Patient Information

Call us at (410) 696 - 4785 with any questions or to schedule an appointment.

New Patients

Please print and fill out these 4 forms before coming in for your appointment. 

Medical

History

Patient

Info

Assignment of Benefits

HIPAA

Consent

Medical Records Release

Insurances accepted

Below are the participating medical insurance providers. Please call to verify that your insurance is accepted prior to your appointment as this information may change.

  • Medicare 

  • Maryland Medicaid

  • BlueCross Blue Shield of Maryland 

  • United Healthcare 

  • United Healthcare Community Plan

  • Cigna

  • Cigna Healthspring/Superior Vision

  • Aetna 

  • Humana

  • Univ. of Maryland Health Advantage

  • Univ. of Maryland Health Partners

  • Coventry

  • First Health PPO Coventry

  • Railroad Medicare

  • Amerigroup

  • Medstar Family Choice

  • Medstar Select

  • Multiplan

  • Johns Hopkins Health Care EHP

  • Johns Hopkins USFHP 

  • Maryland Physicians Care 

  • Coresource

  • Kaiser Permanente IC (Tier 2 PPO)

Resources

Want to learn more information? We've included some helpful links for you below. 

Amsler 

Grid

Diabetic

Retinopathy

Notice to Our Patients

It is our policy at Greater Baltimore Vitreoretinal Specialists that our patients pay any amount due for service at the time the service is rendered or agree to make satisfactory arrangements to honor their financial obligations to the practice. This includes estimates of deductible and coinsurance amounts. Copays are collected at the time of service without exception as is required by our contracted insurance companies. Self pay patients are welcome in the practice. Payment is due at the time of service unless alternate arrangements are requested.  

 

Please understand that it is not in the power of Greater Baltimore Vitreoretinal Specialists to waive beneficiary copays and deductible balances, and they are collected at appointment check in. 

The practice reserves the right to charge a $25.00 rescheduling fee to reschedule appointments cancelled with less than 24 hours notice. 

We thank you for your understanding and for your cooperation!

©2019 by Greater Baltimore Retina, LLC

Contact us: (410) 696 - 4785 or hello@gbretina.com

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