Insurance Information
We participate in the following insurance plans
If your insurance is not listed, you may contact provider services or visit your insurance company’s website to confirm participation. Some insurance plans require referrals for specialist visits. If your plan requires a referral, it is your responsibility to obtain it prior to your visit. If a referral is required and not obtained, you will be unable to be seen.
- Aetna
- Aetna Better Health
- Amerihealth
- BeechStreet
- Blue Cross Blue Shield (Out of State Plans)
- Cigna/Great West
- Consumer Health Network (CHN)
- Coventry/First Health
- Horizon Blue Cross Blue Shield of NJ
- Horizon NJ Health
- MagnaCare
- Medicare
- Multiplan/PHCS
- Oxford Health (Freedom and Liberty Plans)
- QualCare
- United Healthcare
- United Healthcare Community Plan
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 bat 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.