NEW PATIENT FORMS

Aetna

Meritain Health Aetna

Medicare Primary and commercial insurance as secondary (AARP, United etc)

( Please note if you have Blue Cross Blue Shield or Medicaid as secondary they do not cover the remaining visit as we are out of network with Blue Cross Blue Shield )

* Please note: 

• We check deductible for every patient at every visit. 
• We require to keep a credit card on file.
• If you have a high deductible plan and you have not met the deductible, We will ask you to pay for the full visit upfront. 
• If there is an overpayment, we will refund you the difference after the EOB (Explanation of Benefits) is received from Insurance. 
• You can use FSA or HSA card to make payment.
• No show fee is $25
• Form fee is $10 per page

Aetna Better Health ( Medicaid)

AmeriHealth

Amerigroup

Blue Cross Blue Shield

Cigna

Geisinger

GHI/Emblem health

Horizon Medicare Blue Advantage (HMO) 

Horizon NJ Health

Magnacare

Qualcare

United Oxford

United Health Care

United HealthCare Community Plan

Any Medicaid Plan

Medicare Advantage/Complete plans offered by Blue Cross Blue Shield, United Health Care, Oxford or AARP

• You can still see the doctor as an Out Of Network Physician.
• You will be asked to pay for the visit upfront by Credit/Debit/ FSA/ HSA Card or cash. ( We do not accept personal checks)
• You will receive a superbill at the end of the visit, which you can submit to your insurance company. If you prefer we can submit the claim on your behalf, ask the front desk.
• Depending on your "Out Of Network deductible", insurance company will reimburse you directly.
• You can call the Customer Service number on back of your insurance card to get the details. 
• You can use your FSA or HSA (Flexible or Health Spending Account card) for the payment.