Health Insurance Plans

Virginia Pediatric Group participates in the following insurance plans:

  • Aetna Health Plans (PPO, POS, HMO, MC, MCII, EPO)
  • Alliance/MAMSI Network/Optimum Choice/M.D.I.P.A. (PPO, HMO)
  • Ameriben/Anthem
  • Anthem Healthkeepers Plus (Medicaid)
  • Anthem PPO, POS, FEP
  • Beech Street
  • CareFirst Blue Choice (HMO)
  • Carefirst FEP
  • Carefirst PPO
  • Cardinal Care/FAMIS
  • Cardinal Care/VA Medicaid
  • Commonwealth of Virginia
  • CCN
  • Cigna Connect (Please contact Cigna Connect to pre-authorize before you visit.)
  • Cigna of the Mid Atlantic
  • First Health (PPO)
  • Georgetown Health Plan (NCPPO)
  • Great West PPO, POS, and One Plan Open Access (formerly One Health Plan)
  • Guardian (If we participate in the network. For example PHCS/ALLIANCE)
  • Humana PPO (CCN)
  • Kaiser PPO (Option 2 only)
  • Mail Handlers Benefit Plan
  • Multi-Plan Network (PPO)
  • NCPPO/National Capital PPO
  • PHCS/Private Healthcare Systems
  • Tricare Select (PPO)
  • Unicare (PPO, EPO)
  • United Healthcare Community Plan (Medicaid)
  • United Healthcare (formerly MetraHealth, Met-Life, and Travelers)

The following is a current list of insurance plans that Virginia Pediatric Group does NOT participate with:

  • Aetna Better Health (Medicaid)
  • Medicaid (Unicare HMO)
  • Molina/Magellan (Medicaid)
  • Tricare HMO (Prime)
  • Optima Health

We do continue to review new health plans. Our participation reflects a consideration of a variety of factors, including coverage of patient services, fee schedules, payer reliability, subspecialty and hospital selection, and administrative imposition.