Insurance and Billing

A surgical center accounts representative may call you to discuss your health insurance coverage. Before surgery, please familiarize yourself with your insurance plan, as this will help you understand our billing and charges. If you have questions about your insurance coverage, please contact us at 732-243-9500.

If you have health insurance, please bring a copy of your identification card to the center. We may also need the insurance forms supplied by your employer or the insurance company. Your insurance carrier may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to ensure the requirements of the plan have been met.

If you are covered by Medicare, please bring a copy of your card to the center. Note that Medicare has payment limitations on a number of services and items. You are also responsible for deductibles and co-payments.

  

Insurance Plans We Accept

Our surgery center is dedicated to providing consumers with as much information as possible regarding potential healthcare costs. Accordingly, we have listed information on the insurers and providers the center participates in.

It is important you contact your insurance company prior to receiving services or care. Each plan is different and some provide different levels of coverage that could make a difference in your out-of-pocket costs.

·         Traditional Medicare and Horizon Medicare only

·         Blue Cross/Blue Shield (We are a Tier 1 facility for BCBS Omnia Plans)

·         Cigna

·         Oxford

·         United Healthcare

·         Workers’ Compensation

·         Motor Vehicle/NF

This list may not be comprehensive. For example, specialty insurers such as workers' compensation and personal injury protection ("PIP”) are not included because there are a number of different types of insurance products and we may not participate in all of them. If you do not see your plan listed on our website, we strongly recommend that you contact us or your health insurance plan to confirm whether your plan is in-network or out-of-network.

In addition, the physicians who provide care within our center might not participate in the same insurance plans as the ASC. You should check with the physician who is arranging your healthcare services to see which insurance plans the physician participates in. You should also know that these healthcare professional(s)' costs are not included in the facility's charges. They will bill separately.

In addition to our physicians listed above, we work with other providers as part of your care. You may receive a bill from another provider, depending on the nature of your procedure.

ANESTHESIA PARTICIPATING INSURANCE LIST

AETNA

AETNA WORK COMP

 

AMERIHEALTH

 

AUTO / PIP 

 

BCBS

 

BEECHSTREET / VIANT / MULTIPLAN/PROCURA

 

BERGEN RISK 

 

CHAMPVA

 

CIGNA

 

COVENTRY    (PROCESSED THRU AETNA)

 

DEVON HEALTH

 

GEHA    (PROCESSED THRU AETNA)

 

EMBLEM/GHI PROCESSED THRU QUALCARE

 

GREAT WEST

  

HCPC

  

HEALTH REPUBLIC  (PROCESSED THRU QUALCARE OR MAGNACARE)

 

HEALTHNET AMERICA

 

HORIZON NJ BCBS

  

HORIZON NJ MERCY

 

INDEPENDENCE BC/KEYSTONE (PROCESSED THRU AMERIHEALTH)

 

LOCAL 825    (PROCESSED THRU MAGNACARE)

 

MAGNACARE  (SOME ARE PROCESSED THRU AETNA)
MCPC

  

NO PHCS

IF WE ARE NON - PAR, WE WILL APPEAL ON THE PATIENT'S BEHALF.

WE WILL WORK WITH THE PAITENTS ON ANY NON - PAR BALANCES.

MEDICAID - NJ

  

MEDICAID - NY

 

MEDICAID MANAGED CARE

  
MEDICARE

    

MEDICARE ADVANTAGE

  

MEDICARE REPLACEMENTS

  

NAPHCARE 

 

NATIONAL HEALTH QUEST

 

OPTIMA

 

OPTUM HEALTH

 

OXFORD

 

PMCS / MULTIPLAN

  

QUALCARE

 

SHARED NETWORK    (ORGAN DONATIONS)

 

THREE RIVERS PROVIDER NETWORK

 

TRICARE

 

UHC

 

UHC COMMUNITY PLAN

 

UNITED RESOURCE NETWORK

 

UNIVERSITY HEALTH PLAN

 

WATCHTOWER

 

WORK COMP