News and Events
Allergy & Asthma Center, Maryland
News Flash
10/17/2017 Bethesda Closure

Our Bethesda Office will be closed today 10/17/2017. We will reopen for our normal hours on Wednesday.


10/17/2017 Silver Spring Opening Late

Our Silver Spring office will be open this Friday, 10/20 at 10 am.


10/02/2017 Shady Grove/Rockville Opening Late on 10/6

Our Shady Grove/Rockville Office will be opening at 9 am on Friday, 10/6.


09/27/2017 Silver Spring Closing Friday 10/6

Silver Spring Office will be closed Friday, 10/6. We will reopen at 9 am on Monday 10/9.


Allergy & Asthma Center, Maryland
Allergy & Asthma Center, Maryland
Allergy & Asthma Center, Maryland
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Insurance Carriers

The Allergy & Asthma Center participates with most major insurance carriers. If your insurance is not listed below, please call and ask if we participate with your plan.

 
 
• Aetna (Coventry, First Health, Mail Handlers and regular Aetna POS II)
• Anthem BCBS
• Amerigroup MD & DC
• AmeriHealth through PHCS
• CareFirst BCBS
• Cigna
• DC Medicaid
• Evergreen
• Humana
• Johns Hopkins (EHP & Priority Partners)
• Kaiser
• Maryland Physicians Care
• MedStar (Medicare, Commercial, Medicaid/Family Choice)
• Medical Assistance (Maryland & DC Medicaid)
• Medicare
• MultiPlan/PHCS
• Priority Partners
• QualCare
• Railroad Medicare
• Tricare (Prime/Standard/North)
• UHC (Mamsi, MDIP, Ameradvantage, UHC Medicare & UHC Community Plan/Americhoice - Medicaid MCO)
• University of Maryland Health Partners (formally Riverside)
• US Family Health Plan (USFHP)
• Veterans Choice

Questions for your insurance company:

Do I need a referral to see a specialist?

Certain insurance carriers require that a patient's primary care provider (PCP) submit a referral to the patient's insurance carrier in order for the patient to be seen by a specialist.

The providers at The Asthma & Allergy Center (AAC) are considered specialists. It is the patient's responsibility to inquire with his or her insurance carrier to see if a referral is required. If so, it is also the patient's responsibility to coordinate with the PCP to have the referral submitted to the insurance carrier and confirm with the carrier that the referral is on file with the carrier prior to his or her scheduled appointment at AAC.

Certain insurance carriers (including various United HealthCare products) require that the referral be electronically submitted by the PCP, and will not accept paper referrals. Again, it is the patient's responsibility to contact his or her insurance carrier and PCP to meet these requirements. Common carriers that require referrals include United HealthCare HMO's, Aetna HMO's, BCBS HMO's, and others with such stipulations in the patient's member handbook. Certain carriers additionally require that referrals be renewed every X number of visits or X number of months, and it is likewise the patient's responsibility to contact the carrier and PCP to ensure that updated referrals are on file.

The insurance carrier may deny services or process the services with a higher patient liability if a required referral is not on file; the patient is responsible for any balances that result from lack of referral.

Does my deductible apply for codes 95004, 95024, 95044, and 95165 and if so, how much remaining deductible do I have?

Allergy Testing

95004: Skin Prick Testing

95024: Intradermal (under the skin) Testing

95044: Patch Test

Do you cover codes 95004 and 95024, 95044?

Is there a limit on the number of units allowed for each of these codes?

Do I have a co-pay when I go in for testing and the only codes being billed for are 95004 and 95024?

Allergy Treatment (Immunotherapy)

Do you cover code 95165 (Allergy Immunotherapy)?

Is there a limit to the number of units allowed for 95165, and if so, what is the limit?

Injections

Is there a co-pay required for 95115 or 95117 (weekly allergy shots)? If so, is it my regular co-pay or is it reduced?

For more information or to schedule an appointment, contact us online or call 1-800-778-9923.

 





























 
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