Referral Information

​

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.

​

Insurance Plans Accepted

UFC NPI - 1780736686  TAX ID 22-3792502

​

INSURANCES ACCEPTED BY UFC:

Aetna * Referral may be needed from PCP*

Aetna through Jefferson

Amerihealth Administrators (Referral is required for some EPO Plans)

Amerihealth PPO & HMO (Referral is required for HMO)

Anthem Blue cross (ONLY THE PPO PLAN)

Capital BXBS (We DO NOT currently ACCEPT Capital BCBS with St. Lukes). Also, a referral is required- some plans need one) 

Coresource

Cigna of NJ & PA 

Federal BCBS

GEHA (No referral required)

GPA/Imagine Health- Nor Referral Required

Highmark BCBS

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)

Magnacare

Medishare/Christian Cares

Meritain (referral may be required)

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

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

Qualcare

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

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

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

**TRICARE INSURANCES**

TRICARE STANDARD/SELECT

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

​

 

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:

AMERIHEALTH CARITAS (SCRIPT REF REQ)

AMERIHEALTH CARITAS NORTHEAST ( SCRIPT REF REQ)

AETNA BETTER HEALTH PA ( SCRIPT REF REQ )

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

HEALTH PARTNERS

KEYSTONE FIRST

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

​

​

INSURANCE PLANS NOT ACCEPTED BY UFC:

Aetna better health of NJ

CAPITAL BXBS (ANY PRODUCT) with ST LUKES- THEY HAVE TO BE SEEN BY SOMEONE IN THEIR NETWORK! EFF 07/29/2019

FIRST PRIORITY HEALTH

Geisinger

UPMC

US Family Healthcare (Product of Tricare)

WELLCARE

• Aetna Better Health NJ

• BCBS First Priority Health (PA)

• Geisinger

• 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