insurance provider list and more information

HEALTH INSURANCE INFORMATION

Thank you for choosing Specialized Surgical Center of Central New Jersey (SSC-CNJ) for your procedure.

Plans we participate in:

• AARP Medicare Complete
• Aetna
• Aetna Better Health*
• Amerigroup Medicare & Medicaid (with authorization)
• Amerihealth
• Ameri-Vantage
• Braven Health Medicare Choice PPO (affiliated with Horizon BCBS of NJ)
• Brighton Health
• CHN*
• Cigna
• Cigna Healthspring
• Clover (with authorization)
• Emblem HIP Prime
• Encompass (W/C)
• First MCO
• Geisinger
• Horizon BCBS NJ
• Horizon NJ Health
• Horizon Casualty
• Humana Military
• Humana Medicare
• InterGroup Services Corp
• Local 1199
• Longevity Health Plan
• Magnacare
• Medicare
• Medicare RR
• Meritan
• Multiplan/PHS
• OccuNet
• Out of State BCBS Plans
• Oxford
• Pomco
• Prime Health Services
• Qualcare
• Three Rivers Provider Network*
• Uniformed Services Family Health Plan (USFHP)
• United Community Plan
• United Healthcare (all plans)
• USA Managed Care Organization
• Wellcare

*Pending

Any of the above-mentioned plans could require prior authorization depending on the plan and procedure. It is important you contact your insurance company prior to receiving services at Specialized Surgical Center of Central New Jersey. Each plan is different and provide varying levels of coverage which could make a difference in your out-of-pocket expenses. It is always best to contact your insurance company to obtain more information if you have any questions.

As all insurance plans are different, it is your surgeon’s responsibility to verify if your plan requires a pre-authorization for the procedure(s) you are having done and obtain one when required. Furthermore, Specialized Surgical Center of Central New Jersey and your surgeon are two separate providers and may or may not participate in the same insurances. It is your responsibility to verify insurance participation.

Prior to your surgery, we will contact your insurance carrier for verification of your insurance eligibility and benefits. We will advise you of any and all financial responsibilities estimates, in advance of your surgery to ensure your complete understanding. All required copays, outstanding deductibles and coinsurances will be collected on the day of surgery. If your insurance plan requires a referral, it is your obligation to obtain this for your services. For your convenience, we accept cash, credit cards, checks, and money orders.

Please Note:

• All amounts quoted are an estimate ONLY. Final determination of your responsibility will be made by your insurance company, once the claim is processed;
• Specialized Surgical Center of Central New Jersey is not affiliated with your surgeon’s office;
• Physician services provided in the facility are not included in the facility’s charges;
• You can be held responsible for up to 3 separate bills:
  • 1. Specialized Surgical Center of Central New Jersey (Facility)
  • 2. Physicians’ Professional Management Corporation (Anesthesiologist)
  • 3. Your Surgeon (Provider)
• Physicians who provide services in the facility may or may not participate with the same health benefits plans as the facility;
• The covered person should check with the physician arranging for the facility services to determine the health benefits plans in which the physician participates;
• The covered person should contact their carrier for further consultation on those costs

Other Care Providers:

We work with other providers which may be a part of your care while at Specialized Surgical Center of Central New Jersey. In addition to a bill from the facility and the physician, you may receive a bill from the anesthesiology group listed below.

Anesthesia Services:

Anesthesia Group: PPMC
40 East Avenue #7
Lewiston, ME 04240
(800) 524-2554
info@ppmcbilling.com

Should you have any questions regarding billing, please feel free to contact our billing department before your surgery date at (732) 846-2501 or 800-955-4428, Monday through Friday between the hours of 8 am and 3 pm. We will be happy to assist you.

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