INSURANCE PLANS ACCEPTED

Currently, Saint James Health accepts the insurance plans listed below.
This information is subject to change at any time so it is important to confirm if your insurance plan is accepted at the time, you make your appointment.

Public Insurance Plans

MEDICAID

• Medicaid of New Jersey
• Aetna Better Health of NJ
• Horizon New Jersey Health
• UHC Medicaid NY/NJ Community Plan
• Fidelis (formerly WellCare)
• Wellpoint (formerly Amerigroup)

MEDICARE

• Medicare of New Jersey J12
• AARP MEDICARE ADVANTAGE
• AARP MEDICARE SUPPLEMENT
• AARP UHC MEDICARE
• Braven Medicare Choice
• UHC Medicare Community Plan
• AMERIVANTAGE DUAL (HMO SNP)
• UHC DUAL Plan MCR/MCD
• Aetna (ABH) Assure Plus (HMO SNP)

PRIVATE INSURANCE PLANS

• Wellcare of New Jersey (Commercial)
• 1199 NATIONAL BENEFIT FUND
• AETNA
• Aetna Meritain Health
• Aetna Signature Admin (PPO)
• ALIERACARE (PHCS)
• AmeriHealth Administrators
• AmeriHealth Administrators- PERSONAL CHOICE
• AmeriHealth NJ SEH EPO and AmeriHealth Advantage
• BCBS of New Jersey
• BCBS of New York
• Cigna
• Clover
• Discover Care Plus
• Emblem Health
• EMPIRE UHC
• First Health Network
• FCE Benefit Administrators
• GEHA
• HealthFirst Health Plan of NJ
• Horizon BCBS NJ
• HUMANA
• Independence Administrators
• LOOMIS COMPANY
• MagnaCare
• Meritain Health
• Multiplan (CGS HEALTH)
• MVP HEALTH CARE
• Oscar
• Performance Health Administrators
• PHCS Allied
• QUALCARE
• TransAmerica Life Insurance Health
• TransChoice Key Benefit Administrators
• Tricare (Humana)
• UHC Oxford Health Plan
• UMR
• United Health Care Of All States
• United HealthCare Student Resources

SELF PAY (SLIDING FEE DISCOUNT)

This payment system provides discounts to individuals and families with lower incomes, ensuring they can access essential care and support. By making healthcare services more affordable, it promotes greater accessibility for all. The exact discount is based on two factors: income and family size.

GOOD FAITH ESTIMATE

You have the right to receive a “Good Faith Estimate” explaining how much your medical and dental care will cost. Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. For questions or more information about you right to Good Faith Estimate, visit www.cms.gov/nosurprises.

**Prices are subject to change and cannot be fully determined until full registration is completed at the time of your appointment.