Office of Managed Care Operations

Last Reviewed:February 2004

MANAGED CARE ORGANIZATIONS PRODUCTS

New Jersey HMO

INSURANCE COMPANY	INSURANCE TYPE	DESCRIPTION
AETNA US HEALTHCARE	HMO Commercial	Aetna USHC HMO
	HMO Medicaid	Aetna USHC Family Care
		AetnaUSHC NJ Kidcare-A
		AetnaUSHC NJ Kidcare-B
		AetnaUSHC NJ Kidcare-C
	HMO Medicare	Aetna USHC Gold Mcare
		Aetna USHC Golden 10
		Aetna USHC Medicare 5
	HMO Point of Service	Aetna USHC POS
		AetnaUSHC Managed Choice
AMERICAID	HMO Medicaid	Amercaid
		Americaid Kidcare A
		Americaid Kidcare B
		Americaid Kidcare C
AMERIHEALTH	HMO Commercial	AmeriHealth Admn HMO
		AmeriHealth HMO
	HMO Medicaid	AmeriHealth FIRST- Mercy
	HMO Medicare	AmeriHealth 65
		AmeriHealth Choice 65
	HMO Point of Service	AmeriHealth POS
ATLANTICARE HEALTH PLAN	HMO Commercial	Atlanticare HP Com HMO
		Atlanticare HP HMO
	HMO Point of Service	Atlanticare HP POS
BLUE CROSS BLUE SHIELD	HMO Commercial	BCBSNJ HMO Blue
OF NEW JERSEY		BCBSNJ NJ PLUS
	HMO Medicare	BCBSNJ Medicare Blue
		BCBSNJ Medigap
	HMO Point of Service	BCBSNJ Merrill Lynch
BLUE CROSS BLUE SHIELD OF NJ	See HORIZON BLUE CROSS BLUE SHIELD OF NJ
CIGNA HEALTHCARE	HMO Commercial	CIGNA HC Nrth NJ- HMO
		CIGNA HC of NJ-HMO
		CIGNA Healthcare/COMED
		CIGNA Metropolitan
		CIGNA New Premier Plus
		CIGNAComed
	HMO Medicare	CIGNA for Seniors
		CIGNA for Seniors
CIGNA HEALTHCARE (cont.d)	HMO Point of Service	CIGNA FlexCare DPP
		CIGNA Health Access
		CIGNA HEALTHCARE POS
EMPIRE BLUE CROSS/BLUE SHIELD	HMO Commercial	Emp BC - Blue Choice
		Emp BC Direct Connect
	HMO Medicaid	Emp BC Questmore
	HMO Medicare	Emp BC Blue Choice Sr
	HMO Point of Service	Emp BC Blue Choice POS
EMPIRE HEALTH CHOICE	HMO Commercial	Empire HC HMO-Pres Nt
		Empire HC-Prest Nt 50+
FIRST OPTION	HMO Commercial	First Option Hlth Plan
		First Option Hlty Opt
	HMO Medicaid	First Option HP Kidcar
	HMO Medicare	First Option Sr Option
	HMO Point of Service	First Option POS
HORIZON	HMO Commercial	Horizon HMO
	HMO Medicare	Horizon MC Plus Choice
		Horizon Medicare Blue
	HMO Point of Service	Horizon AT&T/Lucent
		Horizon Direct Access
		Horizon Fed BCBS POS
		Horizon NJ PLUS
		Horizon POS
HORIZON BLUE CROSS	HMO Commercial	BCBSNJ HMO Blue
BLUE SHIELD OF NEW JERSEY		BCBSNJ NJ PLUS
	HMO Medicare	BCBSNJ Medicare Blue
		BCBSNJ Medigap
	HMO Point of Service	BCBSNJ Merrill Lynch
	HMO Commercial	Horizon Mercy HMO
	HMO Medicaid	Horizon Mercy - DYFS
		Horizon Mercy - Kidcar
		Horizon Mercy - TANF
		Horizon Mercy NJ Kidcr
MANAGED HEALTHCARE SYS OF NJ	HMO Medicaid	Managed HC Sys NJ HMO
		Managed HC Sys oNJ Kid
	HMO Other	Managed HC Sys- Other
MERCY HEALTH PLAN OF NJ	See Horizon Mercy
ONE HEALTH PLAN	HMO Commercial	One Health Plan HMO
	HMO Point of Service	One Health Plan POS
OXFORD HEALTH PLAN	HMO Commercial	Oxford Health Plan HMO
		Oxford HP Freedom HMO
	HMO Medicare	Oxford MCare Advantage
	HMO Point of Service	Oxford HP POS
		Oxford Liberty -POS
PHYSICIAN HEALTH SERVICE	HMO Commercial	Phy Hlth Srv- CHARTER
	HMO Medicare	Phy Hlth Srv-Passport
PHYSICIAN HEALTHCARE PLAN	HMO Commercial	Physician HC Plan HMO
	HMO Point of Service	Physician HC Plan POS
PRINCIPAL HEALTHCARE	HMO Commercial	Principal HC Secure 1
OF DELAWARE		Principal HC DE Silver
		Principal HC DE Stand
		Principal HC Gold
		Principal HC Secure 2
		Principal HC Selct HMO
		Principal HC-Basic
		Principal HC-Gold 10
		Principal HC-Secure 15
		Principal HC-Select 10
		Principal HC-Silver 10
	HMO Medicare	Principal HC Green
		Principal HC-Green 10
		Principal HC-Green 15
QUALCARE	HMO Commercial	QualCare HMO
	HMO Point of Service	QualCare POS
	HMO Commercial	QualCare- Other
QUALMED PLAN FOR HEALTH, INC.	See First Option. First Option covers patients in New Jersey.
UNIVERSITY HEALTH PLAN	HMO Commercial	UHP Group Care
		UHP HMO
	HMO Medicaid	UHP Family Care
		UHP NJ Kidcare
UNIVERSITY HEALTH PLAN (cont'd)	HMO Point of Service	UHP POS
UNITED HEALTHCARE	HMO Commercial	United HC HMO
		United HC NJ HMO Plus
	HMO Medicaid	United HC Child Hlth+
		United HC NJ Medicaid
	HMO Medicare	United HC MCare Comp.
	HMO Point of Service	United HC POS
New Jersey PPOs
AETNA US HEALTHCARE	PPO	Aetna Hlth Mgmt Inc.
		Aetna Hlth Plans of NJ
AMERICARE HEALTH SVC.	PPO	Americare Hlth Srv Inc
AMERIHEALTH B69	PPO	AmeriHealth Admn PPO
		AmeriHealth HMO
AMERITAS	PPO	Ameritas Dental Care
		Ameritas Mged Dental
ATLANTICARE HEALTH PLAN	PPO	AtlantiCare HP Inc.
		Atlanticare HP PPO
BEECH STREET CORPORATION	PPO	Beech Street Corp.
CIGNA HEALTHCARE	PPO	Cigna HC Nrth NJ Inc.
		CIGNA HP of NJ, Inc.
		CIGNA HP of NJ-Dental
CONSUMER HEALTH NETWORK	PPO	Consumer Hlth Network
CORRECTIONAL MEDICAL	PPO	Correctional Medical
DENTAL ALLIANCE	PPO	Dental Health Alliance
EMPIRE HEALTHCARE	PPO	Empire HealthCare
ETHIX	PPO	Ethix Mid-Atlantic
EXPRESS SCRIPTS, INC.	PPO	Express Scripts, Inc.
FAMILY CHOICE HLTH ALLIANCE	PPO	Family Choice Hlth Aln
FORMOST	PPO	ForMost
GUARDIAN RESOURCES, INC.	PPO	Guardian Resources Inc
HEALTH NETWORK, INC.	PPO	Health Network, Inc.
HEALTH PAYORS ORG. LTD	PPO	Health Payors Org. Ltd
HEALTHSOURCE NY/NJ	PPO	Healthsource NY/NJ
INS. DENTISTS O AMERICA	PPO	Ins. Dentists of Amer.
INTERGROUP SVCS. CORP	PPO	Intergroup Srvcs Corp.
MAGNACARE NETWORK	PPO	MagnaCare Network
MAGNET NETWORK	PPO	MagNet Network
MANAGED CARE, INC.	PPO	Managed Care, Inc.
MASTERCARE INC.	PPO	Mastercare Inc.
MEDICHOICE	PPO	MediChoice
MEDIGROUP INC.-HMO BLUE	PPO	Medigroup Inc HMO Blue
METLIFE MEDIMET VISION	PPO	Metlife MediMet Vision
METLIFE PREFERRED DENTAL	PPO	Metlife Prf Dental Prg
MULTIPLAN	PPO	Multiplan, Inc.
OXFORD HEALTH PLAN	PPO	Oxford HP of NJ
PHYSICIAN HEALTH CARE ASSOC.	PPO	Physicians HC Assoc.
PREFERRED CHOICE MANAGEMENT	PPO	Pref Choice Mgmt Magna
		Preferred Choice Mgmt
PRIVATE HEALTHCARE SYSTEM	PPO	Private HC Sys., Inc.
QUALCARE	PPO	QualCare PPO
		QualCare Pref Prov
		QualCare Unicare
SUPER VISION SERVICES	PPO	Super Vision Svcs Inc.
UNITED HEALTHCARE	PPO	United HC Ins Co of NJ
UNITED PAYORS	PPO	United Payors and Prov
UNIVERSITY HEALTHCARE	PPO	University Healthcare

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Last Reviewed:February 2004
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