Hightstown Medical Associates
Insurance Center

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Index:
Plans We
Accept
Referral
Requests

Insurance Plans

The world of insurance is an ever-changing one these days. Below is the list of plans with which we participate at the time of this posting. We will update this page as the list changes, but you should always check with our office or your plan to be sure your visit will be covered. 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.

Accepted Plans
COMPANYPLAN
Medicare We are participating providers with traditional Medicare.
Aetna All commercial plans as well as Aetna Medicare Advantage.
AmeriHealth / Independence Blue Cross / Keystone / Blair Mill All commercial plans (Not Medicare AND NOT THE OBAMACARE EXCHANGE PLAN). Also, the status of AmeriHealth is in flux.
CIGNA / COMED / GreatWest / QualCare All commercial plans.
New Jersey Blue Cross
Horizon Blue Cross
All commercial plans. We are Tier 1 for Omnia patients.
United HealthCare / Oxford All commercial plans.
Beech Street / Medichoice / Anthem / Concentra All commerical plans.
CHN Solutions All commerical plans.
Devon Health Services All commercial plans.
HealthNet All commercial plans.
MultiPlan / PHCS All commercial plans. However, we urge you to check with your plan specifically, as they at times claim that we are not in-network and drop the bill to the patient.
One Health Plan / 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. (QualCare is now owned by CIGNA)


Referrals

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, Robert Wood Johnson Medical School or other centers in NYC, Philadelphia or elsewhere as appropriate.

If you are requesting a referral, please call the office (609-443-1150), select option 2 and leave the details of your request, or use the on-line referral request form on this site. 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. [Most plans today utilize an electronic referral mechanism, so there is no paper to carry.]

Click here if you would like to use the public or secure on-line referral request form.

Two other points. 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.

And please don't call for referrals for care already received elsewhere, especially if we could have provided that care (see above). We will not do backdated referrals for care which we could have provided.