Accepted Health Insurance & Payment Options
We participate with leading commercial insurance carriers, Medicare Part B, and Maryland State Medicaid. Transparent pricing and itemized superbills are provided for self-pay patients.
Commercial Insurance Networks
CommercialParticipating provider with major regional and national commercial health plans.
CareFirst BlueCross BlueShield
✓ In-Network ParticipatingAetna
✓ In-Network ParticipatingCigna Healthcare
✓ In-Network ParticipatingUnitedHealthcare (UHC)
✓ In-Network ParticipatingMedicare & State Medicaid
Government & Senior CareParticipating with traditional federal Medicare and Maryland State Medicaid. (Please note: We cannot accept Priority Partners MCO).
Traditional Medicare Part B
✓ In-Network ParticipatingMaryland State Medicaid (Fee-for-Service)
✓ In-Network ParticipatingState Medicaid only. We cannot accept Priority Partners MCO.
Self-Pay & Out-of-Network Policy
Self-Pay & SuperbillsTransparent self-pay fees calculated at an industry-standard 250% of allowable Medicare Physician Fee Schedule (MPFS) charges for our Medicare region: Maryland (Locality 99 - Rest of State).
Comprehensive New Patient Consultation (40 min)
✓ Itemized Superbill ProvidedStandard E/M CPT 99204 / 99205 baseline × 250% (Medicare Locality: Maryland - Rest of State).
Annual Preventive Wellness Physical (40 min)
✓ Itemized Superbill ProvidedStandard Preventive CPT 99395 / 99396 baseline × 250% (Medicare Locality: Maryland - Rest of State).
Established Patient Follow-Up (20 min)
✓ Itemized Superbill ProvidedStandard E/M CPT 99213 / 99214 baseline × 250% (Medicare Locality: Maryland - Rest of State).
How to Look Up Baseline Allowable Charges
The Centers for Medicare & Medicaid Services (CMS) publishes public allowable reimbursement rates by region.
CPT 99204 – 99205
Comprehensive 40-minute initial intake, examination & preventive roadmap.
CPT 99213 – 99214
Focused 20-minute follow-up, chronic condition care & medication review.
CPT 99395 – 99396
Complete head-to-toe annual preventive health examination.
Good Faith Estimate (GFE) Right: Under federal law, uninsured or self-pay patients are entitled to receive a Good Faith Estimate of expected total charges prior to scheduled services.
Request Written GFEDiagnostic Labs & Imaging Orders
Blood work and imaging are billed directly by accredited diagnostic partners (Quest Diagnostics, LabCorp, and regional imaging centers) under your plan's standard laboratory benefits.
Because insurance companies offer thousands of employer-specific sub-plans and tiered networks, our office cannot determine your specific plan tier or guarantee payment. Only your insurer can provide official confirmation of your active benefits.
- 1 Log into your insurance carrier's member portal/mobile app, or call the Member Services number on the back of your card.
- 2 Provide our practice credentials: New Hope Primary Care, P.C. (Organization NPI:
1891657110• Tax ID:41-2602229• Columbia, MD 21044). - 3 Ask if primary care / internal medicine visits are covered as in-network, and confirm your specific copay or deductible.
*Disclaimer: Insurance listings on this website are provided for general reference only and do not constitute a guarantee of coverage or claims payment.
Frequently Asked Questions
Common questions regarding insurance, copays, and self-pay options.
Do you accept Maryland Medicaid MCO plans like Priority Partners?
We participate directly with Maryland State Medicaid (Fee-for-Service). However, we cannot accept Priority Partners MCO at this time. If you have questions regarding your specific Medicaid enrollment type, please verify your plan details with the state portal or contact our team.
How do I know if my specific commercial plan tier is covered?
While we participate with CareFirst BCBS, Aetna, Cigna, UnitedHealthcare, and Medicare Part B, individual employer plans may have specific tier exclusions. Check your insurer's member app or call the number on the back of your card to confirm that New Hope Primary Care (NPI: 1891657110) is in your network.
How does self-pay pricing and Medicare lookup work?
Our self-pay fees are calculated at 250% of the regional Medicare Physician Fee Schedule (MPFS) allowable rate for Maryland (Locality 99 - Rest of State). You can search the official CMS Physician Fee Schedule Look-Up Tool (using CPT 99204/99205 for new visits or CPT 99213/99214 for established visits) or email us at info@newhopeprimarycare.com for a Good Faith Estimate.
Are annual wellness exams 100% covered by insurance?
Under the Affordable Care Act (ACA), most commercial and Medicare Part B plans cover one comprehensive annual preventive physical exam per year at $0 out-of-pocket copay. However, diagnostic discussions of new or acute symptoms during the exam may be subject to standard copayments or deductibles according to your insurer's rules.
How are lab tests and blood work billed?
When our physicians order blood work or imaging, we transmit electronic orders to accredited lab partners such as Quest Diagnostics and LabCorp. The laboratory bills your insurance directly under your standard diagnostic lab benefits.
Are you a concierge or direct primary care (DPC) practice?
No. We are not a direct primary care or concierge practice, and we do not charge membership fees or retainers. We accept standard insurance (CareFirst, Aetna, Cigna, UnitedHealthcare, Medicare, Medicaid) because we believe everyone deserves attentive, relationship-driven healthcare.
Can I see you if I already have another primary care provider (PCP)?
We are primary care providers. Some insurance plans require you to designate a single Primary Care Provider (PCP) on file with your insurer, while other patients may require more than one primary care relationship (such as seasonal travelers / snowbirds, specific women's health needs, or split geographic locations). We strongly encourage you to call the Member Services number on the back of your insurance card to verify your plan's specific 'PCP Designation' and out-of-network rules.
Ready to Experience Attentive, Personalized Primary Care?
Schedule your comprehensive 40-minute consultation or annual physical today.