Referral Information

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If your child's insurance plan requires a referral, it is your responsibility to obtain one from the Pediatrician/Primary Care Provider. If the referral is not obtained PRIOR to the scheduled appointment, then the appointment WILL be rescheduled.

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Insurance Plans Accepted

UFC NPI - 1780736686  TAX ID 22-3792502

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Aetna *Some Aetnas require referrals please obtain from PCP*

Aetna through Jefferson (Concodora is not in-network; rest of the providers are)

Amerihealth Administrators ( REF IS REQ FOR SOME PLANS- SOME EPO PLANS NEED ONE)

Amerihealth PPO & HMO ( ref req for HMO)

Anthem Blue cross ( ONLY THE PPO PLAN!)

Capital BXBS ( Ask parents if REF is REQ- some plans need one ) 

Coresource

Cigna of NJ & PA 

Federal BXBS

Highmark BXBS

Horizon BXBS of NJ ( HMO PLANS NEED A REF )

Horizon NJ DIRECT

Horizon POS: Ref is req

Independence BXBS- Personal Choice

Keystone Health Plan East- if not PPO PLAN- Then REF IS REQ- 

Magnacare

Medishare/Christian Cares

Meritain ( ASK IF REF IS REQ)

Oxford Metro Benefit Plan (ASK IF REF IS REQ, some plans need one)

Qualcare

Railroad Medicare * ONLY CONCODORA in NJ/ Balsara both NJ & PA

United Healthcare CHOICE PLUS NJ & PA- * known as EVERCARE now* 

Make sure it is NOT COMMUNITY PLAN if dealing with PA patient- we are NON PAR IN PA!

**TRICARE INSURANCES**

TRICARE STANDARD/SELECT ( REF IS REQ- VERIFICATION # 1-800-444-5445)

TRICARE PRIME -VERIFY WITH PARENT IF A REF IS REQ OR NOT!

MEDICAIDS THAT WE ACCEPT IN NJ:

Amerigroup NJ ONLY- script ref is req

HNJH- *FOR THE TIME BEING- NO REF REQ DUE TO COVID* SUBJECT TO CHANGE

United HealthCare comm plan- Script ref req

MEDICAIDS THAT WE ACCEPT IN PA:

KEYSTONE FIRST

HEALTH PARTNERS

AMERIHEALTH CARITAS (SCRIPT REF REQ)

AMERIHEALTH CARITAS NORTHEAST  ( SCRIPT REF REQ)

AETNA BETTER HEALTH PA ( SCRIPT REF REQ ) MICHELLE SHEEL IS IN NETWORK !!

GATEWAY- *FOR THE TIME BEING NO REF REQ DUE TO COVID!* SUBJECT TO CHANGE- NPI- 1577252

INSURANCE PLANS THAT WE DO NOT ACCEPT AT ALL! NO EXCEPTIONS

Aetna better health of NJ

Geisinger

UHCCP OF PA ( ALSO COMES UP AS EVERCARE: PA CHIP)

CAPITAL BXBS EPO- ST LUKES- THEY HAVE TO BE SEEN BY SOMEONE IN THEIR NETWORK! EFF 07/29/2019

UPMC

WELLCARE

FIRST PRIORITY HEALTH

• Aetna Better Health NJ

• BCBS First Priority Health (PA)

• Geisinger

• UHC Community Plan PA

• UPMC

• Wellcare

Additional Fees: 

There is an additional $20 dollar fee for completion of forms and copying costs for medical records, including:

• Day Care

• Disability

• Family Medical Leave