Office of Managed Care Operations

 

Last Reviewed: June 2011

EXCLUDED SERVICES

University Hospital-Managed Care Organization Contracts

Excluded Outpatient Services

Managed Care Organization

Laboratory

Radiology

Rehab Therapy

HMO

Aetna
(Merged w/NYLCARE & PRUDENTIAL)

X

 

X

AMERIGROUP (AMERICAID)
Community Care

X

 

 

**AMERIHEALTH Inc.(Medicaid product brought by Mercy Health Plan)**


Please See Below

To Be Determined Must Contact Insurance Carrier for Location
800-821-9412 (HMO)
800-595-3627 (PPO)

X

X

**United HealthCare Community Care**
AMERICHOICE
(formerly Managed Healthcare Systems)

Please See Below

 X

 

 X

Empire Blue Cross/Blue Shield

 X

 

**Health Net**
 (Formerly Physicians Health Services)
 (PHS)/First Option

Please See Note Below

X

 

 

Horizon Blue Cross & Blue Shield

 To Be Determined Must Contact Insurance Carrier for Location
888-666-2535

For Blue Card Contact
800-676-2583

 

 

Horizon NJ Health

X

 

 

National Health Plan

 

 

 

QUALCARE

X

 

 

**University Health Plan**

Please See Note Below

 

 

 

Note:  AMERIHEALTH Inc. Insurance Contracted Terminated with University Hospital November 9, 2010

Note:  AMERICHOICE was Purchased by United HealthCare & name was Changed to United Community Care

Note:  HEALTHNET Insurance Company Medicaid Purchased By United HealthCare Insurance. 

Note:  University Health Plan Insurance Company No Longer Provides NJ Family Care Services in New Jersey

Note:  Cigna Health Care Contract – Terminated as of May 15, 2007

Note:   Great West Health Care Contract- Terminated as of June 29, 2008

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Last Reviewed: June 2011
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University Hospital
150 Bergen Street
Newark, NJ 07103 USA
(973) 972 - 4300