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Plans We Accept | Referral Requests |
The world of insurance is an ever-changing one these days. Below is the list of plans with which we currently participate. We will update this page as the list changes. If your plan is not listed, please call us as we are always interested in talking to new insurers. It is also sometimes difficult to tell from your card who the insurer or administrator is; if you are unsure, call us or fax us your card and we will try to help. As always, if you have any questions, please call.
For the latest insurance plan updates, go to the Insurance Update Page.
Click any highlighted companies below to go to that insurer's web site.
Please note: At this time, the only Medicare+Choice (ie HMO) plan with which we participate is Aetna. We are Participating Providers with Traditional Medicare. Check back as this may change.
| COMPANY | PLAN |
| Medicare | We are participating providers with Medicare |
| Aetna | We are back in Aetna as of June 1, 2003. Currently, this includes all plans. |
| AmeriHealth / Independence Blue Cross / Keystone / Blair Mill | All Commercial Plans (Not Medicare) |
| CIGNA / COMED | All Commercial Plans (Not Medicare) |
| United HealthCare | All Commercial Plans |
| Oxford | Freedom Plan, Liberty Plan, New Plans for Teachers - Accepting new members Oxford Medicare Advantage - We have not participated with Oxford's Medicare products since they slashed the rates several years ago. *** Oxford has been purchased by United HealthCare. We do not anticipate that this will have any impact on our contract. We will keep you informed (via this page) if there are any changes. |
| Beech Street / Medichoice / Anthem / Concentra | All Commerical Plans |
| CHN Solutions | Our CHN Solutions contract is effective February 1, 2005. |
| Devon Health Services | All commercial plans |
| HealthNet | All commercial plans -- Effective 3/26/2007 |
| MultiPlan | All commercial plans -- Effective 1/1/2007 It appears that MultiPlan has acquired or merged with PHCS. We are told that we will be considered participating providers in PHCS on January 1, 2008. |
| One Health Plan / Great West Life / New England Financial | All Commercial Plans. |
| Princeton Theological Seminary | We are participating with the Princeton Theological Seminary employee and student plan. |
| QualCare | All commercial plans -- Effective 12/1/2006 |
| New Jersey Blue Cross Horizon Blue Cross |
We closed to these plans in May 2002 as a result of sudden and drastic reductions in their fee schedule. We are non-participating for all patients as of the end of 2002. However, we are negotiating with them to rejoin the network. See the Insurance Update Page for details. We are still accepting patients of Independence Blue Cross/Keystone through our AmeriHealth contract (see above). For all other Blue Cross plan patients, we are considered out of network. |
One of the most difficult aspects of today's healthcare environment is the managed care referral. Most of the common problems which our patients face can be handled in our office. However, when medically necessary, we refer our patients to specialists in the local community or at more distant tertiery care centers, such as The University of Pennsylvania Hospital and Medical School or Robert Wood Johnson Medical School.
The process of preparing referrals is a labor intensive one. If you are requesting a referral, please call the office (609-443-1150), select option 2 and leave the details of your request. We request that you give us at least two working days notice before you need the referral, especially for plans where there is a paper document which you must pick up. Under normal circumstances we will not mail referrals. We have had too much trouble with them not arriving in time. So we must ask that you collect the forms yourself and bring them with you to the specialist. [Obviously this does not apply to those plans which utilize an electronic referral mechanism.]
Click here if you would like to use our on-line referral request form. Please understand that there will be an extra business day required to process this request at this time. We hope to improve this in the near future.
One other point. We are trained to care for the majority of problems which affect our patients. We will not hesitate to refer you to a specialist when that is the medically correct thing to do. However, in keeping with the rules and philosophy of managed care, we can not refer you for care which we are able to provide. If you have specific concerns, please feel free to discuss them with any of our physicians or with our staff.
Referrals