Insurance Information

Your insurance company will be billed on your behalf, with the insurance policy submitted on the date of service. You will receive an itemized statement from St. Joseph’s Healthcare System and the insurance company indicating the amount your insurance company covered and, if applicable, the remaining balance to be paid by you.

Please keep in mind that you will receive separate statements for each hospital, employed physician and contracted providers. For instance, you will also receive separate bills for use of the hospital facilities in addition to the professional service fee of the physician. Other tests that may be billed separately include x-rays, laboratory, cardiology and consulting physicians; such services are provided by independent physicians who are not employees of the hospital.

You have the right to receive all the hospital care that is necessary for the proper diagnosis and treatment of your illness or injury. According to federal law, your discharge date must be determined solely by your medical needs - not by DRG’s or Medicare payments.

Because we understand that hospital bills can be confusing, we assign a Patient Financial Representative to answer your questions, and iron out any difficulties. The representative who will handle your account will meet with you during the Pre-Admission Testing process, or shortly after you are admitted. He or she will discuss arrangements for paying your bill and will be glad to answer any questions you may have about charges, your insurance coverage, or payment.

It is within the St. Joseph’s Healthcare System’s mission to render quality healthcare in northern New Jersey with a special concern for the poor and underserved.

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Participation List HMO PPO Indemnity Exchange Workers Comp. PIP Mang'd Medicare Mang'd Medicaid
Aetna X X  X   X X X X
Amerigroup             X X
AmeriHealth X X   X     X  
Beech Street (includes PPO Next)   X            
Clover Health             X  
CIGNA/Great West X          
Consumer Health Network   X            
First MCO   X     X X    
Health Care Payers Coalition   X            
Health Republic Insurance of New Jersey       X        
Horizon Blue Cross and Blue Shield of NJ X X X X     X  
Horizon Casualty Services         X X    
Horizon New Jersey Health               X
Intergroup PPO Network (IGS)   X            
MagnaCare   X            
Oscar       X        
QualCare X X            
Wellcare Health Plans of New Jersey             X X

April 7, 2013

Important News for UnitedHealthcare Members

 

St. Joseph’s remains united in our commitment to quality patient care.

 

St. Joseph’s Healthcare System is no longer participating in the UnitedHealthcare/Oxford Networks or UnitedHealthcare Community Plan (NJ FamilyCare, formally Americhoice).

We remain strongly committed to supporting the health care needs of our community and will continue to provide services to all members.

All UnitedHealthcare Plan Members:

  • FOR EMERGENCY CARE, any UnitedHealthcare/Oxford Networks or community Plan member can always come to a St. Joseph’s emergency room. UnitedHealthcare is required to pay for these services as if the patient had remained in-netowrk.
  • FOR NON-EMERGENCY OR ELECTIVE SERVICES, UnitedHealthcare/Oxford Networks members can still come to St. Joseph’s facilities. On admission, St. Joseph’s will only collect the in-network deductible or co-payment amount on the patient’s insurance card. St. Joseph’s will pursue full payment from UnitedHealthcare, and the UnitedHealthcare/Oxford Networks member's responsibility will be no more than if the patient were in-network.
  • Medigap benefits provided by UnitedHealthcare/Oxford Networks, as secondary coverage to Medicare, are not affected by this contract termination and benefits provided by these policies will continue to be covered. 

If you have questions, please call St. Joseph’s Healthcare System at 973.754.2150, weekdays between 8:30 a.m. and 5:00 p.m., or email us at billingquestions@sjhmc.org for assistance.

Thank you for your support and loyalty to St. Joseph’s Healthcare System. We will always provide leading-edge compassionate care to the community as we have for more than 145 years.

For additional information or to contact your patient account representative please contact us at 973.754.2150 Monday - Friday between 8 a.m. and 5 p.m. or by filling out the form below.

For Financial Assistance please call 844.440.2900

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