CIGNA HEALTHCARE MID-ATLANTIC. Important plan information for: The Maryland, Northern Virginia and Washington, DC Areas

Transcription

1 CIGNA HEALTHCARE MID-ATLANTIC Important plan information for: The Maryl, Northern Virginia Washington, DC Areas

2 Contents Contents Fall 2004 Passionately committed to making every experience with CIGNA HealthCare positive highly satisfying. For everyone. Every time. Go to to create an on-line personalized provider directory. A Business of Caring. 3 CIGNA LIFESOURCE Transplant Network sm 6 CIGNA HealthCare Care Facilitation 8 Provider Compensation 10 Service Area 11 How to Read the Physician Listing 15 Primary Care Physicians 16 Obstetricians/Gynecologists 81 Specialists 104 Hospitals 227 Preferred Surgery Centers 228 Participating Surgery Centers 230 Urgent Care Services 231 Other Services 232 Laboratory Services 239 Radiology Services 241 Radiation Oncology Centers 244 Physical Therapists 245 Pharmacies 246 Vision Care Providers 250 Mental Health / Substance Abuse 262 Index 263 1

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4 A Business of Caring. 3 A Business of Caring. WHO WE ARE The CIGNA HealthCare companies make up one of the largest health care organizations in the world. More than 11 million people are covered under CIGNA HealthCare medical plans in the U.S. We are where you are. CIGNA HealthCare has a national presence, but we also have a local focus in most areas. This means local medical directors health services representatives work to provide you with access to quality care. WHAT YOU CAN EXPECT You choose your doctor. This guide can help. Convenient access to quality health care. Before joining the CIGNA HealthCare network of contracted physicians, doctors must meet CIGNA HealthCare stards through a process called credentialing. We regularly review physicians credentials to help ensure they continue to meet these stards. Medical coverage. Your plan includes coverage for diagnosis treatment of illness injury, a regular program of preventive care to help keep you your family well. Responsive customer service. Whether on our Web site, by phone when you talk to a CIGNA HealthCare Member Services representative or through our automated telephone system, you have easy access to consistent, accurate, timely information about your plan when it s convenient for you. ABOUT THIS DIRECTORY The following pages list the independent doctors other health care providers in this area who participate in the CIGNA HealthCare network. You can use this directory to select your Primary Care Physician (PCP) for yourself each covered member of your family. You can also use it to locate participating specialists, hospitals, other health care providers. An updated listing of participating providers is always available at You can use our online directory to: search for participating physicians, hospitals providers. download your own personalized provider directory to have on h when you need it. For more information, please visit or call CIGNA HealthCare Member Services at the toll-free number on your CIGNA HealthCare ID card.

5 4 A Business of Caring. YOUR CIGNA HEALTHCARE ID CARD You ll receive your CIGNA HealthCare ID card after you ve enrolled. Your PCP serves as a source for advice direction. Keep your CIGNA HealthCare ID card with you at all times. Show it whenever you visit a health care provider. WORKING WITH YOUR DOCTOR When you choose your Primary Care Physician (PCP) to be your personal physician, you establish develop a relationship that remains a reassuring part of your plan. Each member of your family can choose his or her own PCP. The PCP serves as a home base for basic care a source for advice direction. From preventive checkups routine medical care to coordination of specialized care hospitalizations, a PCP s involvement can mean earlier interventions more effective outcomes. If required as a part of your plan, your PCP will also provide you with referrals to specialists when necessary. See your plan materials to learn whether your plan requires you to have a referral before seeing a specialist. If your PCP is part of a medical group, your plan requires referrals, you may be required to see a specialist who practices in that group for services to be covered. Check with your PCP or call CIGNA HealthCare Member Services to learn whether this requirement applies to you. Referral-free access to OB/GYNs As part of your plan, you can visit a participating OB/GYN at any time, without a referral, even if your plan requires referrals to other types of specialists. Please note: If your PCP is part of a medical group your plan requires referrals you may be required to see an OB/GYN who practices in that group for services to be covered. Check with your PCP or call CIGNA HealthCare Member Services to learn whether this requirement applies to you. You can change your PCP at any time, for any reason. Visit to learn more about your plan, search for participating providers, learn more about healthy living.

6 A Business of Caring. 5 You re covered for emergencies 24 hours a day, at home or away. SELECTING YOUR DOCTOR Follow your employer s instructions for enrolling in the CIGNA HealthCare plan. If your employer asks you to fill out an enrollment form: Use the enrollment form to enter your choice(s) of Primary Care Physicians. If using the form, write the name of each family member, the name of the Primary Care Physician, the doctor s ID number as shown in the directory. Complete the rest of the form submit to your benefits department as directed by your employer. You can also change your PCP online at YOUR SUMMARY OF BENEFITS Your Summary of Benefits gives you important information on the medical benefits other types of services your plan covers. You should read your Summary of Benefits to determine whether you have prescription drug coverage, coverage for mental health substance abuse, /or vision care coverage as a part of your CIGNA HealthCare plan. EMERGENCY CARE An emergency is a sudden unexpected injury or a serious illness that a prudent layperson (a person with average knowledge of medical science) believes needs to be treated right away, or it could result in loss of life, serious medical complications or permanent impairment. You covered family members are covered for emergencies 24 hours a day, seven days a week at home, in your home area, or away on a trip. Call your PCP for Urgent Care situations. In an emergency, always seek medical care immediately. Go directly to the nearest emergency facility (even one that is not part of the CIGNA HealthCare network), or call 911 or your area s local emergency services number. You do not need a referral from your PCP or any authorization before receiving emergency care. If you have been treated for an emergency, call your PCP (or have someone call for you) for further assistance directions on follow-up care. When possible, you should call within 48 hours. EXAMPLES OF EMERGENCIES: Seizure or loss of consciousness Poisoning or suspected overdose of medication Uncontrolled bleeding Broken bones Shortness of breath Chest pain or squeezing sensation in the chest Sudden paralysis or slurred speech Severe pain URGENT CARE Some situations require prompt medical attention although they are not emergencies. In these situations, call your Primary Care Physician describe the situation. He or she will direct you to the most appropriate type of care.

7 6 CIGNA LIFESOURCE Transplant Network sm CIGNA LIFESOURCE Transplant Network sm CIGNA HealthCare is committed to providing access to quality health care through today s innovative technologically advanced medical options. As a CIGNA HealthCare member, you ll have access to the CIGNA LIFESOURCE Transplant Network sm, a network of participating organ tissue transplant centers. Developed by a team of CIGNA HealthCare clinical professionals, the CIGNA LIFESOURCE Transplant Network sm includes respected hospitals medical centers throughout the United States. As part of the credentialing program, each transplant facility is evaluated for favorable rates of patient outcomes, housing arrangements, patient friendly environments, before it is included in the CIGNA LIFESOURCE Transplant Network sm. CIGNA LIFESOURCE participants are managed by the Comprehensive Transplant Case Management Unit. This unit consists of Registered Nurses with clinical experience in transplant, hematology/oncology, home health care, dialysis, critical care /or community care. They are specially trained to manage complex transplant cases. Respected hospitals medical centers throughout the United States. Benefits from the Comprehensive Transplant Case Management Unit include: Clinical partnership with providers Consistency in service benefit administration Dedicated resources for complex areas of medicine Advocacy Administrative efficiency In some instances a travel allowance is offered as a feature of the program. Please be aware that most of these expenses are considered taxable income. As a CIGNA HealthCare member, you can have access to these services when they are coordinated through your physician your CIGNA HealthCare plan Medical Director. You may not receive the in-network level of benefits for all types of transplants at all facilities. Please see the CIGNA LIFESOURCE Transplant Network sm website, for a list of facilities with the programs covered at the in-network benefit level.

8 CIGNA LIFESOURCE Transplant Network sm 7 Alabama Florida Massachusetts Pennsylvania University of Alabama at Birmingham Arizona Mayo Clinic Scottsdale University of Arizona Health Sciences California California Pacific Medical Center Cedars-Sinai City of Hope National Loma Linda University Lucile Salter Packard Children's Hospital Scripps Green Hospital Sharp Memorial Hospital Stanford University Medical Center UCLA UCSF University of California Davis USC Colorado Children s Hospital of Denver Presbyterian St. Luke's University of Colorado Hospital Connecticut Yale-New Haven Hospital All Children s Hospital Florida Hospital H. Lee Moffitt Cancer Center Mayo Clinic Jacksonville Shs Hospital Tampa General Hospital University of Miami Jackson Memorial Hospital Georgia Northside Hospital/The Blood Marrow Transplant Group of Georgia Illinois Children s Memorial Hospital University of Chicago Wyler Children's Hospital Indiana Clarian Health - Indiana Clarian Health - Methodist Hospital Clarian Health - Riley Children's Hospital Kentucky Jewish Hospital Maryl Johns Hopkins Health University of Maryl Lahey Clinic Tufts - New Engl University of Massachusetts Minnesota Mayo Clinic Rochester Missouri Barnes Jewish Hospital St. Louis Children's Hospital Nebraska Nebraska Health New Jersey Hackensack University New York Mt. Sinai New York University North Carolina Duke University Medical Center University of North Carolina Hospitals Ohio Children's Hospital Medical Center Clevel Clinic Foundation s of Clevel Oregon Temple University Health Thomas Jefferson University Hospital University of Pennsylvania Health South Carolina Medical University of South Carolina Tennessee St. Jude Children s Research Hospital Verbilt University Texas Cook Children's Medical Center Medical City Dallas Hospital Memorial Hermann Hospital Texas Children's Hospital The Methodist Hosptial University of Texas MD Anderson Cancer Center Virginia Medical College of Virginia Hospitals University of Virginia Hospital Wisconsin Children's Hospital of Wisconsin Froedtert Hospital Legacy Good Samaritan Hospital Medical Center Oregon Health & Science University

9 8 CIGNA HealthCare Care Facilitation CIGNA HealthCare Care Facilitation At CIGNA HealthCare, our goal is to help make sure that you have access to the appropriate care, in the appropriate setting. We have established a wide network of physicians we continuously contract with new physicians to help make sure that you have access to care from credentialed providers. Your plan may require that you choose a Primary Care Physician (PCP) for yourself your covered dependents. Your PCP is your personal doctor who can coordinate your medical care keep your medical history. If your plan does not require you to choose a PCP, you can still choose a PCP or a personal physician for yourself your covered dependents to help coordinate your care. Your first stop should be your PCP or personal physician. He or she can help determine if you need specialty care or hospitalization. WHAT IS PRECERTIFICATION? Precertification is a review process where CIGNA HealthCare nurses, pharmacists /or physicians work with your physician to determine: Whether a procedure, treatment or service is a covered benefit. What your benefits will be for a procedure, treatment or service if you use a provider who is not in the CIGNA HealthCare network. HOW DOES THE PROCESS WORK? CIGNA HealthCare requires that a precertification number be obtained for hospital admissions selected outpatient services. When a request for a precertification number comes into CIGNA HealthCare from your provider, a CIGNA HealthCare nurse evaluates the request using nationally recognized guidelines to assist in the review. These guidelines are consistent with sound clinical principles processes have been developed with involvement from actively practicing heath care providers. CIGNA HealthCare nurses determine what services are covered based on your plan benefits using these guidelines. When guidelines do not exist, clinical resource tools based on clinical evidence are used. Anytime a CIGNA HealthCare nurse is unable to approve coverage for clinical reasons, the case is referred to a CIGNA HealthCare physician who considers each case on an individual basis. The CIGNA HealthCare physician may speak with your physician to obtain additional information. You your physician will be notified in writing if a request for a precertification number cannot be approved based on the information we received your plan benefits.

10 CIGNA HealthCare Care Facilitation 9 WHEN DOES THE REVIEW OCCUR? The review process can occur at three different times: Prospective review is when CIGNA HealthCare receives a request before you receive care. Determinations are made within two (2) business days of receiving all necessary information. Notice of coverage approval will be given to your provider verbally or by fax. Concurrent review is when CIGNA HealthCare receives a request while you are receiving care or in a hospital, skilled nursing facility or rehabilitation facility. Determinations are made within one (1) business day of receiving all necessary information. Notice of coverage approval will be given to your provider verbally or by fax. Retrospective review is when CIGNA HealthCare receives a request after you have received care. Determinations related to these services are made within thirty (30) days after receiving all necessary information. Notice of coverage approval will be given to your provider verbally or by fax. If your situation requires that a determination be made right away, then CIGNA HealthCare will perform an expedited review. This determination will be completed within one (1) calendar day. Licensed physicians will determine coverage denials when clinical reasons are the rationale for the denial. Denial letters will explain the reason for the decision details on how to submit additional information /or proceed through the formal Appeals Process, should you disagree with the coverage decision. If your physician is part of the CIGNA HealthCare network, then he or she is responsible for contacting CIGNA HealthCare to initiate the precertification process. If you use a physician who is not part of the CIGNA HealthCare network, then you are responsible for contacting CIGNA HealthCare to initiate the precertification process. It is important for you to review your benefit plan or contact CIGNA HealthCare at the number on your CIGNA HealthCare ID card to underst which services require precertification. WHAT IS CASE MANAGEMENT? Case Management is when a CIGNA HealthCare Nurse provides you with assistance in coordinating services between your providers across different care settings, such as a hospital, rehabilitation facility your home. They will also assist you with identifying available community resources for services that may not be covered by your benefit plan or by providing you with health care information. If you think the services of a CIGNA HealthCare Nurse Case Manager might be of assistance to you, you can call the number on your CIGNA HealthCare ID card to request information to be contacted by a CIGNA HealthCare Nurse.

11 10 Provider Compensation Provider Compensation CIGNA HealthCare is committed to keeping you informed about matters related to your health care plan. For that reason, we offer the following description of the way that CIGNA HealthCare compensates health care providers (physicians, hospitals other health care practitioners facilities) that participate in our managed care networks. CIGNA HealthCare compensates health care providers in ways that are intended to emphasize preventive care, promote quality care ensure the appropriate cost- effective use of covered medical services supplies. CIGNA HealthCare reinforces this philosophy through utilization management decisions made by its medical directors medical management staff. CIGNA HealthCare employees are encouraged to promote appropriate utilization of covered health care services to discourage underutilization. The methods by which participating health care providers agree to be compensated are described generally here. The amount type of compensation a health care provider agrees to accept may vary depending upon the type of plan. For example, a hospital may agree to accept less for services provided to patients enrolled in an HMO plan than to patients enrolled in other types of plans. In addition, CIGNA HealthCare may attempt in various ways to promote the use of those participating providers that are the most costeffective, while assuring quality access to covered services supplies. DISCOUNTED FEE FOR SERVICE: Payment for services is based on an agreed-upon discounted amount from the health care provider s bill. CAPITATION: By mutual agreement, network physicians, provider groups or physician/hospital organizations (PHOs) are paid a fixed amount (capitation) at regular intervals for each member assigned to the physician, group or PHO, whether or not services are provided. This payment covers physician /or, where applicable, hospital or other services covered under the benefits plan. Medical groups PHOs may in turn compensate providers using a variety of methods. Capitation offers health care providers a predictable income, encourages physicians to keep people well through preventive care, eliminates the financial incentive to provide services that will not benefit the patient reduces paperwork. Providers paid on a capitation basis may participate in a risk-sharing arrangement with CIGNA HealthCare; they agree on a target amount for the cost of certain services share all or some of the amount by which costs are over or under the target. Provider services are monitored using criteria that may include accessibility, quality of care, member satisfaction appropriate cost-effective use of medical services supplies. CIGNA HealthCare may also work with third parties that administer payments to participating providers. Under these arrangements, CIGNA HealthCare pays the third party a fixed monthly amount for these services. Providers are compensated by the third party for services provided to CIGNA HealthCare plan members from the fixed amount. Compensation arrangements are agreed upon by the third parties their contracted health care providers, may include discounted fee for service capitation. SALARY: Physicians other providers who are employed to work in CIGNA HealthCare's Arizona staff-model medical facility are paid a salary. The salary is decided in advance each year is guaranteed regardless of the services provided. Physicians are eligible for a bonus at the end of the year based on performance, which is evaluated using criteria that may include quality of care, quality of service appropriate costeffective use of medical services supplies. BONUSES AND INCENTIVES: Some providers may receive additional payments based on their performance, which is measured using criteria that may include quality of care, quality of service appropriate cost-effective use of medical services supplies. Providers may also receive financial /or nonfinancial incentives that promote utilization of cost-effective participating providers (such as hospitals, labs, specialists vendors) covered drugs supplies. PER DIEM: A specific amount is paid to a hospital per day for all health care received. The payment may vary by type of service length of stay. CASE RATE: A specific amount is paid for all health care received in the hospital for a given hospital stay (such as for a normal maternity delivery). If you would like to find out which compensation method applies to services you receive from a provider, just ask the provider s administrative staff. CIGNA HealthCare Member Services is available to help with general questions at the toll-free telephone number on your CIGNA HealthCare ID card.

12 Service Area Service Area 11 The following zip codes represent the member service area as of this printing. Look under specific listings in this directory for the addresses of physicians hospitals that participate in this network. Zip Code/Location Zip Code/Location Zip Code/Location Zip Code/Location Zip Code/Location District Of Columbia WASHINGTON, DC Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington

13 12 Service Area Zip Code/Location Zip Code/Location Zip Code/Location Zip Code/Location Zip Code/Location Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Washington Maryl ALLEGANY COUNTY Cumberl Cumberl Cumberl Cumberl Cumberl Barton Corriganville Eckhart Mines Ellerslie Flintstone Frostburg Lonaconing Luke Midl Midlothian Mount Savage Oldtown Pinto Rawlings Gap Westernport Little Orleans ANNE ARUNDEL COUNTY Lothian Laurel Churchton Deale Fort George G Meade Friendship Shady Side Galesville Harwood West River Tracys Ling Arnold Crownsville Davidsonville Edgewater Gambrills Gibson Isl Glen Burnie Glen Burnie Glen Burnie Hanover Harmans Linthicum Heights Hanover Mayo Millersville Odenton Crofton Pasadena Pasadena Riva Severn Severna Park Baltimore Baltimore Baltimore Annapolis Annapolis Annapolis Annapolis Annapolis Annapolis Annapolis BALTIMORE COUNTY Baldwin Boring Brooklville Butler Chase Cockeysville Hunt Valley Fork Fort Howard Freel Garrison Glen Arm Cockeysville Glyndon Hampstead Hydes Kingsville Long Green Lutherville Timonium Lutherville Timonium Maryl Line Monkton Owings Mills Parkton Perry Hall Phoenix Rallstown Reisterstown Riderwood Sparks Glencoe Stevenson Upperco Upper Falls White Marsh Woodstock Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore BALTIMORE (CITY) COUNTY Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore Baltimore CALVERT COUNTY Barstow Broomes Isl Dowell Huntingtown Lusby Port Republic Prince Frederick Saint Leonard Solomons Sunderl North Beach Chesapeake Beach Owings Dunkirk CARROLL COUNTY Finksburg Henryton Lineboro Manchester Marriottsville Westminster Westminster Keymar Linwood Mount Airy New Windsor Sykesville Taneytown Union Bridge Woodbine CECIL COUNTY North East Perry Point Perryville Port Deposit Rising Sun Warwick Cecilton Charlestown Chesapeake City Childs Colora Conowingo Earleville Elk Mills Elkton Elkton Georgetown CHARLES COUNTY Waldorf Waldorf Waldorf Waldorf Bel Alton Benedict Bryans Road Bryantown Cobb Isl Faulkner Hughesville Indian Head Ironsides Issue La Plata Marbury Mount Victoria Nanjemoy Newburg Pomfret Port Tobacco Rock Point Welcome White Plains FREDERICK COUNTY Frederick Frederick Frederick Frederick Frederick Frederick Adamstown Braddock Heights Brunswick Buckeystown Burkittsville Emmitsburg Ijamsville Jefferson Knoxville Ladiesburg Libertytown Middletown Monrovia Myersville New Market New Midway Point Of Rocks Rocky Ridge Sabillasville Thurmont Tuscarora Unionville Walkersville Woodsboro GARRETT COUNTY Accident Bittinger Bloomington Friendsville Grantsville Kitzmiller Mc Henry Oakl Swanton HARFORD COUNTY Aberdeen Aberdeen Proving Ground Abingdon Gunpowder Bel Air Bel Air Belcamp Benson Churchville Darlington Edgewood Fallston Forest Hill Havre De Grace Jarrettsville

14 Service Area 13 Zip Code/Location Zip Code/Location Zip Code/Location Zip Code/Location Zip Code/Location Joppa Perryman Pylesville Street Whiteford White Hall HOWARD COUNTY Annapolis Junction Laurel Fulton Savage Highl Jessup Clarksville Dayton Ellicott City Ellicott City Ellicott City Columbia Columbia Columbia Elkridge Simpsonville Cooksville Glenelg Glenwood Lisbon West Friendship MONTGOMERY COUNTY Bethesda Bethesda Glen Echo Bethesda Bethesda Bethesda Bethesda Bethesda Cabin John Bethesda Chevy Chase Bethesda Olney Olney Brookeville Poolesville Barnesville Beallsville Boyds Dickerson Rockville Rockville Rockville Rockville Rockville Rockville Rockville Rockville Rockville Rockville Potomac Sy Ashton Brinklow Burtonsville Spencerville Clarksburg Damascus Germantown Germantown Germantown Gaithersburg Gaithersburg Gaithersburg Washington Grove Gaithersburg Gaithersburg Gaithersburg Gaithersburg Gaithersburg Bethesda Kensington Bethesda Bethesda Kensington Garrett Park Suburb Maryl Fac Gaithersburg Gaithersburg Silver Silver Silver Silver Silver Silver Silver Silver Silver Silver Silver Silver Silver Silver Silver Silver PRINCE GEORGE S COUNTY Accokeek Aquasco Brywine Cheltenham Southern Md Facility Lanham Beltsville Beltsville Lanham Laurel Laurel Laurel Bladensburg Mount Rainier Bowie Bowie Bowie Bowie Bowie Bowie Bowie Brentwood Laurel Laurel Capitol Heights Clinton Riverdale Riverdale College Park College Park College Park Capitol Heights Fort Washington Oxon Hill Suitl District Heights Temple Hills Fort Washington Oxon Hill Suitl District Heights Temple Hills Andrews Air Force Base Greenbelt Glenn Dale Greenbelt Greenbelt Upper Marlboro Upper Marlboro Upper Marlboro Upper Marlboro Hyattsville Hyattsville Hyattsville Hyattsville Hyattsville Hyattsville Hyattsville Capitol Heights Capitol Heights Largo Southern Md Facility Capitol Heights Takoma Park SAINT MARY S COUNTY Abell Avenue Bushwood California Callaway Chaptico Charlotte Hall Clements Coltons Point Compton Dameron Drayden Great Mills Helen Hollywood Leonardtown Lexington Park Loveville Mechanicsville Morganza Park Hall Patuxent River Piney Point Ridge Saint Inigoes Saint Marys City Scotl Tall Timbers Valley Lee WASHINGTON COUNTY Big Pool Boonsboro Brownsville Cascade Cavetown Chewsville Clear Fairplay Funkstown Gapl Hagerstown Hagerstown Hagerstown Hagerstown Hagerstown Hagerstown Hagerstown Hancock Keedysville Maugansville Rohrersville Saint James Sharpsburg Smithsburg Williamsport Virginia ALEXANDRIA (CITY) COUNTY Alexria Alexria Alexria Alexria Alexria Alexria Alexria Alexria Alexria Alexria Alexria Alexria Alexria Alexria ARLINGTON COUNTY Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Ft Myer Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington Arlington CLARKE COUNTY Berryville Boyce Millwood White Post FAIRFAX COUNTY Centreville Centreville Centreville Clifton Chantilly Chantilly Chantilly Herndon Herndon Herndon Herndon Reston Herndon Reston Reston Reston Reston Annale Burke Burke Dunn Loring Fairfax Fairfax Fairfax Fairfax Fairfax Fairfax Fairfax Falls Church Falls Church Falls Church Falls Church Falls Church Fort Belvoir Great Falls Greenway Lorton Merrifield Merrifield Herndon Herndon Reston Mc Lean Mc Lean West Mclean Mc Lean Mc Lean Mc Lean Mc Lean Merrifield Merrifield Merrifield Merrifield Mount Vernon Newington Oakton field field field field field field field field field Vienna Vienna Vienna Vienna Vienna Vienna Lorton Alexria Alexria Alexria Alexria Alexria Alexria Alexria Alexria FAIRFAX (CITY) COUNTY Fairfax Fairfax Fairfax FALLS CHURCH (CITY) COUNTY Falls Church Falls Church FAUQUIER COUNTY Marshall Marshall Catlett

15 14 Service Area Zip Code/Location Zip Code/Location Zip Code/Location Zip Code/Location Zip Code/Location Orlean Paris Broad Run Calverton Casanova Rectortown Delaplane Upperville Upperville Warrenton Warrenton Warrenton The Plains Hume Markham Bealeton Goldvein Midl Remington Somerville Sumerduck FREDERICK COUNTY Winchester Winchester Winchester Brucetown Clear Brook Cross Junction Gore Winchester Middletown Star Tannery Stephens City Stephenson LOUDOUN COUNTY Dulles Dulles Dulles Dulles Aldie Arcola Middleburg Middleburg Paeonian s Philomont Purcellville Purcellville Bluemont Round Hill Round Hill Ashburn Ashburn Ashburn Ashburn Hamilton Hamilton Lincoln Sterling Sterling Sterling Sterling Sterling Leesburg Leesburg Leesburg Leesburg Lovettsville Dulles Waterford Dulles Ashburn MANASSAS (CITY) COUNTY Manassas Manassas Manassas MANASSAS PARK (CITY) COUNTY Manassas Manassas Manassas PAGE COUNTY Rileyville Luray Shenoah Stanley PRINCE WILLIAM COUNTY Bristow Catharpin Gainesville Gainesville Haymarket Haymarket Nokesville Nokesville Dumfries Occoquan Quantico Quantico Triangle Woodbridge Woodbridge Woodbridge Woodbridge Woodbridge SHENANDOAH COUNTY Fishers Hill Strasburg Maurertown Fort Valley Strasburg Toms Brook Woodstock Basye Edinburg Mount Jackson New Market Orkney s Quicksburg SPOTSYLVANIA COUNTY Fredericksburg Fredericksburg Fredericksburg Fredericksburg Partlow Spotsylvania Thornburg STAFFORD COUNTY Fredericksburg Fredericksburg Fredericksburg Brooke Garrisonville Hartwood Ruby Stafford Stafford Stafford WARREN COUNTY Bentonville Front Royal Linden Middletown WINCHESTER (CITY) COUNTY Winchester

16 How to Read the Physician Listing How to Read the Physician Listing 15 You may choose your personal primary care physician from the following list of doctors specializing in Family Practice, General Practice, Internal Medicine or Pediatrics. Remember, you can select a different doctor for each member of your family. Example: Maryl...Alphabetical listing by state ALLEGANY COUNTY...Alphabetical listing by county FAMILY PRACTICE... Specialty Smith, John, MD...Physician s name degree Age 10 over...age restriction ID Physician s ID number Medical Group...Group affiliation 123 A Street...Street address Town, State City, state, zip code (123) Office phone number Other Language(s) Spoken... Other language(s) spoken by physician or office staff Hospital Affiliation...A CIGNA-contracted hospital with which this doctor is affiliated The physicians listed in this directory are independent contractors. They are not the agents nor employees of, nor under the control of any CIGNA company. Participation by providers listed in this directory is not guaranteed may be subject to change. Please ask your provider whether he/she is still participating in the network or call Member Services. Board Certified

17 16 Allegany County Primary Care Physicians Primary Care Physicians You may choose your personal primary care physician from the following list of doctors specializing in Family Practice, General Practice, Internal Medicine or Pediatrics. Remember, you can select a different doctor for each member of your family. Maryl ALLEGANY COUNTY FAMILY PRACTICE Bollino, Anthony J., Jr., MD ID National Hwy Cumberl, MD (301) De, Kaplana, MD ID Braddock Medical Group, PA 912 Seton Dr Cumberl, MD (301) Devlin, Thomas J., MD ID Douglas Ave Lonaconing, MD (301) Sacred Heart Hospital Evans-Wood, Allison L., DO Age 8 over ID Drs Wood & Evans-Wood, PA McMullen Hwy SW Cumberl, MD (301) Sacred Heart Hospital Memorial Hospital Medical Center of Cumberl Hahn, Matthew A., MD ID Tri-State Community Health Center 1313 National Hwy Cumberl, MD (301) Kim, Shin Eung, MD Age 1 over ID Main St Westernport, MD (301) Japanese Sacred Heart Hospital Livengood, Paul T., MD ID Braddock Medical Group, PA 912 Seton Dr Cumberl, MD (301) Manger, Donald F., MD ID Bedford Rd NE Cumberl, MD (301) Sacred Heart Hospital Oh, Chang H., MD Age 14 over ID C H OH, MD, LLC 48 Tarn Ter #204 Frostburg, MD (301) Sacred Heart Hospital Roque, Angel H., MD Age 18 over ID Tarn Ter Frostburg, MD (301) Sacred Heart Hospital Shir, Siker, MD Age 12 over ID Tarn Ter #201 Frostburg, MD (301) Sacred Heart Hospital Velia, Uriel E., MD ID Seton Medical Practice 902 Seton Dr Cumberl, MD (301) Sacred Heart Hospital Wagoner, Gary L., MD ID Bishop Walsh Rd Cumberl, MD (301) Sacred Heart Hospital Warrenfeltz, Sylvia, MD ID Main St Westernport, MD (301) Potomac Valley Hospital Memorial Hospital Medical Center of Cumberl Williams, Terry E., MD ID Memorial Ave #301 Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Wood, Norman E., DO Age 8 over ID Drs Wood & Evans-Wood, PA McMullen Hwy SW Cumberl, MD (301) Sacred Heart Hospital Memorial Hospital Medical Center of Cumberl INTERNAL MEDICINE Barrera, Robustiano J., Jr., MD Age 18 over ID Memorial Ave #201 Cumberl, MD (301) Filipino Memorial Hospital Medical Center of Cumberl Sacred Heart Hospital Calkins, Beverly M., MD ID Allegany Internal Medicine 500 Memorial Ave #105 Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Sacred Heart Hospital Chang, Saturnina T., MD Age 16 over ID New Georges Creek Rd SW #3 Frostburg, MD (301) Sacred Heart Hospital Chappell, Thomas E., MD ID Braddock Medical Group, PA 912 Seton Dr Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Chotani, Habib A., MD ID F. Daniel Jackson, MD PA 130 Pennsylvania Ave Cumberl, MD (301) Donaldson, Gregg C., MD ID Braddock Medical Group, PA 912 Seton Dr Cumberl, MD (301) Espina, Renato R., MD Age 14 over ID Seton Medical Practice 902 Seton Dr #301 Cumberl, MD (301) Sacred Heart Hospital Felipa, Victor R., MD Age 16 over ID Bishop Walsh Rd Cumberl, MD (301) Sacred Heart Hospital Memorial Hospital Medical Center of Cumberl Gupta, Sunil K., MD Age 12 over ID Sunil K. Gupta, MD, PA 625 Kent Ave #101 Cumberl, MD (301) Sacred Heart Hospital Memorial Hospital Medical Center of Cumberl Hennawi, George, MD ID Seton Medical Practice 915 Bishop Walsh Rd Cumberl, MD (301) Arabic, French Sacred Heart Hospital Memorial Hospital Medical Center of Cumberl Joshi, Rajendra G., MD ID A Seton Dr Cumberl, MD (301) Potomac Valley Hospital Khanna, Shiv C., MD ID Shiv C. Khanna, MD PA 1221 National Hwy #E La Vale, MD (301) Hindi, Persian Memorial Hospital Medical Center of Cumberl Loveria, Jose Tan, Jr., MD ID Braddock Medical Group, PA 912 Seton Dr Cumberl, MD (301) Sacred Heart Hospital Magbojos, Virginia G., MD ID Braddock Medical Group, PA 912 Seton Dr Cumberl, MD (301) Sacred Heart Hospital Malik, Tasneem, MD ID Memorial Hospital Physicians Group 625 Kent Ave #204 Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Sacred Heart Hospital Meyers-Vagnoni, Anita A., MD ID Tri-State Community Health Center 1313 National Hwy Cumberl, MD (301) Oh, Chang H., MD Age 14 over ID C H OH, MD, LLC 48 Tarn Ter #204 Frostburg, MD (301) Sacred Heart Hospital Ranjithan, Nagaratnam A., MD ID E Oldtown Rd Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Schmitt, Richard G., MD Age 10 over ID Richard G. Schmitt, MD, PA 900 Seton Dr Cumberl, MD (301) Sacred Heart Hospital Shakil, Huma, MD Age 18 over ID Kent Ave #204 Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Sacred Heart Hospital Shin, Wonsock, MD ID C H OH, MD, LLC 48 Tarn Ter #204 Frostburg, MD (301) Sacred Heart Hospital Sidhu, Harjit S., MD Age 16 over ID Bishop Walsh Rd Cumberl, MD (301) Sacred Heart Hospital Tan, Jesus H., MD Age 16 over ID New Georges Cr Rd SW S3 Frostburg, MD (301) Sacred Heart Hospital Welik, Robert A., MD Age 18 over ID Seton Dr #201 Cumberl, MD (301) Sacred Heart Hospital Zaman, Qamar U., MD Age 18 over ID Kent Ave #102 Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl PEDIATRICS Dawson, Robert J., MD Birth through age 21 ID Children s Medical Group 500 Greene St Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Sacred Heart Hospital Gonzaga, Rosario B., MD ID Seton Dr #208 Cumberl, MD (301) Haworth, Byron Allen, DO Birth through age 30 ID Children s Medical Group 500 Greene St Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Sacred Heart Hospital Hurtt, Debra, MD ID Children s Medical Group 500 Greene St Cumberl, MD (301) Memorial Hospital at Easton Levitas, Michael A., MD Birth through age 21 ID Children s Medical Group 500 Greene St Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Sacred Heart Hospital Manger, Donald F., MD ID Bedford Rd NE Cumberl, MD (301) Sacred Heart Hospital Menchavez, Celestino M., MD ID Menchavez Pediatrics 902 Seton Dr Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Sacred Heart Hospital Menchavez, Elmaslias D., MD Birth through age 21 ID Menchavez Pediatrics 902 Seton Dr #201 Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Meyers-Vagnoni, Anita A., MD ID Tri-State Community Health Center 1313 National Hwy Cumberl, MD (301) Nuber, Susan M., MD Birth through age 21 ID Children s Medical Group 500 Greene St Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Sacred Heart Hospital Williams, Rodney A., MD ID Children s Medical Group 500 Greene St Cumberl, MD (301) Memorial Hospital Medical Center of Cumberl Board Certified

18 Primary Care Physicians Anne Arundel County 17 ANNE ARUNDEL COUNTY FAMILY PRACTICE Alperovitz-Bichell, Kari, MD ID University of Maryl Family Medicine Associates, PA 8601 Veterans Hwy #111 Millersville, MD (410) Anne Arundel University of Maryl Medical Anderson, David C., MD ID Maryl Primary Care Physicians-Annapolis 2448 Holly Ave #100 (410) Anne Arundel Bayley, Jodi H., MD ID Maryl Primary Care Physicians-Arnold Ritchie Hwy Arnold, MD (410) North Arundel Hospital Behrens, William E., MD ID Maryl Primary Care Physicians-Annapolis 2448 Holly Ave #100 (410) Anne Arundel Brooks, Leslie F., MD Age 5 over ID Owensville 134 Owensville Rd West River, MD (410) Calle, Angela M., MD ID Maryl Primary Care Physicians-Annapolis 2448 Holly Ave #100 (410) Anne Arundel North Arundel Hospital Chaconas, James G., MD ID Maryl Primary Care Physicians-Arnold Ritchie Hwy Arnold, MD (410) Greek Anne Arundel North Arundel Hospital Chamberlain, James M., MD ID Maryl Primary Care Physicians-Arnold Peninsula Farm Rd Arnold, MD (410) Anne Arundel North Arundel Hospital Chler, Cace I., MD ID Maryl Primary Care Physicians-Pasadena 8096 Edwin Raynor Blvd #E Pasadena, MD (410) North Arundel Hospital Chaudhary, Amita, MD Age 7 over ID Patient First-Laurel 3357B Corridor Marketplace Laurel, MD (301) Chaudry, Sajida S., MD ID Odenton-Meade Health Center 1132 Annapolis Rd Odenton, MD (410) Dabbs, William A., MD ID Maryl Primary Care Physicians-Arnold Peninsula Farm Rd Arnold, MD (410) Anne Arundel Dailey, Loraine M., MD ID Maryl Primary Care Physicians-Pasadena 8096 Edwin Raynor Blvd #E Pasadena, MD (410) North Arundel Hospital Dea, Lyn N., DO ID Maryl Primary Care Physicians-Annapolis 2448 Holly Ave #100 (410) Anne Arundel North Arundel Hospital Easley, Susan K., MD ID Maryl Primary Care Physicians-Pasadena 8096 Edwin Raynor Blvd #E Pasadena, MD (410) Forman, Jonathan P., MD ID Maryl Primary Care Physicians-Glen Burnie Crain Hwy S #304-B (410) North Arundel Hospital Fry, Timothy P., DO ID Maryl Primary Care Physicians-Arnold 1 Maryl Primary Care Physicians 277 Peninsula Farm Rd Arnold, MD (410) Anne Arundel North Arundel Hospital Grotz, Mary B., DO ID University Care, LLC 8601 Veterans Hwy #111 Millersville, MD (410) ID Shipleys Family Care 8601 Veterans Hwy #204 Millersville, MD (410) Anne Arundel University of Maryl Medical Hansman, A. Stephen, MD ID South River Health Center 900 Bestgate Rd #303 (410) Anne Arundel Hunter, William L., Jr., MD ID Odenton-Meade Health Center 1132 Annapolis Rd Odenton, MD (410) Izzi, Stephan R., MD Age 1 over ID Ritchie Hwy (410) North Arundel Hospital Kane, Erika, MD ID Family Health Centers of Baltimore, Inc th St Baltimore, MD (410) University of Maryl Medical Khodabelou, Mohammad, MD ID E Patapsco Ave Baltimore, MD (410) Farsi North Arundel Hospital Kurylas, Stephan C., MD ID Defense Hwy #104 Crofton, MD (410) (301) Polish, German Mikhail, Adel N., MD ID Fort Meade Rd #212 Laurel, MD (301) Laurel Regional Hospital Doctors Community Hospital Moghadam, Faranak E., MD ID Patient First-Laurel 3357 B Corridor Marketplace Laurel, MD (301) Morphy, Heather A., MD ID Maryl Primary Care Physicians-Pasadena 8096 Edwin Raynor Blvd #E Pasadena, MD (410) Chester River Hospital Center Muscovich, Tara T., MD ID Defense Hwy #201 Gambrills, MD (410) Doctors Community Hospital Ng, Tik Ka L., MD ID Maryl Primary Care Physicians-Pasadena 8096 Edwin Raynor Blvd #E Pasadena, MD (410) Chinese North Arundel Hospital O Hora, Patricia A., MD ID Maryl Primary Care Physicians-Arnold Ritchie Hwy Arnold, MD (410) Anne Arundel Patel, Alkesh D., MD ID University Care, LLC 8601 Veterans Hwy #111 Millersville, MD (410) University of Maryl Medical Pham, Trang M., MD ID Maryl Primary Care Physicians-Pasadena 8096 Edwin Raynor Blvd #E Pasadena, MD (410) North Arundel Hospital Phillip, Errol A., MD ID Health First, LLC Errol Phillip, MD, PA 2002 Medical Pky #670 (410) Anne Arundel Phillips, Mark D., MD ID South River Health Center 900 Bestgate Rd #303 (410) Plavner, Victor M., MD ID Maryl Primary Care Physicians-Arnold Ritchie Hwy Arnold, MD (410) French Anne Arundel Plucis, Antonia A., MD ID Maryl Primary Care Physicians-Arnold Ritchie Hwy Arnold, MD (410) Anne Arundel North Arundel Hospital Poulsen, Norman A., MD ID Odenton-Meade Health Center 1132 Annapolis Rd Odenton, MD (410) Rastogi, Ram K., MD ID Ritchie Hwy (410) Hindi North Arundel Hospital Richter, Lauren B., DO ID Maryl Primary Care Physicians-Glen Burnie B Crain Hwy S #304 (410) North Arundel Hospital Anne Arundel Riebman, Michael S., MD ID Maryl Primary Care Physicians-Annapolis 2448 Holly Ave #100 (410) Anne Arundel Rifino, Mary R., MD ID Seton Medical Group-Glen Burnie 7706 Quarterfield Rd (410) Roane, Donald C., MD Age 6 over ID Dr Monique Y Langston & Associates PA 1616 Forest Dr Annapolis, MD (410) Anne Arundel Rosenfeld, Jo Ann, MD ID Odenton-Meade Health Center 1132 Annapolis Rd Odenton, MD (410) Schultz, Howard K., Jr., MD ID Howard K. Schultz, Jr., MD, PA 1438 Defense Hwy #201 Gambrills, MD (410) Seidel, Ramona G., MD ID Pediatric Group Families Too Crofton Pediatrics 2225E Defense Hwy Crofton, MD (410) ID Pediatrics in Annapolis 2003 Medical Pky #200 (410) ID Davidsonville Pediatrics 2772 Rutl Rd Davidsonville, MD (410) ID A Ritchie Hwy Severna Park, MD (410) Anne Arundel Steinfeld, Harvey J., MD ID Shady Side Rd Shady Side, MD (410) Anne Arundel Su, Peter, MD ID Howard K. Schultz, Jr., MD, PA 1438 Defense Hwy #201 Gambrills, MD (410) Anne Arundel Talwar, Simita U., MD ID Maryl Primary Care Physicians-Glen Burnie B Crain Hwy S #304 (410) Kannada North Arundel Hospital Ulmer, Emily A., MD ID Riverside Primary Care, LLC 2191 Defense Hwy #201 Crofton, MD (410) (301) Anne Arundel Woo, Kingson J., MD ID Immediate Care Glen Burnie, Inc 7010 Ritchie Hwy (410) GENERAL PRACTICE Daniel, Jane E., MD ID Berez & Daniel, MDs 1655 Crofton Blvd #101 Crofton, MD (410) , French Jones, William P., MD ID William P. Jones, MD 6131 Shady Side Rd Shady Side, MD (410) German Poss, Laurie J., MD ID Laurie J. Poss, MD, PA 2200 Defense Hwy #200 Crofton, MD (410) ID Defense Hwy (410) North Arundel Hospital Whitaker, Nellie L., MD ID Crofton Medical Group 1667 Crofton Ctr #1 Crofton, MD (410) Wyatt, Carolyn A., MD ID Crain Hwy SE (410) ID De Borja & Perez-Alard, PA 3708 Mountain Rd Pasadena, MD (410) Board Certified