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Last Name: Primary Care Physician:
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Health Problem/Disease:
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Insurance Participation:
Information is current as of: 11/6/2020 3:13:00 PM

For latest information, call:

1. For Appointments: Please select your preferred provider criteria above
and click List Doctors tab. The list of providers that matches your
selected criteria will be listed on the left margin of the page. Select
name of provider and call practice telephone indicated for an appointment.
 
2. For questions and or assistance with your health insurance or managed care:
Please call 973-972-4908 (NJMS-Office of Managed Care) or send an e-mail to:
NJMSPhysicians@njms.rutgers.edu.

NJMS Faculty Group Agreements

  • Aetna (Commercial and Medicare Advantage Plans – effective 09/01/2016)*

  • America's Choice Provider Network (MultiSpecialty National Provider Network - effective 5/01/2017). Products include:

    • -- Individual & Group Health.
    -- Workers Compensation.
    -- Auto Liability.
    -- Medicare Advantage.

  • Amerigroup(Medicaid HMO)

  • Amerihealth of NJ-Products include:

    • -- Regional Network,
    -- Local Value Network (includes ACA Exchange Products) ,
    -- HMO, PPO, POS, EPO,
    -- Medicare Advantage HMO, and
    -- Worker’s Compensation plans

  • Amerivantage Dual Coordination (HMO SNP-Amerigroup’s Dual Medicare-Medicaid Product)

  • Clover Health Plans [Medicare Advantage PPO]

  • Devon Health Services, Inc. (General Insurance-PPO and Workers Compensation)

  • FedMed, Inc. (General Insurance-PPO and Workers' Compensation)

  • Horizon NJ Health (Medicaid HMO)

  • Horizon NJ Total Care [HMO SNP - Dual Medicare - Medicaid Product - Effective 05/01/2017]

  • Multiplan (PPO & Workers Compensation & PHCS)

  • OSCAR Health Insurance {A Product of the Public Health Care Exchange establieshed by the Affordable Care Act-effective 01/01/2018}**

  • Prime Health Services, Inc. (Auto & Workers Compensation)

  • Procura Management, Inc. (General Insurance-PPO)

  • Qualcare HMO/PPO

  • Rutgers Student Health***

  • Three Rivers Provider Network

  • United Healthcare Commercial Plan /Oxford Health Plans (Effective 04/01/2017 - excludes the Medicare Advantage & TRICARE Benefit Plans)

  • United Healthcare Community Plan

  • VA Choice (Health Net Federal Services)****

  • WellCare Health Plans (Medicaid & Medicare-effective 11/1/2014)

    • *Aetna – The Rutgers NJMS agreement DOES NOT INCLUDE Aetna Better Health Medicaid HMO, Rental Networks and Worker’s Compensation.

    ** Effective 01/01/2018, OSCAR has once again partnered with QualCare to provide access to its regional HMO network of providers and to also provide medical management services including care management and chronic condition management.
    --OSCAR is one of only three insurance companies that is offered on the Public Health Care Exchange in NJ. The public exchange is the only place consumers can receive federal subsidies to help pay for their health insurance.
    --OSCAR is administered through QualCare's HMO Network and is not a contract that is negotiated by the NJMS Managed Care Reimbursement Committee and is not managed by the NJMS-Office of Managed Care.

    ***Effective 8/1/2013, Rutgers students with UHC Student Resources insurance have access to NJMS Faculty Practice physicians and University Hospital as Preferred Providers through our relationship with Multiplan. The Multiplan logo is on the student health ID card.

    ****Although not a group agreement, the VA Choice Program is a medical service program allowing registered NJMS clinical faculty providers to treat Veterans referred by HealthNet Federal Services on behalf of local VA facilities.
    --- All appointments for VA Choice will be coordinated by HealthNet Federal Services on behalf of the Veterans.
    --- University Hospital participates with VA Choice.
Disclosure: Information in this directory is updated daily and is subject to change without notice. Please note that that not all providers listed may participate with your health plan. Please confirm the provider participation with your health plan prior to receiving treatment by either calling the provider office and/or your health plan directly. Thank you for your interest in our services.

 

Email: NJMSPhysicians@njms.rutgers.edu