Insurance & Patient Forms
We've made it easy to understand your coverage and prepare for your visit so you can focus on your skin, not the paperwork.
Insurance & Billing
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Aetna (PPO, POS, HMO, EPO, Select, Medicare, Mailhandlers, Meritain)
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Aetna Innovation Health (National Network Plans, Medicare Advantage Plans)
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BCBS (Carefirst, BlueChoice, Federal, PPO, HMO, GHMSI) — Out-of-state BCBS can be seen under our local contract
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Carefirst CHPMD (Medicaid)
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Cigna (PPO, POS, OpenAccess, HMO, NALC, APWU)
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Cigna HealthSpring
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Claimsbridge
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Coresource
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FairPrice Health Care
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First Health
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Health Partners Plan (Medicare Advantage)
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Humana (ChoiceCare PPO, Medicare HMO, Medicare PPO, Medicare PFFS)
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Humana Military (Tricare for Life, Prime, Champus, Standard, Reserve)
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Johns Hopkins (EHP, USFHP, Medicare Advantage, Priority Partners — MD Medicaid)
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Magellan Medicare
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Maryland Medicaid
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Maryland Physicians Care
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Medicare
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Medstar (Select, HealthChoice — MD Medicaid)
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Multiplan
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PHCS
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Provider Partners (Medicare Advantage HMO)
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Railroad Medicare
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Tricare
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United Healthcare (PPO, HMO, UMR, Optimum Choice, Compass Rose, UMR, United Shared Services, United Integrated, Oxford, Tufts, Empire, Evercare, GEHA, Golden Rule, AARP)
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UPMC (Commercial and Medicare Advantage) — NOT Medicaid/UPMC For You
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Veteran's Choice/Optum
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Virginia Premier
*This is not a guarantee of participation or insurance coverage.
Accepted Maryland Medicaid MCO Plans
- Priority Partners
- Maryland Physicians Care
- Carefirst CHPMD
- MedStar Family Care
We Do Not Accept
- Aetna Better Health
- Amerigroup
- AmeriHealth
- Jai Medical
- UHC Community Plan
- Worker’s Comp
- UPMC For You
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Aetna (PPO, POS, HMO, EPO, Select, Medicare Advantage, Meritain, Mailhandlers)
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Americhoice (Aetna, Anthem, Cigna, Humana, CoverKids)
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Amerigroup
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Assurant Health
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BCBS of Tennessee — Blue Network S & P, BlueCare, Medicare Advantage PPO, TennCare Select, BlueCare Plus
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BCBS (Other States) — Non-Medicaid plans can be seen under the BCBS BlueCard program. Patients should call their insurance company to verify in-network benefits with out-of-state providers.
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Cigna — HMO, PPO, Open Access Plus, LocalPlus, POS, Cigna Connect IFP
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Cigna HealthSpring
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Great West (Cigna)
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Humana — HMO, ChoiceCare PPO, KnoxPPOx, Medicare HMO and PPO
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Humana Military/Tricare — Tricare Prime, Tricare Prime Remote, Tricare Point of Service, Tricare Select, Tricare for Life, Tricare for National Guard and Reserve, Tricare Reserve Select, Tricare Retired Reserve, Tricare Young Adult Program, Tricare ECHO
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KCIC (Health Dept. Indigent Care) — Referral required
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Liberty HealthShare
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Medicare
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Medicare Secondary/Supplement Plans (examples: United American, Mutual of Omaha, American Republic)
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Multiplan
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PHCS
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Prime Health
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Railroad Medicare
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TennCare: Amerigroup, BlueCare, TennCare Select, United HealthCare
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TriWest/Veteran's Choice — Authorization required
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United Health Care — Commercial Plans, Medicare Advantage PPO, AARP, UMR, Golden Rule, Heritage, Charter, United Health Shared Services, GEHA, Oxford, AllSavers, Community Plan (TennCare), Student Resources — No Navigate, Compass, or Core plans
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WellCare Medicare Advantage
We Do Not Accept
- Aetna Better Health
- BlueChoice Medicare Advantage HMO
- Out-of-state Medicaid programs
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Aetna — Open Choice PPO, Aetna Select, Elect Choice EPO, HMO, Managed Choice POS, Open Access Plans, HealthFund Plans, North Carolina Health Network Option, Medicare PPO, Medicare HMO
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Alignment — Medicare only
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BCBS — Federal, Blue Advantage, Blue Care, Blue Home, Blue Options, Blue Select, Blue Value, Classic Blue, North Carolina State Health Plan Network, Blue Medicare HMO, Blue Medicare PPO
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Bright Health — Medicare only
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Cigna — All plans, including Surefit and Connect (non-par with Cigna Connect EPO)
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First Carolina Care — Only in the following counties: Chatham, Hoke, Lee, Montgomery, Moore, Scotland, Richmond
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Humana
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MedCost
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Medicare
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Medicaid — Not accepting new patients; providers are credentialed for secondary claims
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Multiplan/PHCS
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Railroad Medicare
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Tricare/Humana Military
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United HealthCare Commercial — Charter (HMO, EPO), Core (HMO, EPO), Navigate, Nexusaco, Core Choice Plus POS, Doctors Plan (EPO, Plus HMO, Plus POS), Choice Plus POS, PPO, Select EPO, Select Plus POS, Choice EPO, Navigate Plus, Choice HMO/HMO+, Select HMO/HMO+
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United HealthCare Medicare Advantage — PPO, HMO, Dual Complete (PPO, HMO, POS), Nursing Home Plan (HMO, PPO), Assisted Living Plan (HMO, PPO), AARP Medicare Advantage Focus PPO, AARP (Plan 1, Plan 2, Essential, Walgreens, Premier, Advantage Choice, Headwaters, Lakeshore, Riverbank), Erickson Advantage (HMO, POS, Guardian, Champion, Freedom, Liberty), Sync, Regional PPO, Medicare Gold
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WellCare NC — Medicare only
Patient Forms
To help us serve you better from the moment you arrive, please complete any forms your provider requests before your appointment. Your care team will let you know which forms apply to your visit. If you have questions about what to bring, don't hesitate to call our office ahead of time.
CareCredit
CareCredit helps you pay for out-of-pocket healthcare expenses for health, wellness, and beauty treatments. Once you are approved, you can use it to help manage costs not covered by insurance and make the procedures you want possible.
Ready to Take the Next Step?
Our team is here to make your visit as smooth as possible from your first call to follow-up care.
