Insurance

As of 12/01/2023

In-Network Providers

We are in-network with multiple insurance carriers.

This list is not all-inclusive. It is updated periodically and may be subject to change. We recommend you contact your insurance carrier directly to verify Dr. Dana McGinty is an in-network provider.

Note: All deductibles and copays for patients with in-network insurances are expected to be paid at the time of visit. Patients with out-of-network insurance will be required to pay the cost of the visit at the time of service. Patients without insurance will be considered self-pay patients and expected to make payment at the time of service.

Aetna

  • Aetna CDHP (Choice® POS II network)
  • Aetna PPO (Choice® POS II network)
  • CDHP PPO
  • HMO Open Access
  • Open Choice PPO
  • PPO

Carefirst (Blue Cross Blue Shield)

  • BlueChoice Advantage
  • BlueChoice HMO
  • BlueChoice HMO Open Access
  • BlueChoice HMO Referral
  • BlueChoice Network (HMO Network)
  • BlueChoice Opt-Out Open Access
  • BlueChoice Opt-Out Plus Open Access (POS)
  • BlueChoice Plus
  • BlueCross BlueShield Federal Employee Program (FEP)
  • BluePreferred PPO
  • EPO
  • HealthyBlue (HMO, POS, PPO)
  • Medicare Advantage (PPO)

Cigna

  • Choice Fund PPO
  • ChoiceFund OA Plus with CareLink
  • ChoiceFund OA Plus
  • Mid Atlantic
  • OA Plus
  • Open Access Plus
  • PPO

Medicaid

District of Columbia Medicaid*

*We accept “straight” Medicaid . We do not accept any Medicaid Managed Care Organizations (MCOs) or managed care plans such as: Amerigroup DC, AmeriHealth Caritas DC, or MedStar Family Choice DC. The progams typically include TANF, TANF-related, immigrant children, 50-64 childless adults, and SCHIP recipients.

Medicare

  • Aetna Medicare Advantage HMO & PPO
  • Medigap plans
  • Original Medicare FFS Part B
  • United Healthcare Medicare Advantage

United HealthCare

  • Medicare Advantage

Deductible Payment Policy: We collect $125 at the time of service for patients who have medical insurance policies with deductibles. If you are unsure about your policy, please call your insurance company to find out whether your policy has a deductible and what the deductible amount is. 

Out-of-Network Insurances

Patients with out-of-network health insurance plans are required to pay 100% of their appointment costs at the tome of each visit.

Dr. Dana McGinty is OUT-OF-NETWORK with the following specific health insurers:

  • All HMO Plans
  • All Dual Eligible Plans
  • All Dual Choice Plans
  • United Healthcare – Choice Plus
  • United Healthcare – UMR

Third Pary Insurance Payers

Some “insurances” are not actually insurance, but benefit programs that use an existing insurance’s network of providers. While we may be in-network with the plans they are associated with, our practice is opting out of third-party agreements with our in-network providers. While your insurance will claim that we are “in-network” (because they only look up the standard networks), your claim will be processed as “out-of-network.” This means we do not accept payment or benefits from these companies that have licensed a major insurance’s network to offer their members. We will still process these claims, as usual, but they will be considered out-of-network and you will be responsible for payment up front.

Secondary Insurances

We do not file claims with secondary insurance providers. To make sure your secondary claims are processed smoothly, please contact your primary insurer and make sure your secondary insurance is on file with them.

Often, if you have a secondary insurance on file with your primary, the primary insurer will automatically forward any charges that are not completely covered to your secondary insurance for processing.