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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INSURANCES ACCEPTED BY UFC:

Aetna * Referral may be needed from PCP*

Aetna through Jefferson (UFC Tier 3/Jefferson Tier 1)

Amerihealth Administrators (Referral is required for some EPO Plans)

Amerihealth PPO & HMO (Referral required for HMO)

Anthem Blue Cross (ONLY THE PPO PLAN)

Capital BCBS (Non-St. Luke's Employees need referral) 

CHAMPUS VA - Ask if referral is required)

Coresource

Cigna of NJ & PA 

Federal BCBS

GEHA (No referral required)

GPA/Imagine Health- No Referral Required

Highmark BCBS (we do NOT participate with Highmark Direct Blue PPO)

Horizon BCBS of NJ (HMO PLANS NEED A REFERRAL )

Horizon NJ DIRECT

Horizon POS (Referral is required)

Independence BCBS- Personal Choice

Independence Administrators

Independent Health

Keystone Health Plan East- if not PPO PLAN (Then referral IS required)

Medishare/Christian Cares

Meritain (referral may be required)

Oxford (referral may be required, some plans require one) (Excludes EPO Plans)

OXFORD (Limited provider scheduling - can only see Drs. Dean and Roth) 

Qualcare

Railroad Medicare * Balsara both NJ & PA

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

(NOT A COMMUNITY PLAN - we are NON PAR IN PA)

 

**TRICARE INSURANCES**

TRICARE STANDARD/SELECT

TRICARE PRIME- **REQUIRES A REFERRAL PRIOR TO SCHEDULING APPOINTMENT**

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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- REFERRAL REQUIRED

 

MEDICAIDS THAT WE ACCEPT IN PA:

AMERIHEALTH CARITAS (SCRIPT REF REQ)

AMERIHEALTH CARITAS NORTHEAST ( SCRIPT REF REQ)

Aetna Better Health of PA / Aetna Better Health KIDS

Highmark Whole Care *No referral needed during COVID emergency

HEALTH PARTNERS/KIDZ PARTNERS/Health Choice

KEYSTONE FIRST

UNITED HEALTHCARE COMMUNITY PLAN OF PA ( ALSO COMES UP AS EVERCARE: PA CHIP) SCRIPT REF REQ

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INSURANCE PLANS NOT ACCEPTED BY UFC:

Aetna better health of NJ

AM BETTER - PA WELLNESS we are NON PAR 07/21/2021

FIRST PRIORITY HEALTH

MAGNACARE

Geisinger

UPMC

US Family Healthcare (Product of Tricare)

WELLCARE

Highmark Blue card EPO

Charity Care

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ST LUKES INSURANCES:

Amerihealth Administrators- NO REF & NO EXCEPTION FORM REQ -

If HMO plan- REF IS REQ

Capital BCBS- Ref may be required if HMO