Carrier Networks
Horizon BCBS of NJ:
Find a Doctor/Hospital
1) OMNIA
2) Advantage EPO
3) Direct Access:
* OMNIA and Advantage EPO networks are available in the Individual Market
* OMNIA, Advantage EPO and Direct Access networks are available in the Small Group / Employer Market
Amerihealth of NJ:
Find a Doctor/Hospital
1) AmeriHealth Advantage: Network includes: AtlantiCare, Cape Regional Medical Center, Cooper University, Deborah Heart and Lung Center, Hackensack Meridian,
and RWJBarnabas. Learn more. Tier 2 providers are available through the AmeriHealth New Jersey Local Value network. View Tiered Facilities.
2) AmeriHealth Hospital Advantage: Lower out-of-pocket costs for hospital and facility services. Tier 2 providers are available through the AmeriHealth New Jersey Local Value network. View Tiered Facilities.
3) Preferred Regional: One of the largest networks of doctors, hospitals, and labs in the state of New Jersey. Member get access
to New Jersey, Delaware, and Southeastern Pennsylvania.
4) Local Value: represents 82% of the NJ-based Regional Preferred network. NJ-only access.
5) National Network: Available through the Multiplan PHCS National
Network for services obtained outside of the Regional Preferred service area. Not available in the Individual
Market.
Oscar Insurance:
Find a Doctor/Hospital
1) Qualcare network in NJ with access to NY: Mt Sinai network, Montefiore and Long Island Health network
Oxford:
Find a Doctor/Hospital
1) Freedom
2) Liberty
3) Garden State Network - NJ access only
4) Metro Network - NY plans
- Choice Plus network for out of situs
Empire BCBS:
Find a
Doctor/Hospital:
1) EPO/PPO
2) Blue Access
Plan/Network Codes:
YXE: NG Blue Access / YNU: Gated Blue Access / ZVF: EPO
Members Health Plan (MHP) formerly known as Qualcare/APEHP:
Find a
Doctor/Hospital:
-Aetna Select℠ Open Access - plans F H J K O S T U V W
-Aetna Choice® POS II Open Access - plans A B D G L P R
-(NJ) Aetna Whole Health℠-New Jersey-Aetna Select Multi-Tier - plans M N X Y Z
EWA: CIGNA and United Healthcare networks:
Elite: https://eliteenroll.com
Premier: https://premierenroll.com
Anthem BlueCard (EPO/PPO network) - Find a Doctor/Hospital
MEDICARE: Supplement Plans
* 100% of hospitals in America accept medicare supplements
* Estimated 93% to 95% of doctors in America accept medicare supplements
MEDICARE: Advantage Health Plans
* Limited to the insurance carriers network of doctors & hospitals.
* May include out-of-state coverage.
* MAPD's either have state, regional or national access networks
* Some MAPD's have out of network benefits.
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