ACCEPTED INSURANCES and NETWORKS

VINELAND PEDIATRICS, PA

1/1/03

 

Aetna/US Healthcare=AET

Aetna/US Healthcare HMO

Family Care Plan (Medicaid)

Corporate Health Administrators Gold

Corporate Health Administrators Network Access (Gray)

Corporate Health Admin Point of Service

Corporate Health Administrators Managed Care Network

Aetna=AET

Aetna Managed Choice

Aetna Open Choice

Aetna Elect Choice

Americhoice=ACH  (formerly MHS) eff 4/1/01  Amerigroup=AGM

Americaid                                     

Amerihealth=AMH                                 

Amerihealth HMO

Amerihealth Administrators (previously Blair Mill)

Personal Choice **only if Amerihealth also on card**

Keystone Healthplan East  until 7/1/03, then NONPAR

 

§§Independence Blue Cross & Blue Shield of PA=BLUEOS EFF 1/1/03

Personal Choice

Blue Choice of PA

 

Atlanticare=ATL                              

Atlanticare HMO

Atlanticare Intergroup

Some Insurance Design Admin (only if Atlanticare on card)

Some Loomis

Some Magnacare (only if Atlanticare on card, too)

          Some NJ CAR (if ATL is “primary network” on card)

          Some Unicare

          Strawberry Associates

Blue Cross & Blue Shield Out of State=BLUEOS

Blue Cross & Blue Shield of Delaware

          Care First

Blue Cross & Blue Shield of PA(non-Independence BS/BC)

          PA Blue Shield & Capital Blue Cross

Empire Blue Cross & Blue Shield of New York

          Independence Blue Cross and Blue Shield of PA  eff 1/1/03

                    Personal Choice

                    Blue Choice of PA

Children’s Health Net=CHNET (a network, not an insurance company)

Choice Care Network=ECC (formerly Employer’s Choice Care)

          Humana

 

 

 

 

 

 

Consumer Health Network=CHN

          Consumer Health Network HMO

                    ProAmerica

                    Aultcare

          Consumer Health Network PPO

          Insurance Design Administrators(if not otherwise specified)

                    Custom Sales & Service

Some Loomis

Some NJ CAR (if CHN is listed as “primary network” on card)

Devon Health Services (formerly Americare)=DEV

          America’s Choice Maxnet

First Benefit Services

Americare

Ullicare

Local 3

Local 33

Local 56 (some of them)

Local 222

Local 331

Local 463

Local 502

          Local 699

Group Health Inc=GHI

          Eff 7/1/02 has network sharing agreement with QLC

Health Care Payors Coalition=HCP

HealthNet (previously Physician’s Health Services, previously First Option)=PHS

          HMO

          PPO

          Healthy Options (Medicaid)

Horizon BC & BS of NJ traditional=HOR

          Blue Select

Federal

Government-wide plans

Network CMM

          Local 54 plans

Local 56(some of them)

Horizon BC & BS of NJ managed=HOR

          HMO Blue

Blue Choice of NJ

          NJ State Health Benefit Plan

          NJ Plus

          Horizon Mercy

          Horizon Mercy Kidcare

          Direct Access

          Total Plan Administrator

Insurance Administrators of America=IAA

 

 

Intergroup Services Corporation=ISC

          Pro-Net

          America’s Health Plan

          Medco Value Plan

Jersey Med (previously South Jersey PPO)=JER

          **all members automatically have ISC as 2nd insurance**

          Clement Pappas

          IDA

          Jersey Med PPO

          Jersey Med PPO BFN

Local Health & Welfare Plan=LOCAL

Local 825 International Union Operation Engineers

          Local 825 PPO

Magnacare=MAG

          **if ATL on card, code as ATL**

Medichoice=MCH

          CappCare

          Beech Street Corporation

                    Mutual of Omaha

                    Showboat

          NCAS

          Medichoice

                    EBP

                    Performax

          SRC

          Provider Network of America

Multi Assistance Services=MUL

Multiplan=FHP

          ** if UHC on card, code as UHC

First Health Group

                    Ethix

                    Ethix/Intergroup

                    Unicare

          Amalgamated Life

NJ Carpenters Welfare Funds=CAR

          ** use “primary network” code if on card e.g ATL,CHN,UVC

One Health Plan=OHP

          Great West

          Great West Exclusive

          IE Schaffer

Oxford Health Plans=OXF

          Oxford Point of Service

Performance Health Network=CCN

          Community Care Network

Principal Mutual Life Insurance=PML

Private Healthcare Systems=PHC

          PPO

          HMO

Prucare=PRU           

          HMO

          Prucare PPO or Plus

          PruNetwork

          Prudential Indemnity

Qualcare=QLC

          Eff 7/1/02 has network sharing agreement with GHI

R & T Group=RTG

Sima=SIMA  (a network, not an insurance company)

Southshore Health Services=SHS

          Simcare PPO

          Siracusa & Sons

          Jefferson Pilot

State of NJ=MCD  **limits on acceptance**

          Medicaid**

          Kidcare**

          Medicare/SSI**

    Managed Care Plans:

          Aetna/US Healthcare Family Care Plan=AET

          Americhoice-ACH

          Amerigroup/Americaid=AGM

HealthNet/Physicians Health Services=PHS

          Horizon Mercy=HOR

          University Health Care=UVC

United Health Care=UHC

University Health Care=UVC

          Group Plan (commercial)

          University Health Care Family Plan (Medicaid)

          HMO

          PPO

 

**Uniformed Health Services = NON PAR IF ASSOC W/ TRICARE

          1/29/02-most if not all groups separated from QLC, so we became nonpar