Accepted Insurances

Contracted Health Insurers and Networks

(As of September 2018)

It is important that you contact your insurance company prior to receiving services or care at Seaview Orthopaedic and Medical Associates. Each plan is different and some provide different levels of coverage that could make a difference in your out-of-pocket costs. It is always best for the patient receiving care to contact their insurance company to obtain more information. In order to assist, we have provided links to the health insurer’s websites.

FACILITY AFFILIATIONS
Health Insurance

Participating Products

HMO
PPO
EPO
POS
QPOS
Elect Choice
Open Choice
Managed Choice POS
Aetna Choice POS II
Aetna Select
Aetna Student Health
Indemnity plans with network incentives
Aetna signature administrators (add trademark R)
Joint Claims Administration
Meritain/Meritain Shared Administrative Services,
Passport to Healthcare (add trademark R) and National Advantage Program

Medicare Plans

Aetna Medicare Plan (HMO)
Aetna Medicare Plan (PPO)
Aetna Medicare Plan (PPO with Extended Service)


Payer

QualCare
https://www.qualcareinc.com/

Horizon NJ Health
For Patients up to age 18 (Or Patients Ages 0 – 18)
Horizon NJ TotalCare (D-SNP)
https://www.horizonnjhealth.com/

Participating Products

Horizon PPO Network

Horizon MyWay HRA PPO
Horizon MyWay HSA PPO
Horizon PPO

Horizon Managed Care Network

Horizon Advantage EPO
Horizon Direct Access
Horizon EPO/EPO Plus
Horizon HMO
Horizon Medicare Blue (PPO)
Horizon Medicare Blue Access (HMO-POS)
Horizon Medicare Blue Advantage (HMO)
Horizon Medicare Blue Choice w/Rx (HMO)
Horizon Medicare Blue Group (PPO)
Horizon Medicare Blue Group w/Rx (PPO)
Horizon Medicare Blue Value (HMO)
Horizon Medicare Blue Value w/Rx (HMO)
Horizon MyWay HRA Direct Access
Horizon MyWay HSA Direct Access
Horizon POS
Horizon Patient-Centered Adv EPO
NJ Direct
NJ Direct MA PPO
OMNIA
OMNIA Bronze
OMNIA Gold
OMNIA HSA
OMNIA Platinum
OMNIA Silver
OMNIA Silver HSA


United Healthcare

https://www.uhc.com/

Charter Balanced
Charter HMO
Charter Plus
Choice
Choice Plus
Core
Core Essential
Core HMO
Navigate
Navigate Balanced
Navigate Plus
Options PPO
Select
Select Plus

Oxford Freedom
Oxford Liberty


AARP Medicare Complete (HMO)
AARP MedicareComplete Plan 1 (HMO)
AARP MedicareComplete Plan 2 (HMO)
AARP MedicareComplete Plan 3 (HMO)
AARP MedicareComplete Plan 4 (HMO)
AARP MedicareComplete Essential (HMO)
Aetna Medicare Plan (HMO)
Aetna Medicare Plan (PPO)
Aetna Medicare Plan (PPO with Extended Service)
Erickson Advantage Champion (HMO-POS SNP)
Erickson Advantage Freedom (HMO-POS)
Erickson Advantage Guardian (HMO-POS SNP)
Erickson Advantage Signature with Drug (HMO-POS)
Erickson Advantage Signature without Drug (HMO-POS)
QualCare
UnitedHealthcare Assisted Living Plan (HMO SNP)
UnitedHealthcare Assisted Living Plan (HMO-POS SNP)
UnitedHealthcare Assisted Living Plan (PPO SNP)
UnitedHealthcare Group Medicare Advantage (HMO)
UnitedHealthcare Group Medicare Advantage (PPO)
UnitedHealthcare MedicareComplete Focus (HMO)
UnitedHealthcare Nursing Home Plan (HMO SNP)
UnitedHealthcare Nursing Home Plan (HMO-POS SNP)
UnitedHealthcare Nursing Home Plan (PPO SNP)