Prima Medicine accepts a wide range of insurance plans to make quality healthcare accessible to our patients in Fairfax, South Riding, Merrifield, and Tysons, VA. We work with most major insurance carriers, including United Health Care, Cigna, Blue Cross Blue Shield, and Aetna, among others.
Insurances Accepted at Prima Medicine
Below is a comprehensive list of the insurance plans we currently accept:
United Health Care Commercial
- APWU American Postal Workers Union
- United Choice Advanced and Choice Plus Advanced
- United Choice and Choice Plus
- United Core and Core Essential
- United Edge
- United GEHA
- United Golden Rule
- United Medica
- United Mid Atlantic Health Plan – MD-IPA and MAMSI Life Choice
- United Mid Atlantic Health Plan – Optimum Choice and MAMSI Life Choice
- United Navigate
- United Nexus ACO
- United Options (PPO) and Non Options (HMO)
- United Oxford
- United Student Resources
- United UMR
- United UMR FEHB
- United UMR PEIA WV (WV and adjacent counties only)
- United All Savers Health Plan (VA/MD only)
- Heritage – United Healthcare of the River Valley (VA only)
- Surest
- Oxford health plans
United Health Care Commercial Exchange
- UHC Bronze Essential+
- UHC Bronze Value+
- UHC Bronze Value+ Saver
- UHC Bronze Virtual First
- UHC Gold Advantage+ Extra
- UHC Silver Value+
- UHC Silver Value+ Saver
- UHC Silver Virtual First
- United Compass
- United Gold Value +
United Health Care Medicare Advantage
- United Medicare Advantage
- AARP Medicare Complete Plans
- Erickson Advantage Plans
- Erickson Advantage Champion/Guardian Plans
- Group Medicare Advantage Plans
- MedicareDirect PFFS
Prima Medicine accepts a wide range of insurance plans to make quality healthcare accessible to our patients in Fairfax, South Riding, Merrifield, and Tysons, VA. We work with most major insurance carriers, including United Health Care, Cigna, Blue Cross Blue Shield, and Aetna, among others.
Insurances Accepted at Prima Medicine
Below is a comprehensive list of the insurance plans we currently accept:
United Health Care Commercial
- APWU American Postal Workers Union
- United Choice Advanced and Choice Plus Advanced
- United Choice and Choice Plus
- United Core and Core Essential
- United Edge
- United GEHA
- United Golden Rule
- United Medica
- United Mid Atlantic Health Plan – MD-IPA and MAMSI Life Choice
- United Mid Atlantic Health Plan – Optimum Choice and MAMSI Life Choice
- United Navigate
- United Nexus ACO
- United Options (PPO) and Non Options (HMO)
- United Oxford
- United Student Resources
- United UMR
- United UMR FEHB
- United UMR PEIA WV (WV and adjacent counties only)
- United All Savers Health Plan (VA/MD only)
- Heritage – United Healthcare of the River Valley (VA only)
- Surest
- Oxford health plans
Cigna Medicare Advantage
- Cigna Medicare Advantage
BCBS Commercial CareFirst
- CareFirst
- Adventist Health (must have Adventist privileges to be Tier 1)
- BlueCard PPO (out of state)
- BlueChoice (HMO/POS)
- BlueEssential (HMO)
- BluePreferred
- CareFirst Administrators
- CareFirst TPA (Third Party Admin)
- EPO
- Federal Employee Program (FEP)
- HealthyBlue (PPO/HMO/POS)
- High Performance Network (HPN)
- National Accounts NASCO
- Maryland Point of Service (MPOS)
- MedPlus
- Traditional PPO
- Traditional/Indemnity
BCBS Medicare Advantage
- Anthem Medicare Advantage (HMO/PPO)
- Anthem Healthkeepers DSNP HMO (Dual Medicare/Medicaid)
- CareFirst Medicare Advantage (HMO/PPO)
- CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP)
Aetna Commercial
- Aetna PPO
- Aetna HMO
- Aetna Innovation Health
- Aetna Signature Administrators/TPA/HealthSmart Benefit Solutions
- Coresource-OSU Healthplan
- Coventry Healthcare PPO
- Coventry Healthcare HMO (In State Plans only)
- Inova
- Fringe Benefits
- Meritain Health
- Mail Handlers Benefit Plan
- Starmark – Trustmark
- Valley Health/Booz Allen
- Wells Fargo
Aetna Medicare Advantage
- Aetna Medicare
- Aetna Medicare Advantage Gold
- Aetna Medicare HMO
- Aetna Medicare HMO Innovation
- Conventry Medicare
Other Commercial
- Allegiance – Custom Ink
- Apostrophe
- Beech Street
- Apostrophe
- Beech Street
- ClaimDOC
- ClaimsBridge (Innovative Healthware Services)
- Johns Hopkins Employer Health Programs (Cigna PPO Network)
- Flexible Choice – Select option 2
- Out-of-Area PPO – In-network benefits
- Lifeworks
- MedCost Virginia
- Multiplan
- NCCPO
- Oscar
- PHCS
- SavATree
- SavATree – Flume Health
- Sentara/Optima (HMO/PPO)
CIGNA Commerical
- Cigna Open Access
- Cigna Commerical PPO
- Cigna Commercial HMO
- Conifer Health Solutions Tier 2
- APWU American Postal Workers Union*
*transitioned to UHC 01/01/2024 - Freedom Life (TPA)
- Great West
- Health Partners
- NALC – National Association of Letter Carriers
- Significia Benefit Services
- Virginia EPO Connect (Cigna Connect) *
* Only for providers in the following cities & counties in Virginia:
Northern VA: Alexandria City, Arlington, Clarke, Fairfax City, Fairfax, Falls Church City, Loudoun, Manassas City, Manassas Park City, Prince William, Stafford and Warren.
BCBS Commercial Anthem
- Anthem HealthKeepers (HMO/POS)
- Anthem Pathways X [Exchange] (HMO)
- Anthem Pathway X Tiered PCP & Hospital Plans (Privia is Tier 2)
- BlueCard PPO (out of state)
- BlueChoice Adv Open Access
- Federal Employee Program (FEP)
- High Performance Network (HPN)
- Traditional PPO
- Traditional/Indemnity
Government
- Tricare – Humana Military
- Department of Labor – Workers Comp*
- Department of Labor – Black Lung Program*
- Department of Labor – Energy Program*
- Department of Labor – FECA Program*
- CHAMPVA (non-par)
*Opt in Contracts – Must designate your interest in enrollment on the credentialing In Network Payer Checklist.
We Can Help You Understand Your Benefits
If you don’t see your insurance plan listed or have questions about your coverage, please contact Prima Medicine at {tel}[/am_location]. Our friendly staff will be happy to verify your insurance benefits and help you schedule an appointment at our Fairfax, South Riding, Merrifield, or Tysons location.
