New Patient Packet

Patient Info

Patient Assistance Programs

Healthwell Foundation
PO Box 4133
Gaithersburg, MD 20878-4133
1-800-675-8416 Phone
1-800-282-7692 Fax

Patient Access network
PO Box 221858
Charlotte, NC 28222-1858
1-866-316-7263 Phone
1-866-316-7261 Fax

Insurance Information

Insurances we are par with:
– Aetna
– AmeriHealth
– Blue Cross Blue Shield
– CareFirst BCBS of MD
– Cigna
– Cigna Health Spring
– CoreSource
– EDS/Medicaid
– Health Options Medicaid
– Medicare
– Railroad Medicare
– TRICARE (Prime and Standard)
–  UnitedHealthCare

We do not participate with the following insurances:

EverCare
Out of State Medicaid
Keystone
Wells Fargo

Forms

Please visit the Physician’s Forms page.