requested to pay these charges.
If you believe you will have difficulty paying the bill, it is important that you contact one of our Patient Account Representatives at (703) 670-1335. For payment of these expenses the hospital will accept cash, personal and travelers’ checks, and most major credit cards.
Potomac Hospital has a variety of payment options available to our patients. Patient Account Representatives are available at (703) 670-1335 to assist you in determining if you qualify for financial assistance, discounts, or whether there are programs available that will help pay your balance. You will also be advised of any federal, state, or local financial assistance programs for which you may be eligible.
Aetna - except elective outpatient lab services
Anthem - except elective outpatient lab services
CareFirst (Blue Cross Blue Shield) PPO
CIGNA
First Health Network - Mail Handlers
Great West Healthcare HMO, PPO & POS - Prior authorization is required for CT scans, MRIs and MRAs
Kaiser
MAMSI Life and Health/UnitedHealthcare - except elective outpatient lab services
MD IPA/UnitedHealthcare
Optimum Choice/UnitedHealthcare
Medicaid
Medicare
NCPPO
OneNet PPO/A United Healthcare Company (formerly Alliance)
PHCS (Private HealthCare Systems) PPO
TRICARE
UnitedHealthcare MidAtlantic
