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Insurance

Atlantic Health System facilities are considered network participants 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 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 we contract with should not be considered comprehensive. Patients should always check with their individual carriers to determine the network status of Atlantic Health System facilities.

Atlantic Rehabilitation

  • Aetna
  • Aetna Better Health
  • Aetna Medicare NNJ Prime
  • Aetna Medicare Advantage (All plans)
  • Amerigroup (All plans
  • Amerihealth Regional Preferred
  • Amerihealth Local Value
  • Brighton Health (formerly known as Magnacare)
  • Beechstreet
  • Cigna (excluding Indemnity)
  • Cigna Great West
  • Consumer Health Network (CHN)
  • Evolutions Health Systems
  • First Health Group/Coventry
  • First Managed Care Option
  • Galaxy Health Care
  • All Blue Cross Plans through Blue Card Program
  • Horizon Blue Cross Blue Shield Indemnity
  • Horizon Blue Cross Blue Shield Direct Access (All product types)
  • Horizon Blue Cross Blue Shield EPO (All product types)
  • Horizon Blue Cross Blue Shield HMO (All product types)
  • Horizon Blue Cross Blue Shield OMNIA (All product types)
  • Horizon Blue Cross Blue Shield POS (All product types)
  • Horizon Blue Cross Blue Shield PPO (All product types)
  • Horizon Blue Cross Blue Shield Medicare Advantage (All product types)
  • Horizon Casualty
  • Horizon NJ Health
  • Magellan Behavioral Health
  • Managed Health Network
  • Multiplan/PHCS
  • National Preferred Provider Network (NPPN)/Planned Care America
  • New Jersey Manufacturers through Horizon Casualty
  • Oxford Health Plan PPO
  • Oxford Health Plan HMO
  • Oxford Medicare Advantage Plans
  • QualCare (including GHI products that specifically have the Qualcare logo on your insurance card)
  • United Healthcare
  • United Healthcare Community Plan
  • United Medicare Advantage Plans
  • United Medicare Advantage Private Fee for Service Plans (PFFS)
  • US Family Health Plan-a Tricare Network
  • Value Options
  • Wellcare Managed Medicaid
  • Wellcare Managed Medicare

Chilton Medical Center

  • Aetna
  • Aetna Better Health
  • Aetna Medicare NNJ Prime
  • Aetna Medicare Advantage (All plans)
  • Amerigroup (All plans)
  • Amerihealth Regional Preferred
  • Amerihealth Local Value
  • Beechstreet
  • Brighton Health (formerly known as Magnacare)
  • Cigna (excluding Indemnity)
  • Cigna Great West
  • Consumer Health Network (CHN)
  • First Managed Care Option
  • All Blue Cross Plans through Blue Card Program
  • Horizon Blue Cross Blue Shield Indemnity
  • Horizon Blue Cross Blue Shield Direct Access (All product types)
  • Horizon Blue Cross Blue Shield EPO (All product types)
  • Horizon Blue Cross Blue Shield HMO (All product types)
  • Horizon Blue Cross Blue Shield OMNIA (All product types)
  • Horizon Blue Cross Blue Shield POS (All product types)
  • Horizon Blue Cross Blue Shield PPO (All product types)
  • Horizon Blue Cross Blue Shield Medicare Advantage (All product types)
  • Horizon Casualty
  • Horizon NJ Health
  • Multiplan/PHCS
  • National Preferred Provider Network (NPPN)/Planned Care America
  • New Jersey Manufacturers through Horizon Casualty
  • Oxford Health Plan PPO
  • Oxford Health Plan HMO
  • Oxford Medicare Advantage Plans
  • QualCare (including GHI products that specifically have the Qualcare logo on your insurance card)
  • United Healthcare
  • United Healthcare Community Plan
  • United Medicare Advantage Plans
  • United Medicare Advantage Private Fee for Service Plans (PFFS)
  • US Family Health Plan-a Tricare Network
  • Value Options
  • Wellcare Managed Medicaid
  • Wellcare Managed Medicare

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

Hackettstown Medical Center

  • Aetna
  • Aetna Better Health
  • Aetna Medicare NNJ
  • Aetna Medicare Advantage (All plans)
  • Amerigroup (All plans)
  • Amerihealth Regional Preferred
  • Amerihealth Local Value
  • Brighton Health (formerly known as Magnacare)
  • Beechstreet
  • Cigna (excluding Indemnity)
  • Cigna Great West
  • Consumer Health Network (CHN)
  • First Health Group/Coventry
  • First Managed Care Option
  • All Blue Cross Plans through Blue Card Program
  • Horizon Blue Cross Blue Shield Indemnity
  • Horizon Blue Cross Blue Shield Direct Access (All product types)
  • Horizon Blue Cross Blue Shield EPO (All product types)
  • Horizon Blue Cross Blue Shield HMO (All product types)
  • Horizon Blue Cross Blue Shield OMNIA (All product types)
  • Horizon Blue Cross Blue Shield POS (All product types)
  • Horizon Blue Cross Blue Shield PPO (All product types)
  • Horizon Blue Cross Blue Shield Medicare Advantage (All product types)
  • Horizon Casualty
  • Horizon NJ Health
  • Magellan Behavioral Health
  • Managed Health Network (B)
  • Multiplan/PHCS
  • New Jersey Manufacturers through Horizon Casualty
  • Oxford Medicare Advantage Plans
  • Oxford Health Plan PPO
  • Oxford Health Plan HMO
  • QualCare (including GHI products that specifically have the Qualcare logo on your insurance card)
  • United Healthcare
  • United Medicare Advantage Plans
  • United Healthcare Community Plan
  • Value Options
  • Wellcare Managed Medicaid
  • Wellcare Managed Medicare

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

*(B) = behavioral health

Morristown Medical Center

  • Aetna
  • Aetna Better Health
  • Aetna Medicare NNJ Prime
  • Aetna Medicare Advantage (All plans)
  • Amerigroup (All plans)
  • Amerihealth Regional Preferred
  • Amerihealth Local Value
  • Brighton Health (formerly known as Magnacare)
  • Beechstreet
  • Cigna (excluding Indemnity)
  • Cigna Great West
  • Consumer Health Network (CHN)
  • Evolutions Health Systems
  • First Health Group/Coventry
  • First Managed Care Option
  • Galaxy Health Care
  • All Blue Cross Plans through Blue Card Program
  • Horizon Blue Cross Blue Shield Indemnity
  • Horizon Blue Cross Blue Shield Direct Access (All product types)
  • Horizon Blue Cross Blue Shield EPO (All product types)
  • Horizon Blue Cross Blue Shield HMO (All product types)
  • Horizon Blue Cross Blue Shield OMNIA (All product types)
  • Horizon Blue Cross Blue Shield POS (All product types)
  • Horizon Blue Cross Blue Shield PPO (All product types)
  • Horizon Blue Cross Blue Shield Medicare Advantage (All product types)
  • Horizon Casualty
  • Horizon NJ Health
  • Magellan Behavioral Health
  • Managed Health Network
  • Multiplan/PHCS
  • National Preferred Provider Network (NPPN)/Planned Care America
  • New Jersey Manufacturers through Horizon Casualty
  • Oxford Health Plan PPO
  • Oxford Health Plan HMO
  • Oxford Medicare Advantage Plans
  • QualCare (including GHI products that specifically have the Qualcare logo on your insurance card)
  • United Healthcare
  • United Healthcare Community Plan
  • United Medicare Advantage Plans
  • United Medicare Advantage Private Fee for Service Plans (PFFS)
  • US Family Health Plan-a Tricare Network
  • Value Options
  • Wellcare Managed Medicaid
  • Wellcare Managed Medicare

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

Newton Medical Center

  • Aetna
  • Aetna Better Health
  • Aetna Medicare NNJ Prime
  • Aetna Medicare Advantage (All plans)
  • Amerigroup (All plans)
  • Amerihealth Regional Preferred
  • Amerihealth Local Value
  • Brighton Health (formerly known as Magnacare)
  • Beechstreet
  • Cigna (excluding Indemnity)
  • Cigna Great West
  • Consumer Health Network (CHN)
  • Evolutions Health Systems
  • First Health Group/Coventry
  • First Managed Care Option
  • Galaxy Health Care
  • All Blue Cross Plans through Blue Card Program
  • Horizon Blue Cross Blue Shield Indemnity
  • Horizon Blue Cross Blue Shield Direct Access (All product types)
  • Horizon Blue Cross Blue Shield EPO (All product types)
  • Horizon Blue Cross Blue Shield HMO (All product types)
  • Horizon Blue Cross Blue Shield OMNIA (All product types)
  • Horizon Blue Cross Blue Shield POS (All product types)
  • Horizon Blue Cross Blue Shield PPO (All product types)
  • Horizon Blue Cross Blue Shield Medicare Advantage (All product types)
  • Horizon Casualty
  • Horizon NJ Health
  • Magellan Behavioral Health
  • Managed Health Network
  • Multiplan/PHCS
  • National Preferred Provider Network (NPPN)/Planned Care America
  • New Jersey Manufacturers through Horizon Casualty
  • Oxford Health Plan PPO
  • Oxford Health Plan HMO
  • Oxford Medicare Advantage Plans
  • QualCare (including GHI products that specifically have the Qualcare logo on your insurance card)
  • United Healthcare
  • United Healthcare Community Plan
  • United Medicare Advantage Plans
  • United Medicare Advantage Private Fee for Service Plans (PFFS)
  • US Family Health Plan-a Tricare Network
  • Value Options
  • Wellcare Managed Medicaid
  • Wellcare Managed Medicare

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

Overlook Medical Center

  • Aetna
  • Aetna Better Health
  • Aetna Medicare NNJ Prime
  • Aetna Medicare Advantage (All plans)
  • Amerigroup (All plans
  • Amerihealth Regional Preferred
  • Amerihealth Local Value
  • Brighton Health (formerly known as Magnacare)
  • Beechstreet
  • Cigna (excluding
  • Indemnity)
  • Cigna Great West
  • Consumer Health Network (CHN)
  • Evolutions Health Systems
  • First Health Group/Coventry
  • First Managed Care Option
  • Galaxy Health Care
  • All Blue Cross Plans through Blue Card Program
  • Horizon Blue Cross Blue Shield Indemnity
  • Horizon Blue Cross Blue Shield Direct Access (All
  • product types)
  • Horizon Blue Cross Blue Shield EPO (All product types)
  • Horizon Blue Cross Blue Shield HMO (All product types)
  • Horizon Blue Cross Blue Shield OMNIA (All product
  • types)
  • Horizon Blue Cross Blue Shield POS (All product types)
  • Horizon Blue Cross Blue Shield PPO (All product types)
  • Horizon Blue Cross Blue Shield Medicare Advantage (All
  • product types)
  • Horizon Casualty
  • Horizon NJ Health
  • Magellan Behavioral Health
  • Managed Health Network
  • Multiplan/PHCS
  • National Preferred Provider Network (NPPN)/Planned
  • Care America
  • New Jersey Manufacturers through Horizon Casualty
  • Oxford Health Plan PPO
  • Oxford Health Plan HMO
  • Oxford Medicare Advantage Plans
  • QualCare (including GHI products that specifically
  • have the Qualcare logo on your insurance card)
  • United Healthcare
  • United Healthcare Community Plan
  • United Medicare Advantage Plans
  • United Medicare Advantage Private Fee for Service
  • Plans (PFFS)
  • US Family Health Plan-a Tricare Network
  • Value Options
  • Wellcare Managed Medicaid
  • Wellcare Managed Medicare

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

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:

  • AmeriHealth NJ Tier 1 Advantage (Chilton, Morristown, Newton and Overlook medical centers and Atlantic Rehabilitation are considered Tier 2 facilities)
  • Horizon Blue Cross Blue Shield of New Jersey- Horizon Advantage EPO
  • Horizon Blue Cross Blue Shield of New Jersey- Omnia Tier 1