Tuesday, May 13, 2008

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Alfred I. duPont Hospital for Children
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Managed Care Manual - New Jersey

Insurances we accept at our practices in the state of NEW JERSEY

Accepted Managed Care Plans (New Jersey)

  • Aetna/US Healthcare (NJ sites currently being enrolled)
  • Amerihealth of NJ
    Keystone of NJ
    Physician Care Network (Amerihealth Health Plan)
  • Atlanticare
  • BCE Emergis
  • Benefit Concepts
  • Blue Cross/Blue Shield of DE
    Horizon BCBSNJ Comm
    Horizon BCBSNJ HMO
    Horizon BCBSNJ POS
    Horizon Direct Access BCBSNJ POS
    FEP POS, AT&T POS, Lucent Technologies
    Blue Select
    BlueCard, BlueCard PPO, Blue Care
    Horizon Healthcare Administrators
    Medallion
    Horizon MSA
    Wraparound
    Blue Choice
    Horizon BCBSNJ Plus
    BCBS New Jersey Other
  • CCN PPO
  • Cigna HealthCare (Seamless Network):
    Cigna Healthcare PPO
    Cigna Referral Plan
    Select Source Plus
    Point of Service HMO
    CoMED HMO
  • Coventry Healthcare of DE
    Health America
    Health Assurance 
  • Devon (formerly Americare)
  • Evolutions Healthcare System (formerly Guardian Resources)
  • First Health (formerly Affordable)
  • HealthNet (commercial & Medicaid products)
  • Physician Health Services (formerly First Options)
    Preferred Health Network (formerly Maxnet)
  • Healthpartners
  • Horizon BCBS of New Jersey
  • Horizon Mercy Health Plans
  • Independence Blue Cross
  • Insurance Administrators of America
  • Intergroup PPO
  • MAMSI
  • Medicaid of New Jersey (traditional)
  • Multiplan
  • Plan Vista Solutions (aka National Preferred Provider Network)
  • Preferred Healthcare
  • One Health Plan (PPO and POS only)
  • Oxford Health Plus
  • PPO Next
  • Special Risk International (transplant agreement)
  • United Healthcare

*Please note that this listing DOES NOT reflect the enrollment status of our employed medical staff. To determine whether a particular physician is credentialed and enrolled with one of the plans listed above, please call the Enrollment Department at 302-651-6212 or 302-651-4473.

 
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