At CentraState, our goal is for you to focus on getting healthy, not on insurance claims or payment hassles. CentraState accepts a wide variety of health insurance plans. 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 of coverage provided, and information about deductibles, co-pays or other expenses you may be responsible for under your particular insurance plan.
CentraState is Now an OMNIA Tier 1 Provider
Horizon Blue Cross Blue Shield of New Jersey has designated CentraState Healthcare System as a Tier 1 provider. For OMNIA plan members this means greater access to CentraState’s care for less cost. To learn how CentraState’s Tier 1 status benefits OMNIA members, visit our OMNIA Q&A.
Resources
Always check with your insurance carrier to verify coverage. List is subject to change.
| Insurance Carrier | Participating Product |
| Active Care (Workers’ Comp) | HMO, PPO, POS |
| Aetna Health Plans of NJ | HMO, PPO, POS, Medicare, Mental Health, Applewood, The Manor |
| Aetna Better Health | Medicaid, Applewood, The Manor |
| America’s Health Plan | HMO, PPO, POS |
| Amerigroup | Medicare, Medicaid, Applewood, The Manor |
| AmeriHealth | HMO, PPO, POS, Medicare |
| Braven Health | Medicare, Applewood, The Manor |
| Braven Medicare Plus (HMO) (Effective January 26, 2021) | Medicare, Applewood, The Manor |
| BeechStreet PPO | HMO, PPO, POS |
| Cigna | HMO, PPO, POS, Applewood, The Manor |
| Cigna Medicare (Effective October 1, 2021) | Medicare |
| Clover Health | Medicare, Applewood, The Manor |
| Consumer Health Network (CHN) | HMO, PPO, POS |
| Coventry Health Care | HMO, PPO, POS, Applewood, The Manor |
| Devon Health Services | HMO, PPO, POS |
| Empire BlueCross/BlueShield (Effective February 1, 2022) | Only for plans accessing Horizon Blue Card (Suitcase logo) |
| Emblem Health | Only for plans accessing QualCare |
| First Health | HMO, PPO, POS, Applewood, The Manor |
| First MCO (Workers’ Comp) | HMO, PPO, POS |
| Gateway Health Plan (known as Highmark Wholecare Medicare) | Medicare |
| Geisinger Health Plan | Medicare |
| Great-West (Cigna) | HMO, PPO, POS |
| GHI | Only for plans accessing QualCare |
| HIP of NY | Only for plans accessing QualCare |
| Horizon BlueCross/BlueShield of NJ | HMO, PPO, POS, Medicare, Mental Health, Applewood, The Manor |
| Horizon BlueCross/BlueShield of NJ OMNIA (Effective April 1, 2020) | HMO, PPO, POS, Applewood, The Manor |
| Horizon Medicare Blue Products* | Medicare |
| Horizon Medicare Advantage NJ Direct 10-15 (PPO) | Medicare, Mental Health, Applewood, The Manor |
| Horizon Medicare Blue Value (HMO) | Medicare |
| Horizon Medicare Blue Choice (HMO) | Medicare |
| Horizon Medicare Blue Access Group (HMO/POS), | Medicare |
| Horizon Medicare Blue (PPO) | Medicare |
| Horizon Medicare Group (PPO) | Medicare |
| Horizon Medicare Blue Advantage (HMO) (Effective January 26, 2021) | Medicare |
| Horizon Medicare Blue Select (HMO-POS) (Effective January 26, 2021) | Medicare |
| *Horizon Total Care DSNP | Not Accepted |
| Horizon Casualty Services (Workers Comp & No Fault) | HMO, PPO, POS, Applewood, The Manor |
| Horizon NJ Health | Medicaid, Mental Health, Applewood, The Manor |
| Intergroup Services Corp | HMO, PPO, POS |
| Longevity Health Plan | Medicare |
| Medicare | Medicare |
| Medicaid | Medicaid |
| MagnaCare (also known as Brighton HPS) | HMO, PPO, POS |
| MCS Patient Centered Health Care Network | HMO, PPO, POS |
| Multiplan | HMO, PPO, POS |
| National Provider Network | HMO, PPO, POS |
| Optum Behavioral Health | Mental Health |
| Oxford Health Plans | HMO, PPO, POS, Medicare, Applewood, The Manor |
| Private Healthcare Systems | HMO, PPO, POS |
| QualCare | HMO, PPO, POS, Applewood, The Manor |
| QualCare Workers Comp | HMO, PPO, POS, Applewood, The Manor |
| TriCare (Champus) | HMO, PPO, POS |
| United Healthcare | HMO, PPO, POS, Medicare, Applewood, The Manor |
| Wellcare of New Jersey | Medicare, Medicaid, Applewood, The Manor |
If you have an HMO, PPO or other managed care program, your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met.
If your plan’s requirements are not followed, you will be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your health care plan and their services may not be covered. Deductibles and co-payments are due on or before discharge. Patients seeking an estimate of out-of-pocket expenses prior to receiving care at CentraState, can contact our Insurance Verification line at 732-294-2632.
In accordance with the New Jersey Hospital Care Payment Assistance Program NJAC 8:31B (“Charity Care”), patients who are interested in public assistance medical plans and/or qualifying for Charity Care for medically necessary services, may contact CentraState’s Financial Assistance office at 732-294-2641. The CentraState team will assist you in reviewing payment options, including payment arrangements and eligibility for financial assistance.
Download the NJ Hospital Care Assistance Program (Charity Care) Application