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 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.