Insurance Information
Our Insurance Partners
Major Insurance Providers Accepted
We accept many insurance policies. Please check with your insurance company to see if we are in network. If your insurance plan requires a co-pay for a physician office visit, we will collect the applicable amount when you check-out.
- Aetna
- Amerihealth
- Beechstreet
- Clover
- Cigna
- Health Republic (Qualcare)
- Horizon/BCBS
- Keystone
We DO NOT Participate with the Following Insurance Plans
- AARP/UHC Medicare Completed HMO/POS plan
- Aetna Medicare Prime HMO
- Aetna Better Health
- Aetna QHP
- Americaid
- Americhoice
- Amerigroup
- Amerihealth Value Network
- Amerihealth Local Value Network
- Amerihealth Hospital advantage
- Amerihealth Mercy
- Cigna HealthSprings Alliance HMO
- CHP Plan
- First Health
- GHI/Emblem without the qualcare symbol
- Healthnet Medicaid
- Horizon Mercy
- Horizon NJ Family Care
- Keystone Mercy
- Keystone 65 focus medicaid
- Magnacare
- Medicaid-any plan
- Oxford garden state
- Oxford Metro
- Qualcare Barnabas exclusive
- United Healthcare Community Plan
- United Healthcare Core Plan
- University Healthcare Community
Out-of-Network Notice
Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay, and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
Emergency Services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is for your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balance billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist.