Virginia Hospital Center participates in the following insurance plans:
Aetna (all plans)
- HMO / POS / PPO
- American Foreign Service Benefit
- Mailhandlers (MHBP)
- Meritain Health
- Rural Carrier Benefit Plan (RCBP)
Based on a review of quality and efficiency data, Virginia Hospital Center has been designated by Aetna as an Institute of Quality for Cardiac Services, Knee & Hip Replacement and Bariatric Surgery.
Anthem Blue Cross Blue Shield
- COVA Care
Beech Street / Viant
CareFirst Blue Cross Blue Shield (all plans)
- HMO / POS / PPO
- CareFirst BlueChoice
- CareFirst FELRA
- CareFirst Federal
- CareFirst Non-Federal PPO
Based on a review of quality and efficiency data, Virginia Hospital Center received a Blue Cross Blue Shield Association Center of Distinction for Cardiac Services and Total Joint Services.
Cigna (all plans)
- Please note:
Virginia Hospital Center DOES NOT participate with the Innovation Health Exchange Plan only.
Virginia Hospital Center DOES participate with other Innovation Health Plans.
(Please call to confirm if your plan is in-network with Virginia Hospital Center.)
Kaiser Permanente Mid-Atlantic (all plans)
- Added Choice
- Flexible Choice
- Self Funded
MDIPA & MDIPA Preferred
Optima Health Plan
Optimum Choice & Optimum Choice Preferred
Private HealthCare Systems (PHCS)
United Health Care (all plans)
- HMO / POS / PPO
- Compass Rose UMR
- GEHA UMR
- UHC Student Services (for Marymount University Students)
Based on a review of quality and efficiency data, Virginia Hospital Center has received quality designation as a United Healthcare Premium Bariatric Surgery Center.
Virginia Health Network
- Humana PPO VHN (participate only through Virginia Health Network)
Other Commercial Insurance plans accepted
MEDICARE ADVANTAGE PLANS
- AARP Medicare Complete
- Aetna Medicare
- Anthem Medicare
- Humana Medicare
- United Healthcare Medicare
- Other Medicare Advantage and Private Fee For Service plans accepted
MEDICARE / MEDICAID DUAL PLAN
- Anthem Medicare/Medicaid
- Humana Medicare/Medicaid
- Virginia Premier Medicare/Medicaid
Please contact the Hospital to confirm your specific plan participates.
- Anthem Healthkeepers
- Cigna Connect *EPO (effective 1/1/17)
- Optimum Choice
- United Healthcare
Even if you have good insurance, a hospital visit may yield a few financial surprises. Do you fully understand what your insurance policy covers? It's important to know what your plan entails before you have to use it. Please click on the links below to expand or collapse. The following questions are worth investigating:
Do the Hospital's doctors participate in your plan?
Hospitals contract with physician groups such as radiologists, anesthesiologists, and emergency department doctors to provide care inside the hospital. These doctors participate in most insurance plans, but not all. You should expect to receive a separate bill from these doctors if they provide services to you. The bill will ask for remittance of charges not covered by your insurance plan.
What coverage can you expect for elective procedures?
Before you arrive at the hospital for an elective procedure, you may want to ask the physician how much they will charge for the procedure. If you want to know how much you will have to pay the hospital you may contact the Patient Price Line at 703.558.5954 to get an estimate of what you may have to pay. Will you need ancillary services, such as surgical pathology if you are having surgery? Are certain services mandatory according to hospital policy? Does your physician anticipate that you will also need the services of a radiologist, anesthesiologist, or neonatologist?
What about referrals once you're admitted?
If the attending physician wants to refer you to a specialist, ask for one who is in your insurance plan. It may be impossible to accommodate your request, depending on physician availability, but it's worth it to ask. At the same time, question your insurance company about its policies regarding treatment from non-participating providers during hospitalization.
Will your insurance cover a new baby?
You need to add the baby to your insurance plan at birth. (Usually you have 30 days following the birth to add the baby, but it is best to do it at the time of the baby’s birth.) If you and your husband have different insurance plans, you need to call the primary insurance plan to determine to what plan the baby has to be added.
Is it worth it to question a bill?
When you receive an invoice, double check with your insurer, hospital, and physician regarding your payment obligation. Make sure you understand the basic benefits and deductibles specified in your insurance plan before you call.