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Accepted Insurance Plans | Overlook Medical Center

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Insurance

Overlook Medical Center is considered a network participant with many insurance companies, including those that are part of the Health Care Exchange (Affordable Care Act). Most insurance carriers take 30 to 45 days to process a claim, after which the hospital will seek your assistance in getting paid. If a claim is not paid within 75 days, the hospital will consider the bill a patient responsibility.

You should verify the accuracy of any bill when you receive one, and compare statements from the hospital and insurance carrier to ensure that they are in agreement. You should follow up with the insurance carrier or hospital if you have not received a bill or notice of payment within 45 days of service.

Insurance carriers frequently deny claim submissions after 60 days, and payment for late submissions may be considered a patient responsibility. Please assist the hospital in appealing to the insurance carrier for any services that are not paid. You can also assist the hospital by promptly responding to Coordination of Benefits (COB) requests that you may receive from your insurance carrier. Your prompt payment of any deductible, coinsurance and/or co-pay is also appreciated. For questions or assistance, call 1-800-619-4024.

Pre-certification

Your insurance or managed care plan may require you to obtain pre-certification or pre-authorization for hospitalization, a procedure, surgery or service before they can be provided by the hospital and health care provider. Be certain to check this pre-certification requirement before your admission.

If you were admitted to the hospital through the emergency department, be sure that your insurance company is immediately notified of your admission. If you have any questions, please contact your insurance company or speak to your Atlantic Health System care manager.

You will probably receive more than one bill for services rendered by the hospital. Usually, one bill is sent for the use of hospital equipment, supplies, your room and board, and the time the nurses and other staff spent meeting your health care needs. You are responsible for any charges not covered or approved by your medical insurance company or managed care organization. The hospital bill does not include fees of any treating physicians.

You may receive a separate bill(s) from your personal physician and any other physician(s) involved in interpreting tests or performing other services. For example, a cardiologist, pathologist, radiologist or anesthesiologist will each send a separate bill for his or her professional services.

Participating Insurance Plans

The below list of insurance plans that Overlook Medical Center contracts with should not be considered comprehensive. Patients should always check with their individual carriers to determine the network status of Atlantic Health System facilities.

  • Aetna
  • Aetna Medicare NNJ Prime
  • Amerihealth
  • Cigna Behavioral (B)
  • Cigna Healthcare/Great West
  • Consumer Health Network (CHN)
  • Devon Health Services
  • Empire Health Choice
  • Evolutions Health Systems
  • First Health Group/Coventry
  • First MCO
  • Galaxy Health Care
  • GHI through Qualcare (Only for patients where the Qualcare logo appears on the ID card)
  • Health Republic Insurance of New Jersey (HRINJ)
  • Horizon Blue Cross Blue Shield Indemnity
  • Horizon Blue Cross Blue Shield PPO
  • Horizon Blue Cross Blue Shield HMO
  • Horizon Blue Cross Blue Shield Medicare Blue
  • Horizon Casualty
  • Horizon NJ Health (managed Medicaid plan)
  • InterGroup
  • Magellan Behavioral Health (B)
  • Magnacare
  • Managed Health Network (B)
  • Multiplan/Beechstreet/PHCS/Viant
  • National Preferred Provider Network (NPPN)/Planned Care America
  • New Jersey Carpenters Health Fund (B)
  • New Jersey Manufacturers through Horizon Casualty
  • Oscar
  • Oxford Health Plan PPO
  • Oxford Health Plan HMO
  • Oxford Medicare Advantage Plans
  • QualCare
  • Summit Medical Group
  • United Behavioral (B)
  • UnitedHealthcare
  • United Healthcare Community Plan (formerly Americhoice Managed Medicaid)
  • United Medicare Advantage Plans
  • United Medicare Advantage Private Fee For Service Plans (PFFS)
  • US Family Health Plan-a Tricare Network
  • Value Options (B)
  • Wellcare-Managed Medicare

Overlook Medical Center also accepts patients covered by traditional Medicare-Part A/Part B.

*(B) = behavioral health

Health Care Exchange Products

All Atlantic Health System hospitals, including Morristown Medical Center, Overlook Medical Center, Newton Medical Center, Chilton Medical Center and Goryeb Children’s Hospital, participate in select Health Care Exchange (Affordable Care Act) insurance plans. Please note that these products may have an associated network of preferred providers, and as such, your benefits and potential out-of-pocket expenses may vary depending upon where and by whom care is provided. It is strongly recommended that you contact your plan in advance of seeking services in order to understand your potential financial liability.

Health Care Exchange insurance products currently accepted by Overlook Medical Center:

  • AmeriHealth NJ Tier 1 Advantage
  • Health Republic Insurance of New Jersey
  • Horizon Blue Cross Blue Shield of New Jersey- Horizon Advantage EPO
  • Horizon Blue Cross Blue Shield of New Jersey- Horizon Advance EPO
  • Oscar
  • United Healthcare Compass

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Morristown Medical Center
100 Madison Avenue
Morristown, NJ 07960
973-971-5000

Overlook Medical Center
99 Beauvoir Avenue
Summit, NJ 07901
908-522-2000

Newton Medical Center
175 High Street
Newton, NJ 07860
973-383-2121

Chilton Medical Center
97 West Parkway
Pompton Plains, NJ 07444
973-831-5000

Goryeb Children's Hospital
100 Madison Avenue
Morristown, NJ 07960
973-971-5000

Atlantic Medical Group
1-800-247-9580

Morristown Medical Center

100 Madison Avenue
Morristown, NJ 07960
973-971-5000

Overlook Medical Center

99 Beauvoir Avenue
Summit, NJ 07901
908-522-2000

Newton Medical Center

175 High Street
Newton, NJ 07860
973-383-2121

Chilton Medical Center

97 West Parkway
Pompton Plains, NJ 07444
973-831-5000

Goryeb Children's Hospital

100 Madison Avenue
Morristown, NJ 07960
973-971-5000

Affiliated Providers

Atlantic Medical Group

More than 600 community-based health care providers.
1-800-247-9580