Chantilly Pediatrics

Accepted Insurance Plans

Find out if your child’s insurance is accepted at Chantilly Pediatrics in Chantilly, Fairfax, Centerville, South Riding, Ashburn, Dulles, Manassas, Virginia. Our accepted insurance plans include Aetna, Anthem Blue Cross Blue Shield, CareFirst BCBS, Cigna, United Healthcare, Virginia Medicaid, Tricare, CHAMPVA, and many others. Contact your insurer to confirm your specific pediatric coverage.

Anthem Blue Cross Blue Shield

We accept many Anthem Blue Cross Blue Shield plans, including but not limited to:

  • HealthKeepers: This is a common network in Virginia.
  • PPO (Preferred Provider Organization) plans: These typically offer more flexibility in choosing providers.
  • EPO (Exclusive Provider Organization) plans: These usually require you to stay within the network.

Cigna

We are providers for many Cigna health insurance plans.

Important Considerations for Cigna Plans:

  • Cigna Open Access: These plans generally allow you to see in-network specialists without a referral.
  • Cigna PPO (Preferred Provider Organization): Offers a network of participating providers with potential out-of-network benefits (usually at a higher cost).
  • Cigna EPO (Exclusive Provider Organization): Typically requires you to receive care from in-network providers to have coverage (except in emergencies).

Military Plans

Tricare

We are proud to accept Tricare, the healthcare program for active-duty and retired U.S. military personnel, their families, and survivors.

CHAMPVA

Our pediatric practice accepts CHAMPVA, a healthcare program that provides coverage to eligible beneficiaries of certain veterans with service-connected disabilities.

Aetna

Our pediatric practice is pleased to accept many health insurance plans offered by Aetna.

Understanding Your Aetna Plan:

Aetna provides a variety of health insurance options, and it’s important to understand the specifics of your individual plan. Common Aetna plan types include:

  • HMO (Health Maintenance Organization): These plans typically require you to select a Primary Care Physician (PCP) within the Aetna network, and referrals are often needed to see specialists.
  • PPO (Preferred Provider Organization): Aetna PPO plans offer a network of participating providers, and you generally have more flexibility to see out-of-network providers (though often at a higher cost).
  • EPO (Exclusive Provider Organization): Coverage is usually limited to care received from providers within the Aetna EPO network, except in emergency situations.
  • POS (Point of Service): These plans combine features of HMOs and PPOs, often requiring a PCP and referrals but with some out-of-network coverage.

United Healthcare (UHC)

Our practice participates with many plans offered by United Healthcare.

Important Information Regarding United Healthcare Plans:

United Healthcare offers a wide variety of health insurance plans, and network participation can vary significantly. Some common plan types include:

  • PPO (Preferred Provider Organization): These plans typically offer a network of providers, and you may have the option to see out-of-network providers at a higher cost.
  • HMO (Health Maintenance Organization): These plans usually require you to choose a Primary Care Physician (PCP) within the network, and referrals may be needed to see specialists.
  • EPO (Exclusive Provider Organization): Coverage is generally limited to providers within the plan’s network (except in emergencies).
  • POS (Point of Service): These plans offer a mix of HMO and PPO features, often requiring a PCP and referrals but with some out-of-network coverage.

CareFirst Blue Cross Blue Shield

Our pediatric practice participates with many CareFirst Blue Cross Blue Shield plans.

Understanding CareFirst Plans:

CareFirst offers a variety of health insurance plans, and it’s important to understand the specifics of your individual plan. Common CareFirst plan types include:

  • Blue Choice: This is a common managed care (HMO-like) plan in the region. It often requires you to select a Primary Care Physician (PCP) and may require referrals for specialists.
  • Blue Preferred (PPO): This is a Preferred Provider Organization plan offering a network of participating providers. You typically have more flexibility to see out-of-network providers, though at a higher cost.
  • Federal Employee Program (FEP): Many federal employees in this area are covered under CareFirst FEP plans, which often have different rules and benefits.
  • Other HMO and POS Plans: CareFirst also offers other Health Maintenance Organization (HMO) and Point of Service (POS) plans with varying network rules and referral requirement

Humana

Our pediatric practice participates with many health insurance plans offered by Humana.

Understanding Humana Plans:

Humana offers a variety of health insurance options, and it’s important to understand the specifics of your individual plan. Common Humana plan types include:

  • HMO (Health Maintenance Organization): These plans typically require you to select a Primary Care Physician (PCP) within the Humana network, and referrals are often needed to see specialists.
  • PPO (Preferred Provider Organization): Humana PPO plans offer a network of participating providers, and you generally have more flexibility to see out-of-network providers (though often at a higher cost).
  • EPO (Exclusive Provider Organization): Coverage is usually limited to care received from providers within the Humana EPO network, except in emergency situations.
  • POS (Point of Service): These plans combine features of HMOs and PPOs, often requiring a PCP and referrals but with some out-of-network coverage.

Magellan Health

Magellan Health has a presence in healthcare across various sectors. In the context of pediatric care and insurance in Virginia, it’s important to understand the specific role of Magellan in your child’s coverage.

Potential Roles of Magellan:

  • Behavioral Health Management for Medicaid: In Virginia Medicaid, Magellan often manages the behavioral health services for members enrolled in certain Medicaid Managed Care Organizations (MCOs). If your child is enrolled in a Virginia Medicaid plan that contracts with Magellan for behavioral health, referrals for mental health or substance use services may be managed through Magellan.
  • Commercial Insurance Plans: Magellan also offers commercial insurance plans directly or through employers. If your child has a commercial insurance plan administered by Magellan, their medical benefits (including pediatric care) would be processed according to the terms of that specific plan.

Virginia Medicaid

Our pediatric practice is a participating provider with Virginia Medicaid. We are committed to providing quality healthcare services to children covered by Virginia’s Medicaid program.

Understanding Virginia Medicaid:

Virginia Medicaid provides healthcare coverage to eligible low-income individuals and families, including children. The program is administered by the state and may include various managed care organizations (MCOs) that deliver services to Medicaid members.

Key Information for Virginia Medicaid Patients at Our Practice:

  1. We Accept Virginia Medicaid: We are happy to serve children enrolled in Virginia Medicaid.
  2. Managed Care Organizations (MCOs): Virginia Medicaid often contracts with various MCOs to administer care. It’s important to know which MCO your child is enrolled in, as this can sometimes affect provider networks. Common MCOs in Virginia may include (but are not limited to):
    • Aetna Better Health of Virginia
    • Anthem HealthKeepers Plus (Medicaid)
    • Magellan Complete Care of Virginia
    • Optima Health Community Care (Medicaid)
    • UnitedHealthcare Community Plan (Virginia Medicaid)
    • Virginia Premier Health Plan
  3. Primary Care Provider (PCP) Selection: For many Virginia Medicaid MCO plans, you will need to select a Primary Care Provider (PCP) for your child. We encourage you to choose one of our pediatricians as your child’s PCP if we participate with your specific MCO.

Google Map Us

14113 Robert Paris Ct Chantilly VA 20151

Talk to Us

Phone : (571) 599-2039 (703) 956-6757
Email : admin@chantillypediatrics.com

Office Hours

Monday - Friday 8AM - 5PM
Saturday 8AM - 5PM