Optum (New Jersey and Connecticut)
accepted insurance plans guide
(If you are a New York patient, click here for accepted insurance)
New Jersey | Connecticut
New Jersey insurance plans
Optum accepts most major insurances, including:
Optum (New Jersey) accepts most major insurances, specifically:
- 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, Medicare Advantage Individual and Group Plans, non-participating with Aetna Better Health (Medicaid)
- Amerigroup New Jersey, Inc., dba Amerigroup Community Care: NJ Family Care, Amerivantage Balance (HMO), Amerivantage Dual Coordination (HMO D-SNP), Amerivantage Dual Secure (HMO-POS D-SNP), Amerivantage ESRD Care (HMO-POS C-SNP), Amerivantage Choice (PPO), Amerivantage Classic (HMO)
- AmeriHealth New Jersey: Local Value Network (including AmeriHealth Advantage & AmeriHealth Hospital Advantage) (Tier 2), Regional Preferred Network, Value Plus Network
- 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), Oscar, Great West
- Clover Health
- Consumer Health Network
- Empire BCBS: Participating through the Blue Card Program
- Fidelis Care (formerly known as WellCare): NJ Family Care
- First Health: Participating through Aetna Network
- GHI: Secondary to Medicare only, non-participating through 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)
- Humana
- Local 1199: Participating through the Aetna Network
- Magnacare
- Medicaid
- Medicare: Including Railroad Medicare
- Multiplan
- Qualcare
- Tricare (authorized non-network provider)
- United Healthcare: EPO, HMO, POS, HMO Plus, PPO, (non-participating w/ Compass & Indemnity) Nexus ACO, Veterans Affairs CCN, AARP Medicare Advantage Plans, Erickson Medicare Advantage Plans, UnitedHealthcare Medicare Advantage Plans, UHC Community Plan (including NJ Family Health & Dual Complete), Oxford (including Liberty, Freedom & Metro)
- 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 No Premium (HMO-POS), Wellcare Giveback (HMO), Wellcare Premium Enhanced Open (PPO)
Optum Urgent Care (New Jersey) accepts the following insurance plan:
- Aetna
- Aetna Better Health
- America’s Choice Provider Network
- Amerigroup NJ
- Amerihealth NJ
- Cigna (non-paticipating w/ Cigna Medicare Plans)
- Consumer Health Network (CHN)
- Coventry
- Devon
- First Health
- Geisinger Health Plan (Southern NJ locations only)
- HealthSmart Payor Organization
- Horizon Blue Cross Blue Shield of New Jersey
- Horizon NJ Health
- Independence Blue Cross
- Independent Medical Systems (IMS)
- Intergroup
- MagnaCare
- Medicaid NJ
- Medicare (Including Railroad Medicare)
- Multiplan/PHCS
- 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)
- UPMC for Life Dual Plan (Northern NJ locations only)
- US Family Health Plan (USFHP)
- Wellcare Health Plans of New Jersey
- Workers Comp
Connecticut urgent care insurance plans
Optum accepts most major insurances, including:
- Aetna
- Anthem BCBS
- Cigna
- Connecticare
- Harvard Pilgrim Health Care
- Independent Medical Systems (IMS)
- CT Medicare / CT Medicaid
- Medicare DMERC
- Optum℞
- PMCS (Preferred Medical Claims Solutions)
- PPO Network- Commercial, Worker’s Compensation and Auto
- Prime Health Services
- Procura Management, Inc.
- Commercial, Worker’s Compensation and Auto
- United Healthcare / Oxford
- US Dept of Labor
- Black Lung, Energy, & FECA