Inova General Internal Medicine Patient Resources

Patient Forms Health history form Patient registration form Authorization for claims payment and reviews Notice of privacy practices Acknowledgment of receipt of notice of privacy practices ADA special needs assessment Patient Record of Disclosure: Preferred Contacts Patient Rights and Responsibilities Notice of Non-Discrimination Medical Release Forms Release of medical information form(To ask Inova to release your medical records to another doctor's office) Standard medical record release(To ask another doctor's office to release your records to Inova) Insurances Accepted Aetna Expand Content HMO PPO POS EPO Medicare Advantage Anthem BlueCross BlueShield Expand Content HMO PPO POS Indemnity FEP Medicaid HMO HealthKeepers Behavioral Health Plans Expand Content Magellan Behavioral Health Cigna Behavioral Health United Behavioral Health Value Options/Beacon Health Options CareFirst BlueCross BlueShield Expand Content HMO PPO POS Indemnity FEP BlueChoice CareFirst Exchange Plans Cigna Expand Content HMO PPO POS Indemnity Great West Cigna Connect is accepted, but Cigna SureFit is not Innovation Health Expand Content If you are seeking information about Innovation Health, the result of a unique partnership between Inova and Aetna, more details can be found at www.innovationhealth.com. Johns Hopkins US Family Health Plan Expand Content We accept the US Family Health Plan but not the other Johns Hopkins plans Managed Medicaid Plans Expand Content Aetna Better Health of Virginia Anthem HealthKeepers Plus United Healthcare Community Care Optima Health Family/ Optima Health Community Care Magellan Complete Care Virginia Premier Elite MedCost Virginia (formerly Virginia Health Network) Expand Content PPO Medicare Advantage Plans Expand Content Aetna Medicare Advantage Anthem Medicare Advantage United Healthcare Medicare Advantage Optima Health Medicare Advantage Magellan Medicare Advantage VA Premier Medicare Advantage Multiplan/PHCS Tricare/Humana Military United Healthcare Expand Content Optimum Choice MDIPA OneNet PPO Options PPO HMO PPO POS  United Medicare Advantage Patient Rights and Policies Patient Rights and Responsibilities Privacy and Compliance Nondiscrimination Policy Interpreter Services Billing and Financial Information Pay Your Bill Financial Assistance