Insurance and Billing

A surgical center accounts representative may call you to discuss your health insurance coverage. Before surgery, please familiarize yourself with your insurance plan, as this will help you understand our billing and charges. If you have questions about your insurance coverage, please contact us at (973) 912-8111.

If you have health insurance, please bring a copy of your identification card to the center. We may also need the insurance forms supplied by your employer or the insurance company. Your insurance carrier may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to ensure the requirements of the plan have been met.

If you are covered by Medicare, please bring a copy of your card to the center. Note that Medicare has payment limitations on a number of services and items. You are also responsible for deductibles and co-payments.

We also offer the option to pay bills online. With our online bill pay option, you can securely make a payment for your service online with no hassles.

Below is a list of participating insurances*:

• AETNA (COMMERCIAL & MEDICARE)
• BLUE CROSS/BLUE SHIELD
• CIGNA
• UNITED HEALTHCARE
• OXFORD
• MEDICARE
• WORKERS’ COMPENSATION
• MVA/NF

*As far as insurance, even though we may not be in-network, we still accept insurances as long as the patient has out-of-network benefits.

The Cost of Your Procedure

Because you are responsible for costs for covered healthcare services until you reach your deductible, you should comparison shop if you elect to have a nonemergency procedure.

You can use tools like Healthcare Bluebook and the Medicare Procedure Price Lookup (for Medicare patients).  Many health insurance websites also provide information on where to find in-network services.

Insurance Plans We Accept

Our surgery center is dedicated to providing consumers with as much information as possible regarding potential healthcare costs. Accordingly, we have listed information on the insurers and providers the center participates in.

It is important you contact your insurance company prior to receiving services or care. Each plan is different and some provide different levels of coverage that could make a difference in your out-of-pocket costs.

• Aetna (Commercial & Medicare) Effective 11/1/2021
• Medicare (including all Medicare Replacement plans)
• Blue Cross/Blue Shield (We are a Tier 1 facility for BCBS Omnia Plans)
• Cigna
• Oxford
• United Healthcare
• Workers’ Compensation
• Motor Vehicle/NF

This list may not be comprehensive. For example, specialty insurers such as workers’ compensation and personal injury protection (“PIP”) are not included because there are a number of different types of insurance products and we may not participate in all of them. If you do not see your plan listed on our website, we strongly recommend that you contact us or your health insurance plan to confirm whether your plan is in-network or out-of-network.

In addition, the physicians who provide care within our center might not participate in the same insurance plans as the ASC. You should check with the physician who is arranging your healthcare services to see which insurance plans the physician participates in. You should also know that these healthcare professional(s)’ costs are not included in the facility’s charges. They will bill separately.

Other Care Providers

We work with other providers as part of your care. In addition to a bill from the facility and the physician, you may receive a bill from another provider, depending on the nature of your procedure.

Anesthesia

Advanced Ambulatory Anesthesia
Phone: (201) 804-5270
Fax: (201) 804-8883

Pathology Lab

Atlantic Health Lab
100 Madison Avenue
Morristown, NJ 07960
Phone: (800) 619-4024