Forms for all patients

Medical Release Forms

Health plans accepted

  • Beacon Health Options (formerly Value Options) – terminated 9/30/2023
  • Evernorth Behavioral Health (formerly Cigna Behavioral Health)
  • Molina Complete Care Behavioral Health (formerly Magellan Behavioral Health)
  • Optum Behavioral Health (United)
  • BlueChoice
  • Exchange
  • FEP
  • HMO
  • Indemnity
  • POS
  • PPO
  • Anthem
  • Carefirst
  • Cigna
  • Innovation Health
  • Optima
  • Oscar Health
  • Sentara Health Plan
  • United Healthcare
  • We accept the US Family Health Plan but not the other Johns Hopkins plans
  • Kaiser is only accepted at Inova Fair Oaks Hospital for Obstetrics (OB) services only
  • Medicare Advantage at Inova Hospitals only
  • Aetna Better Health of Virginia
  • Anthem HealthKeepers Plus
  • Molina Complete Care
  • Optima Health Family/Optima Health Community Care
  • United Healthcare Community Care
  • Virginia Premier Elite
  • PPO
  • Medicare Part A: Hospital services
  • Medicare Part B: Physician services

Inova has partnered with eHealth to help our patients find the Medicare coverage that best meets their individual needs. Their licensed insurance advisors specialize in Medicare and understand the Medicare plans we accept.

Call 855-413-5897 (TTY users 711) Monday – Friday: 8 a.m. to 9 p.m. Eastern time to speak to a licensed insurance agent.

Learn more

eHealthMedicare.com is a non-government website operated by eHealthInsurance Services, Inc., a licensed health insurance agency certified to sell Medicare products.

  • Aetna Medicare Advantage
  • Anthem Medicare Advantage
  • Cigna Medicare Advantage
  • Humana Medicare Advantage
  • LifeWorks Medicare Advantage
  • Molina Medicare Advantage
  • Sentara Health Plans Medicare Advantage
  • United Healthcare Medicare Advantage

* Always check with your insurance provider to verify that Inova is in-network for your plan and for details on your individual level of coverage.

Inova has partnered with eHealth to help our patients find the Medicare coverage that best meets their individual needs. Their licensed insurance advisors specialize in Medicare and understand the Medicare plans we accept.

Call 855-413-5897 (TTY users 711) Monday – Friday: 8 a.m. to 9 p.m. Eastern time to speak to a licensed insurance agent.

Learn more

eHealthMedicare.com is a non-government website operated by eHealthInsurance Services, Inc., a licensed health insurance agency certified to sell Medicare products.

Multiplan/PHCS

 

  • Tricare for Life
  • Tricare Prime
  • Tricare Select

Virginia Medicaid