PATIENT RESOURCES


Insurance

Capital Women's Care participates with most major insurance plans. If you do not see your plan listed below, you may be able to see a Capital Women's Care physician using your out-of-network benefits.

PLEASE REMEMBER:

  • It is important to bring your current insurance card to every office visit.
  • Copayments are due at the time of service.
  • If required by your insurance plan, bring your referral from you Primary Care Physician.
  • You may be responsible for the portion of your charges not covered by your insurance policy.

AT THIS TIME, DIVISION 27 ACCEPTS THE FOLLOWING INSURANCE.

NOTE: We regret any inconvenience if this information changes. As “Providers”, we are at the mercy of ever changing insurance contracts.

  • Aetna (Not in the QHP network)
  • Anthem BCBS Par and PPO (Not in the Pathway Network)
  • BCBS Federeal Employee Program
  • BlueChoice HMO
  • CareFirst Blue Cross Blue Shield of Maryland
  • CareFirst Blue Cross Blue Shield of the National Capital Area
  • CIGNA
  • Coventry Health Care
  • Evergreen Health
  • First Health
  • Great-West
  • Informed CHP / Conifer Health Solutions
  • Johns Hopkins EHP
  • Kaiser Mid-Atlantic only with out of network benefits
  • MAMSI- Optimum Choice, MDIPA, MAMSI Life & Health
  • Medicare
  • Multiplan
  • OneNet PPO
  • PHCS PPO
  • Priority Partners MCO
  • Riverside Health Medical Assistance Medicaid MCO (not participating with Holy Cross / requires preauthorization)
  • TriCare Prime US Family Health Plan
  • United HealthCare
  • United Health Care Community Plan
  • University of Maryland Health Advantage (Medicare Advantage

Appointment Policy (and required FORM)

Our Office welcomes new and returning patients. We are committed to ensuring that the administrative aspects of your visit are handled with the same high level of professionalism and care as the medical portion.

Please allow 20 minutes to update/complete the required paperwork.

 


INSTRUCTIONS TO ASSIST YOU WITH THE REQUIRED FORMS:

Bring completed forms with you to visit

  • CLICK ICON to OPEN, then PRINT the forms
  • COMPLETE FORMS by hand
  • BRING the completed forms with you to your appointment.
  • Please allow time for this information to be added to your record at your appointment.
  • You must bring your insurance card and driver's license (or other legal picture id).

 


THESE ARE THE FORMS YOU WILL NEED FOR YOUR VISIT:

EXISTING GYN patients will need and complete 1 FORM

  1. ANNUAL EXAM REVIEW

Additionally, you will be asked to update your personal and insurance information when you arrive.

You will need Adobe to open the forms in PDF. Here is a Link to Adobe which you will need download, if you do not already have adobe installed on your computer or device.


EMERGENCIES:

Obstetrics and Gynecology often involves emergency procedures, surgical delays, and deliveries. We ask for your understanding, and if we are running behind schedule, our staff may attempt to notify you.

PATIENT Medical Emergencies: If you have

  • life threatening emergency, call 911 or go to the nearest emergency room.
  • If you have an urgent medical problem during office hours. please call the office at 301-681-3400
  • After hours, please call the doctor on call 1-888-798-2022.

Cancellations:

We also request that you arrive promptly for your visit. If you are unable to keep your appointment or are going to be late, please call the office as soon as possible. Cancellations without 24 hours notice or missed appointments may be subject to fees.

Snow (Inclement Weather):

Please call to verify the status of the office on those days when the weather seems like it is going to be a problem.

  • If the office is CLOSED you will hear a voice message that tells you so.
  • If the office is OPEN you will hear the usual greeting.

Please CHECK BACK FREQUENTLY AS SOMETIMES WE ARE FORCED TO MAKE A LAST MINUTE DECISION IF THE STAFF IS UNABLE TO GET TO THE OFFICE.


PRESCRIPTION REFILLS

  • Prescription refills will be processed only for established patients.
  • Your physician will review your chart and the refill will be called in directly to your pharmacy, within 24-48 hours of receipt, on the next business day. If your physician feels an office visit is necessary before a refill can be given, you will be notified.

Birth Control Pills

  • One additional refill for birth control pills can be called in for established patients. This will allow time to schedule an annual visit.

Narcotic medications

  • Requests for narcotic medication can only be refilled during office hours when your chart is available to the doctor.
  • No refills can be called in when requested after hours or over the weekend.
  • PLEASE NOTE: NEW STATE LAW REQUIRES THAT MANY NARCOTIC PERSCRIPTIONS CAN ONLY BE FILLED WITH A WRITTEN PERSCRIPTION.
    • This may require you to pick up your prescription at the office or have it mailed to you.
    • Please allow time for this process.
  • Please be sure you have enough medication.

BILLING INFORMATION

Our billing company is NextGen Revenue Cycle Management Services 800-529-3489.

HOURS OF OPERATION:  8 am – 5 pm


MEDICAL RECORDS RELEASE

  • Federal and State law requires the patient's signature, or that of an authorized personal representative, to release or transfer medical records.
  • The patient records are defined as all records that relate to the health of the patient and are prepared by or under supervision of a health care provider associated with Capital Women's Care.
  • We maintain the patient's rights that all medical records are kept confidential according to all federal and state laws.
  • Patients that provide records from another physician, outside of CWC, are encouraged to retain their own copy as Capital Women's Care cannot provide a copy.
  1. Medical Records Release FROM CWC
  2. Medical Records Release TO CWC

PROCEDURE PREPARATION INSTRUCTIONS

Bowel Preparation Instructions

C Section at Holy Cross Hospital Instructions

Hysterectomy Consent

Pre Operative Instructions

Holy Cross
Hospital - Silver Spring, MD

1500 Forest Glen Rd.
Holy Cross HospitalSilver Spring, MD 20910

www.holycrosshealth.org

(301) 754-7000

Holy Cross
Hospital - Germantown, MD

19801 Observation Dr
Holy Cross HospitalGermantown, MD 20876

www.holycrosshealth.org

(401) 557-6000

Maryland Surgery Center
for Women

Maryland Surgery Center For Women11400 Rockville Pike, Suite C-25
Rockville, MD 20852

www.marylandscwomen.org

(301) 770-8700


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