Insurance

It is important to have a good understanding of your healthcare benefits. Please call your managed healthcare provider directly with any questions and always verify coverage prior to making an appointment.

Present your insurance card at the beginning of each appointment and alert staff to any changes in your coverage. We will help you with your plan as it relates to benefits, referrals, and billing; but ultimately it is your responsibility to understand your insurance.

We are currently accepting from the following providers:

● Aetna
● Aetna Assure Premier Plan
● Aetna Better Health
● Aetna CVS Health
● Aetna Medicare Solutions
● Aetna Medicare Advantage (All plans)
● AmeriHealth
● Beech Street
● Cigna
● Cigna Medicare Advantage
● Consumer Health Network (CHN)
● First Health
● HMC Patient Assistance Program
● Horizon Blue Cross Blue Shield of New Jersey
● All Blue Cross Plans through Blue Card Program
● Horizon Blue Cross Blue Shield Indemnity
● Horizon Blue Cross Blue Shield Direct Access (All product types)
● Horizon Blue Cross Blue Shield EPO (All product types)
● Horizon Blue Cross Blue Shield HMO (All product types)
● Horizon Blue Cross Blue Shield OMNIA (All product types)
● Horizon Blue Cross Blue Shield POS (All product types)
● Horizon Blue Cross Blue Shield PPO (All product types)
● Horizon Blue Cross Blue Shield Medicare Advantage (All product types)
● Horizon Casualty
● Horizon NJ Health
● Horizon NJ TotalCare
● Horizon Value Access Plan-only offices in Morris, Hunterdon, Sussex, and Warren
County
● MagnaCare
● Medicare
● Medicaid
● Multiplan
● Oxford Health Plan PPO
● Oxford Health Plan HMO
● Oxford Medicare Advantage Plans-must reside in NJ
● Physician Healthcare Systems (PHCS)
● QualCare PPO
● Tricare
● United Healthcare
● United Healthcare-Veterans Affairs Community Care Program
● United Healthcare Dual Complete
● United Healthcare Community Plan (NJFAMCAR )
● United Medicare Advantage Plans-must reside in NJ
● United Medicare Advantage Private Fee for Service Plans (PFFS)-must reside in NJ

Centers for Medicare and Medicaid Services for Comprehensive Joint Replacement

Hunterdon Medical Center (HMC) is participating in the Comprehensive Care for Joint Replacement (CJR) model.  Medicare designed this model to encourage higher quality and greater financial accountability from hospitals when Medicare beneficiaries receive lower-extremity joint replacement procedures (LEJR), typically hip and knee replacements.  Hunterdon Medical Center ‘s participation in the CJR model should not restrict your access to care for your medical condition or your freedom to choose your health care providers and services.   All existing Medicare beneficiary protections continue to be available to you.   Medicare is using the CJR model to encourage Hunterdon Medical Center to work more closely with your doctors and other healthcare providers that help patients recover after discharge from the hospital including, but not limited to, nursing homes, skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, and long-term care hospitals.

The following list of physicians includes healthcare providers and suppliers that have established a financial arrangement with Hunterdon Medical Center in order to share in financial rewards and/or losses in the CJR model.  This group of physicians all practice with MidJersey Orthopaedics and bill under TIN # 22-2175464.

Suneel K. Basra, DPM
Scott T. Bleazey, DPM
Christopher Caruso, MD
Richard Chang, MD
Philip J. Glassner, MD
Eric Gordon, MD
Michael Milone, MD
Robert C. More, MD
Michael E. Pollack, MD
Thomas A. St. John, MD
Patrick Wang, MD

To review the HMC Policy for Selecting Collaborators for the CJR Program, please click here.