RWJBarnabas Health Contracted Health Insurers and Networks
Click on the Health Insurer’s name for direct access to Health Insurer’s website. It is also important that you contact your insurance company prior to receiving services or care at RWJBarnabas Health. Each plan is different and some provide different levels of coverage that could make a difference in your out-of-pocket costs. It is always best for the patient receiving care to contact their insurance company to obtain more information.
In addition, the physicians who provide care within our hospital may or may not participate in the same insurance plans as the hospital. You should check with the physician who is arranging your health care services to see which insurance plans the physician participates in.
You should also know that these health care professional(s)’ costs are not included in the facility’s charges. They will bill separately.
CLICK HERE for a list of physician groups that our hospitals have contracted to provide services including but not limited to anesthesiology, pathology and radiology.
CLICK HERE for a list of physicians who are employed by one of our hospitals and whose services may be provided at the hospital.
CLICK HERE for a list of physicians who are part of the RWJBarnabas Health medical group.
| Payer |
Participating Products
(click links to view details) |
Excluded Products |
|
All HMO, PPO, EPO, POS, and other commercial products. Select Medicare
products (see exclusions)
|
Aetna Medicare Prime products, Aetna Whole Health Individual and Family exchange plans |
|
| All HMO, PPO, EPO, POS, and other commercial products | ||
| Magellan Health Services | RWJBarnabas Health Behavioral Health | |
| Cigna Behavioral Health | RWJBarnabas Health Behavioral Health | |
| OptumHealth Care Solutions | RWJBarnabas Health Behavioral Health | |
| Beacon Health Options | RWJBarnabas Health Behavioral Health | |
| Braven Health | All products | |
| Centivo | All products | |
| Cigna | Select HMO, PPO, EPO, POS, and other commercial and indemnity products (see exclusions) | Cigna LocalPlus products |
| Cigna | Cigna LifeSource Transplant Network | |
| Clover Health | All Medicare products | |
| Consumer Health Network (CHN) | All products | |
| Devon | All products | |
|
Empire BCBS of New York
(for facilities not in counties contiguous to NY, through BlueCard) |
Jersey City Medical Center, Monmouth Medical Center, RWJUH, and RWJUH Rahway:
Select HMO, PPO, EPO, POS, and other commercial and indemnity products
(see exclusions)
All other facilities: Any products with BlueCard Program benefits. |
Pathway products, Empire MediBlue products, and other individual and small group plans requiring NY-based providers only |
| Fidelis Care (formerly Wellcare of NJ) | NJ Family Care Medicaid, Medicare HMO | |
| First Health | All products | |
| First Managed Care Option | All products | |
| Horizon BCBS of New Jersey | All Commercial Products, including HMO, PPO, EPO, POS, Direct Access, Indemnity, and Omnia. All State and Federal employee health products. All Medicare products | |
| Horizon NJ Health | Medicaid HMO and Total Care Dual Special Needs Plan | |
| Magnacare/Brighton Health Plan Solutions | All products | |
| MultiPlan/PHCS/Beechstreet | All products | |
| All HMO, PPO, POS, QualLynx Worker's Comp, and other commercial products | ||
| Humana Military | Tricare | |
| All United and Oxford HMO, PPO, and other commercial products. All Medicare products. VA Community Care Network | ||
| United Community Plan | Medicaid HMO and Dual Complete Dual Special Needs Plan | |
| US Family Health Plan | All products | |
| Wellpoint (formerly AmeriGroup) | NJ Family Care Medicaid, Medicare HMO | |
| World Trade Center Health Program | All products |
**ACCEPT AS LONG AS THAT TRICARE BENEFIT PLAN PROVIDES THE MEMBER BENEFIT FOR OUR PROVIDERS SERVICE (LIMITED PLANS)
Note: Accepted Health Plan information is only as accurate as the most current information submitted. Prior to your appointment, it is advisable to verify with your insurance company they are still a participating plan prior to receiving services or care at RWJBarnabas Health. Each plan is different and some provide different levels of coverage that could make a difference in your out-of-pocket costs. It is always best for the patient receiving care to contact their insurance company to obtain more information.
