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

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Aetna (Some plans referrals required - please obtain from PCP)

Aetna through Jefferson

Amerihealth Administrators (Some plans referrals required - please obtain from PCP)

Amerihealth PPO & HMO (Referral required for HMO)

Anthem Blue Cross (PPO Plan only)

Amerihealth (St. Luke's Employees) - An exception form from your PCP is required prior to scheduling an appointment (30-day waiting period, per insurance company)

Capital BCBS (Some plans referrals required - please obtain from PCP) 

Coresource

Cigna of NJ & PA 

Federal BXBS

Highmark BCBS

Horizon BCBS of NJ (Referral required for HMO)

Horizon NJ DIRECT

Horizon POS: (Referral Required)

Independence BCBS- Personal Choice

Keystone Health Plan East- (Referral required, except for PPO plans)

Magnacare

Medishare/Christian Cares

Meritain (Some plans referrals required - please obtain from PCP)

Oxford (Some plans referrals required - please obtain from PCP) 

Qualcare

Railroad Medicare (Not all of our providers accept this plan)

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

not COMMUNITY PLAN if dealing with PA patient- we are NON PAR IN PA!

TRICARE INSURANCES

TRICARE STANDARD/SELECT (Referral required - VERIFICATION # 1-800-444-5445)

TRICARE PRIME

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MEDICAIDS THAT WE ACCEPT IN NJ:

Amerigroup NJ ONLY (Script referral required)

HNJH (Referral required)

United HealthCare comm plan (Script referral required)

MEDICAIDS THAT WE ACCEPT IN PA:

KEYSTONE FIRST

HEALTH PARTNERS

AMERIHEALTH CARITAS (Script referral required)

AETNA BETTER HEALTH (Script referral required)

GATEWAY (Referral required - NPI# 1577252)

• Aetna Better Health NJ

• Amerihealth Caritas Northeast

• 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