Group & Individual Health Plans

Disclaimer: Please note your Rutgers New Jersey Medical School (NJMS) Faculty Practice physician may not participate in the health plans listed below. To verify if an individual physician is participating in one of these health plans, please search Rutgers NJMS Faculty Practice Physician Referral System (also known as Find a Doctor) or contact the physician's office directly. You may also contact your health plan to confirm current insurance plan participation. Thank you for your interest in our services.

NJMS Faculty Group Agreements	Individual Health Plan Agreements
(The majority but not all of our providers participate with the plans below. Please click here [Find a Doctor] to see if your provider participates with your plan.)	(Participation varies by individual provider. Please click here [Find a Doctor] to see if your provider participates with your plan.)
Aetna, Inc. America's Choice Provider Network (ACPN) Amerigroup (Medicaid HMO) AmeriHealth New Jersey Amerivantage Dual Coordination SNP (Amerigroup Medicare HMO) Clover Health (Medicare Advantage PPO) Devon Health Services, Inc. FedMed, Inc. Horizon NJ Health (Medicaid HMO) Horizon NJ Total Care (Dual SNP) MultiPlan (PHCS) † Oxford Health Plans Prime Health Services, Inc. Procura Management, Inc. QualCare HMO/ PPO Rutgers Student Health § Three Rivers Provider Network United Healthcare United Healthcare Community Plan (Formerly AmeriChoice of New Jersey Inc. Medicaid/ Medicare HMO) Wellcare (Medicaid/ Medicare HMO)	CHN PPO Cigna First MCO/ActiveCare (Radiology services only) Group Health Incorporated (GHI) (Part of Emblem Health family. Qualcare serves as Third Party Administrator) Health Care Payers Coalition Horizon BCBS (Traditional PPO and Managed Care Networks including Omnia Health Plans) International Union Op. Engineers Magnacare Medicaid * Medicare * Tricare US Family Health Plan VA Choice

NJMS Faculty Group Agreements

Individual Health Plan Agreements

(The majority but not all of our providers participate with the plans below. Please click here [Find a Doctor] to see if your provider participates with your plan.)

(Participation varies by individual provider. Please click here [Find a Doctor] to see if your provider participates with your plan.)

Aetna, Inc.
America's Choice Provider Network (ACPN)
Amerigroup (Medicaid HMO)
AmeriHealth New Jersey
Amerivantage Dual Coordination SNP (Amerigroup Medicare HMO)
Clover Health
(Medicare Advantage PPO)
Devon Health Services, Inc.
FedMed, Inc.
Horizon NJ Health (Medicaid HMO)
Horizon NJ Total Care (Dual SNP)
MultiPlan (PHCS) †
Oxford Health Plans
Prime Health Services, Inc.
Procura Management, Inc.
QualCare HMO/ PPO
Rutgers Student Health §
Three Rivers Provider Network
United Healthcare
United Healthcare Community Plan
(Formerly AmeriChoice of New Jersey Inc. Medicaid/ Medicare HMO)
Wellcare (Medicaid/ Medicare HMO)

CHN PPO
Cigna
First MCO/ActiveCare (Radiology services only)
Group Health Incorporated (GHI) (Part of Emblem Health family. Qualcare serves as Third Party Administrator)
Health Care Payers Coalition
Horizon BCBS (Traditional PPO and Managed Care Networks including Omnia Health Plans)
International Union Op. Engineers
Magnacare
Medicaid *
Medicare *
Tricare
US Family Health Plan
VA Choice

See additional notes below

Affordable Care Act
- To learn more about the Affordable Care Act, visit the NJMS Health Care Reform Information Center.
- Important! Effective 12/31/2016, Health Republic Insurance of New Jersey and Oscar Health Insurance exited the NJ Marketplace (ACA). We we no longer participate with these plans. Visit the NJMS Health Care Reform Information Center to see our current participation with NJ Marketplace plans (ACA).
* Medicaid/Medicare
- Visit these websites for more information and resources related to Medicare & Medicaid services:
  - CMS.gov- Information and resources from the Centers for Medicare & Medicaid services.
  - HealthCare.gov- Information to manage your healthcare, research insurance coverage, and learn about how the Affordable Care Act impacts you.
  - InsureKidsNow.gov- Information for children in need of healthcare coverage (up to age 19).
† Multiplan
- Contract includes Worker's Compensation, not Auto Insurance.
§ Rutgers Student Health
- 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.
- For Rutgers/Legacy UMDNJ students- Our contract with Aetna Student Health expired 7/31/2013.