Community Physicians

The Direct Primary Care Plan is available to all Johns Hopkins Health System employees, as well as dependents. The DPC Practice does not provide pediatric services, and cannot serve as the designated PCP for children under age 18. You can designate a pediatrician as their PCP, and they would be covered by the EHP Medical Plan like any other member under age 18. The employee must use DPC providers for their primary care provider. DPC is NOT available to Johns Hopkins University employees at this time.

If you are the spouse or child of an employee, you may choose between a non-DPC PCP or the DPC clinic. If your insurance card shows a PCP who is NOT your chosen PCP, please call EHP at 800-261-2393 to change your PCP assignment and have a new insurance card mailed to you. This is critical to ensure all Johns Hopkins locations can correctly register you for a clinical appointment and ensure you do not incur any unnecessary out-of-pocket expenses.

Yes, dependents, under the age of 18, can designate a PCP outside of DPC.

Yes, the 2024 EHP DPC plan WILL include out-of-network coverage. The coverage is 70/30 to match the EHP PPO plan. As a reminder, Johns Hopkins employees MUST see a DPC provider for their primary care. Spouses and dependents can designate a PCP outside of DPC.

If you are a Johns Hopkins employee you MUST select one of the three DPC providers, Norman Dy, M.D., Carolyn Le, C.R.N.P., or Melody Nangle, C.R.N.P., as your primary care PCP. Spouses and dependents can designate a PCP outside of DPC.

Employees and any legal married spouses and dependents can utilize a DPC provider if enrolled in the EHP DPC Plan for 2024. Only employees are required to utilize a DPC provider for primary care. Spouses and dependents not utilizing a DPC provider have access to both the EHP and Cigna PPO provider network for in-network primary care.

For your convenience, blood draws are available in the clinic. Radiology is generally ordered next door to the DPC practice.

The Cigna PPO provider network is available in Maryland and nationwide. You can search the EHP and Cigna PPO network on the EHP website: www.ehp.org/find-a-provider. If you have questions, please contact Johns Hopkins EHP customer service team at 800-261-2393.

EHP members can access the CIGNA PPO provider network for all services. There is no special process to use a Cigna Provider. If a member finds a provider through the Cigna Provider Search, the provider, Cigna and EHP work out all of the logistics for services and payments for the member. We recommend you work with your DPC provider when considering care outside of primary care as they may be able to assist with referring you to in-network providers.

A Cigna network provider will charge a $20 copay (PCP) or 20% co-insurance (Non-PCP). Would Gynecology/Obststerics be considered specialty care or primary care? Gyn/Ob care is considered specialty care and will not be impacted by being a part of DPC. DPC members can still choose a Gyn/Ob provider for their routine care. All primary care routine needs must be scheduled with your DPC provider.

You can search the EHP and Cigna PPO provider network on the EHP website: www.ehp.org/find-a-provider. Both "EHP Network" and "Cigna Network" should be used when searching for providers. We also recommend you work with your DPC provider who may help refer you to a specialist for services.