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.

In Network Insurance Carriers-

Aetna  (Except for Aetna Medicaid/ Medicare Plans)
Amerihealth HMO
Amerihealth PPO
Blue Cross/ Blue Shield (includes Out of State and Federal plans)
Cigna
Horizon BCBS of NJ (Except for Horizon Medicaid/ Medicare Plans)
Meritain (Administered by Aetna or Cigna)
Nippon Life
Oscar (Dr. Bloom Only) 
 
Local Union Plans – Please call our office to verify.
Third Party Carriers – Please call our office to verify. 
 
Please call our office if you have any questions.
Out of Network Insurance Carriers-

Emblem/ GHI
Oxford/ United HealthCare (UMR)

Qualcare

Medicaid and/or Medicaid HMOs, including:

– Amerigroup

– Aetna Better Health

– Horizon NJ Kidcare
– Horizon NJ Familycare
– Horizon NJ Health