Atlantic Health System is dedicated to providing patients, consumers and caregivers with as much information as possible regarding potential health care costs. Accordingly, we have listed information on the insurers and products we participate in, as well as any exceptions.
This list may not be comprehensive. For example, specialty insurers – such as workers’ compensation and personal injury protection (“PIP”) – are not included because there are a number of different types of insurance products and we may not participate in all of them. If you do not see your plan listed on our website, we strongly recommend that you contact us or your health insurance plan to confirm whether your plan is in-network or out-of-network.
The resources provided here can be used to help determine your out-of-pocket expenses. If a provider is in-network, you should not be charged more than your in-network out-of-pocket expense by that provider, and if you are, you should notify your insurance plan and the Department of Banking and Insurance/Department of Health. If a provider is out-of-network, you may pay more than your in-network co-payment, coinsurance or deductible for the services of that provider. If your Atlantic Health System provider’s network status changes with your insurance plan prior to your scheduled appointment with such provider, we will notify you. If your insurance plan is self-funded, you may not be eligible for the out-of-network protections described here.
Plans we participate in
It is also important that you contact your insurance company prior to receiving services or care at our facilities. Each plan is different and some provide different levels of coverage that could make a difference in your out-of-pocket costs. It is always best to contact your insurance company to obtain more information.
In addition, the physicians who provide care within our facilities might not participate in the same insurance plans as our facilities. You should check with the physician who is arranging your health care services to see which insurance plans the physician participates in and whether there are additional physicians who may be involved with your care. You should also know that these health care professionals’ costs are generally not included in the facility’s charges. They may bill separately.
Physicians and Physician Groups We Employ or With Whom We Contract
While the physicians are our employees, you may still receive a separate bill for their services in the event they process their own billing.
They are not our employees, but instead have a contract with us to provide certain health care services. You should also know that these health care professionals’ costs are not typically included in the facility’s charges. They may bill you separately.
As with the insurance plans Atlantic Health System participates in, variations in plans and levels of coverage could make a difference in your out-of-pocket costs. It is always best to contact your insurance company to obtain more information.
Please keep in mind that the above information applies to the services provided by the listed physicians and physician groups within Atlantic Health System facilities. Services provided by these physicians and physician groups outside of our facilities might not be covered under the same insurance plans. If these physicians or physician groups will provide you services outside of our facilities, like at a follow-up visit in their private practice office, you should check with them to determine if those services will be considered in-network or out-of-network with your insurance plan.