Insurance Information

The list below shows insurance companies that our doctors participate with and are considered “in-network.”  If you do not see your specific insurer or group administrator listed, please call our office.  There are many companies and plans, and we might not have listed yours.

We participate in health insurance plans only.  We do not participate in any vision plans, even if they are provided as part of your total insurance coverage.

Important notes about Insurance Coverage

  • Many insurance companies consider problems like nearsightedness and farsightedness as non-medical.
  • If your child does not have what the insurance company considers a medical problem, it is possible that your child’s visit will not be covered by your insurance.
  • This “non-coverage” can occur even though we are in-network and even if you have a referral.
  • Some insurance companies may cover only part of your child’s exam, even if they consider it medical.  For example, your insurance company may not cover the “refraction” (part of the exam).

Please check with your insurance company before your appointment to learn about your benefits and what services are covered under your health insurance plan.

Aetna
Amerihealth HMO
Amerihealth PPO
Blue Cross/Blue Shield
Cigna (Dr. Bloom only)
Coresource
Emblem Health/GHI – Not all plans.  Please call us to verify.
Great West
Guardian PHCS
Health Republic of NJ
Horizon BCBS of NJ (Except for Horizon Medicaid Plans)
Insurance Design Administrator – Please call us to verify.
Meritain – Not all plans.  Please call us to verify.
Nippon Life
Qualcare
Starmark – Not all plans.  Please call us to verify.
Total Plan Administrators – Not all plans.  Please call us to verify.
Union Plans – Please call us to verify.

PHCS & Multiplan – if there is a PHCS or Multiplan logo on your card, please call our office for more specific information.

We Do Not Participate in:

Oxford
United Health Care

Medicaid or Medicaid HMOs, including:
– Horizon NJ Kidcare
– Horizon NJ Familycare
– Horizon NJ Health
– Amerigroup