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Insurance Plans Accepted

CentraState accepts a wide variety of health insurance plans.  Most of those plans are listed on the chart below.  If your carrier is not listed, you may still be covered.  For the latest information about your coverage, please check with your insurance carrier.  You can also contact the Managed Care office directly by calling (732) 294-7055.

Insurance Plan Definitions:

Health Maintenance Organization (HMO)
A health plan in which members must select a primary care physician (PCP) from a panel of participating physicians. The primary care physician helps patients manage their healthcare and makes referrals for specialty care and hospital services. Services delivered outside the panel of participating providers may not  be covered by your insurance carrier and must be paid by the patient.

Preferred Provider Organization (PPO)
A plan in which members receive a higher level of benefits at a lower cost when they choose to have their care delivered by participating physicians, hospitals and other providers.  Health expenses are greater when a member receives health services outside of the network.

Point of Service Plan (POS)
A combination of an HMO and PPO in which members can use participating healthcare providers and receive HMO benefits. Members also have the option of going outside the plan, however, the members out of pocket expenses (deductible/co-insurance) could be greater than if the member utilized a participating provider.

Exclusive Provider Organization (EPO)
A managed care network in which enrollees must receive their care from affiliated providers. Treatment provided outside of the approved network must be paid for by the member.

Indemnity Insurance
With indemnity insurance (sometimes called commercial insurance), the patient will pay for all services up to a specified deductible; thereafter, the patient will typically pay a set percentage of the total billed amount.

Because insurers generally offer a variety of plans, with different levels of coverage, you should always check with your insurance carrier to verify what services are covered, the extent (i.e., percentage) of coverage provided, and what, if any deductibles, co-pays and/or other expenses you may be responsible for under your particular insurance plan.

   

Insurance Carrier

HMO/PPO/POS

Medicare 

Medicaid 

Mental
Health 

The
Manor

Active Care (Workers' Comp)

x

 

 

 

 

Aetna Health Plans of NJ

x

x

 

 x

x

America’s Health Plan

x

 

 

 

 

Amerigroup

 

x

x

 

 x

AmeriHealth

x

 

 

 

 

BeechStreet PPO

x

 

 

 

 

Cigna

x

 

 

 

 

Community Care Network (CCN)

x

 

 

 

 

Consumer Health Network (CHN)

x

 

 

 

 

Devon Health Services

x

 

 

 

 

Empire BlueCross/BlueShield

x

 

 

 

 

Emblem Health

 PPO

 

 

 

 

First MCO (Workers' Comp)

x

 

 

 

 

Geisinger Health Plan

 

 

 

 x

Great-West (Cigna)

x

 

 

 

 

GHI

PPO

 

 

 

 

HealthNet Federal Health Services (TriCare-Champus)

x

 

 

 

 

HIP

PPO 

 

 

 

 

Horizon BlueCross/BlueShield of NJ

x

x

 

x

x

Horizon Casualty Services (Workers Comp & No Fault)

x

 

 

 

 x

Intergroup Services Corp

x

 

 

 

 

MagnaCare

x

 

 

 

 

MCS Patient Centered Health Care Network

x

 

 

 

 

Multiplan

x

 

 

 

 

National Provider Network

x

 

 

 

 

Oxford Health Plans

x

 x

 

 

x

Private Healthcare Systems

x

 

 

 

 

QualCare

x

 

 

 

 x

QualCare Workers Comp

 

 

 

 x

United Healthcare

x

x

 

 

 x

   


* NOTE: Please be aware that this list is subject to change.