Optum (New Jersey) accepted insurance plans guide
(If you are a New York patient, click here for accepted insurance)
Optum (New Jersey) accepts most major insurances, specifically:
- Aetna Medicare
- Aetna Commercial
- Aetna Premier Care Network Choice POS ll and Aetna Managed Choice Open Access is limited to some providers and locations. Please verify with your insurance company
Ambetter through WellCare. - Amerigroup
- Amerihealth (Riverside is tier 2)
- Beech Street CHN
- Centivo
- Cigna
- Clover Health
- First Health
- EmblemHealth with Qualcare
- Empire
- GHI through Qualcare
- Great West
- Hendricks Regional Health (HRH) Medical Benefit Fund
- Horizon Medicare
- Horizon BCBS
- Horizon NJ Health
- Humana
- Magnacare
- NJ Medicaid
- Medicare
- Medicare Railroad
- Multiplan
- Oxford (Not Garden State)
- TRICARE
- UnitedHealthcare Medicare Advantage
- UnitedHealthcare Commercial
- UnitedHealthcare Community Plan
- Qualcare
- Wellcare
- 1199
Health Care Exchange Plan Participation:
- Meritain Health/Aetna
- Nippon/Aetna
- Allied/Cigna and PHCS
- NIAC/Cigna
Please contact your insurance company prior to receiving services at Riverside to confirm whether your plan is in-network or out-of-network. Each plan is different and some provide levels of coverage that could still result in out-of-pocket costs. Optum is dedicated to providing as much information as possible regarding out-of-network bills in order to prevent billing disputes.
Insurance We Are Not Accepting:
- GHI through Emblem
- GHI through Comprehensive Benefits Plan (CBP) Medicare patients who have any GHI products as secondary can continue to be accepted at Riverside.