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Referral Policy

Insurance Participation & Referral Policy

To help ensure a smooth visit, please review the information below before your appointment. If you have any questions about your insurance coverage or referral requirements, we encourage you to contact your insurance company prior to your visit.

Insurance Plans We Do Not Accept

We are not participating providers with the following insurance plans:

  • Cigna HealthSpring
  • Maryland Physicians Care (Medicaid)
  • Wellpoint / Amerigroup
  • Aetna Better Health
  • CareFirst BlueCross BlueShield Community Health Plan (Medicaid)
  • JAI Medical Systems
  • Maryland Medicaid (White & Red Card) – Patients must select a participating Managed Care Organization (MCO)
  • Kaiser Permanente
  • MedStar Family Choice
  • UnitedHealthcare Medicare Advantage (PPO) – Out-of-network. Patients may choose to be seen but must sign an out-of-network financial consent. (HMO plans are not accepted.)

Insurance Plans That Require a Referral

The following insurance plans require a referral from your Primary Care Provider (PCP) before your dermatology appointment

  • All HMO plans
  • Aetna HMO
  • Aetna Medicare Advantage HMO
  • CareFirst BlueCross BlueShield HMO
  • Johns Hopkins Medicare Advantage HMO
  • Priority Partners
  • Tricare Prime
  • Tricare US Family Health Plan (USFHP)
  • UnitedHealthcare HMO
  • UnitedHealthcare Community Plan (Medicaid)- Referrals must be submitted through the UnitedHealthcare (UHC) provider portal. Paper Maryland Uniform Consultation Referral Forms cannot be accepted.

If you are unsure whether your insurance requires a referral, please contact your insurance company directly to verify your benefits. It is the patient's responsibility to obtain any required referrals before their appointment.

If a referral is required, please contact your Primary Care Provider and request that it be submitted either:

  • Through your insurance plan's referral portal, or
  • On a Maryland Uniform Consultation Referral Form

Please ensure the referral is submitted under our corporate name:

INTEGRATED DERMATOLOGY GROUP

Important

Failure to obtain a required referral prior to your appointment may result in:

  • Rescheduling your appointment, or
  • Financial responsibility for the visit if your insurance denies the claim due to the absence of a valid referral.

If you have any questions regarding your insurance coverage or referral requirements, please contact our office. We are happy to assist you.

New Patients

Please arrive 15 minutes ahead of your appointment.