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Office of Managed Care Operations

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What does each UH contract include/exclude

 

Inpatient

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All services include except where noted- e.g. Cosmetic surgery, mental health, special appliances, provision of blood, military service related problems, experimental procedures, etc.

 

Outpatient

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Some HMOs will not pay for lab, radiology, and rehabilitation.

 

ER

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HMOs must pay screening fee

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HMOs will pay for "Emergency Care"

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HMOs will not pay for non-medical emergencies beyond the screening fee unless they have a tiered payment schedule for levels of care.

 

 

Click Here for Information
(all information subject to change without notice)

 

mco web home

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University Hospital | UMDNJ | NJMS | NJ Med PC

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Last Reviewed: June 2011
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All information within this site subject to change without notice.

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150 Bergen Street
Newark, NJ 07103 USA
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