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Effective May 5, 2025, Podiatry in West New York will relocate to 201 State Rt 17 in Rutherford.

Effective April 28, 2025, Primary Care in Haddon Heights will relocate to 2 South Black Horse Pike in Mt. Ephraim.

Effective April 28, 2025, Cardiology in Haddon Heights will relocate to 322 Route 38, Cherry Hill.

Effective April 21, 2025 Pediatrics – Wall at 1560 State Route 138 will relocate to 3350 State Route 138.

Effective April 14, 2025 Primary Care – Voorhees has relocated to 165 S Black Horse Pike, Runnemede.

Effective April 14, 2025  Pediatrics – Manasquan has relocated to  3350 State Route 138 Wall.

As of April 7, 2025, Podiatry in Bayonne has relocated to 191 Lefante Way, Suite C in Bayonne.

As of April 7, 2025  Gastroenterology – Hackensack and Cardiology – Hackensack have relocated to 1 Maywood Avenue in Maywood.

As of April 7, 2025 Primary Care – Moorestown and Cardiology – Moorestown have relocated to Cherry Hill at 322 Route 38, Cherry Hill.

As of April 7,  2025,  Primary Care – Secaucus  and Gastroenterology – Secaucus have relocated to Rutherford at 201 Route 17 11th Floor Rutherford.

As of March 31, 2025, Primary Care – Rutherford has relocated to 201 Route 17, Suite 1102 in Rutherford.

As of March 28, 2025,  Primary Care – Roslyn has relocated to the Optum multi-specialty medical office location in Lake Success.

As of March 3, 2025, Pediatrics – Port Jefferson has relocated to 1500 Route 112, Building 1, Floor 1, in Port Jefferson.

As of March 3, 2025, Primary Care – Port Jefferson Station has relocated to 1500 Route 112, Building 1, Floor 1, in Port Jefferson.

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Long Beach Urgent care will close at 1 pm, today Monday April 14. We will reopen Tuesday April 15, for normal operating hours.

Plainview Urgent care will be closed, Sunday April 13, and Monday April 14, and will reopen Tuesday April 15,  for normal operating hours.

The Croton-on-Hudson lab is temporarily closed until further notice.

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Home ❯ Patient resources ❯ Optum (New Jersey) accepted insurance plans guide

Optum (New Jersey) accepted insurance plans guide

AttentionThis page contains accepted insurance details for patients in New Jersey. Patients in New York, please visit our New York accepted insurance plans guide.

 

 

New Jersey insurance plans

Optum (New Jersey) accepts most major insurances, including:
Aetna
  • Aetna Whole Health Plans
  • Aetna Standard Plans
  • Aetna Open Access Plus Plans
  • Aetna HealthFund Plans
  • Savings Plus Plans
  • Aetna with Innovation Health Plans
  • National Advantage Program (NAP)
  • Aetna CVS Health Plans
  • Aetna Assure Premier Plus Plan
  • Medicare Advantage Individual and Group Plans

Non-participating: Aetna Better Health (Medicaid)

AmeriHealth 
  • Local Value Network (including AmeriHealth Advantage & AmeriHealth Hospital Advantage) (Tier 2)
  • Regional Preferred Network
  • Value Plus Network

Anthem BCBS

Participating through the Blue Card Program

Centivo

Cigna
  • HMO
  • POS
  • PPO
  • EPO
  • Cigna Courage Medicare (HMO)
  • Cigna Preferred Medicare (HMO)
  • Cigna True Choice Medicare (PPO)
  • Cigna True Choice Savings Medicare (PPO)
  • Cigna True Choice Plus (PPO)
  • Oscar
  • Great West

Clover Health

Beginning January 1, 2025: Clover Medicare Advantage plans will be out-of-network.

Consumer Health Network

Fidelis Care Formerly known as WellCare
  • NJ Family Care

Beginning January 1, 2025: Fidelis Medicaid plans will be out-of-network.

First Health
  • Participating through Aetna Network
GHI
  • Secondary to Medicare only

Non-participating: Emblem and Comprehensive Benefits Plan (CBP)

Horizon Blue Cross Blue Shield of New Jersey
  • Direct Access
  • EPO
  • HMO
  • POS
  • PPO
  • Indemnity
  • OMNIA Health Plans
  • Braven Medicare Advantage Plans
  • Federal Employees Program (FEP)
  • State Health Benefit Program (SBHP)/School Employees’ Health Benefits Program (SEHBP)
  • Horizon NJ Total Care (HMO D-SNP)
Horizon NJ Health
  • NJ Family Care
  • Horizon NJ Total Care (HMO D-SNP)

Horizon Casualty

Humana

Independence Blue Cross

Local 1199
  • Participating through the Aetna Network

Magnacare

Medicaid

Medicare
  • Including Railroad Medicare

Multiplan

Northwell Direct

Qualcare

Tricare Authorized non-network provider

UnitedHealthcare
  • UnitedHealthcare Medicare plans:
    • AARP Medicare Advantage Plans
    • Erickson Medicare Advantage Plans
    • UnitedHealthcare commercial Plans
    • UnitedHealthcare Medicare Advantage Plans
  • Veteran Affairs CCN
  • UHC Community Plan (NJ Family Care & Dual Complete)

US Family Health Plan

Wellcare
  • Wellcare No Premium (HMO-POS)
  • Wellcare Dual Liberty (HMO D-SNP)
  • Wellcare Assist (HMO)
  • Wellcare No Premium Focus (HMO)
  • Wellcare Patriot No Premium (HMO)
  • Wellcare Giveback (HMO)
  • Wellcare Low Premium Open (PPO)

Beginning January 1, 2025: Wellcare Medicare Advantage and DSNP plans will be out-of-network.

Wellpoint Formerly known as Amerigroup Community Care
  • NJ Family Care
  • Wellpoint Medicare Advantage (HMO-POS)
  • Wellpoint Extra Help (HMO-POS)
  • Wellpoint Full Dual Advantage (HMO D-SNP)
  • Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)
  • Wellpoint Kidney Care (HMO-POS C-SNP)
  1. UnitedHealthcare commercial plans include EPO, HMO, POS, HMO Plus, PPO, Oxford (Liberty, Freedom, Metro), Nexus ACO, Indemnity, Compass.

New Jersey urgent care insurance plans

Optum accepts most major insurances, including:
Aetna
  • Aetna Better Health

America’s Choice Provider Network

AmeriHealth

Cigna

Non-participating: Cigna Medicare Plans

Consumer Health Network (CHN)

Coventry

Devon

Fidelis CareFormerly known as WellCare

First Health

Geisinger Health Plan

Southern NJ locations only

HealthSmart Payor Organization

Horizon Blue Cross Blue Shield of New Jersey

Horizon NJ Health

Imagine Health

Independence Blue Cross

Independent Medical Systems (IMS)

Intergroup

MagnaCare

Medicaid NJ

Medicare Including Railroad Medicare

Multiplan/PHCS

Northwell Direct

QualCare

Partners Direct Health

Prime Health Services (PPO Provider Network)

Stratose (NPPN)

Three Rivers Provider Network

Tricare Authorized non-network provider

UnitedHealthcare Including Oxford, UHC Community Plan, Veterans Affairs CCN

US Family Health Plan (USFHP)

Wellcare Health Plans of New Jersey

Workers Comp

WellpointFormerly known as Amerigroup Community Care

Not sure whether you’re in-network?

Optum accepts most major health insurance plans. Before selecting a provider, please check with your insurance company to verify your eligibility and coverage to ensure the provider participates in your plan.

If you have insurance coverage from a company that is not listed above, the services are probably “out-of-network” and you will be responsible for a greater out-of-pocket expense.

For help selecting a plan that participates with Optum, please Contact us.

 What if my insurance doesn’t cover my service?

If you are out-of-network or choosing to pay out of pocket, services are still available. Here’s what you need to know:  

  • You have the right to request a good faith estimate of expected charges prior to receiving services.
  • You will not be billed more than the out-of-pocket maximum limit established by your health plan. This includes the billing of all applicable deductibles, copay and coinsurance.
  • In compliance with the “No Surprise Act”, a patient is held harmless from the cost of unanticipated out-of-network bills.

Contact us if you have questions or need more information about participating plans, billing or the “No Surprise Act”.