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Home > Insurance Division > Life and Health > Life & Health Actuarial > HMO Performance Report |
2012 New Jersey HMO Performance Report |
Contacting Your HMO |
The information in this report only covers the HMOs offering commercial HMO and POS products in New Jersey with at least 2,000 commercial members. The contact information in the chart lists all active HMOs approved to issue HMO and POS products in New Jersey. The chart shows if the HMO offers commercial coverage and if it participates in Medicare or Medicaid. It also shows the counties that each HMO is authorized to serve. An HMO might not offer Medicare or Medicaid in all the counties in its service area. Look at the chart notes to find the counties where an HMO participates in Medicare or Medicaid.
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Use the telephone numbers and web sites to learn more about the HMOs that interest you. |
HMO |
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Telephone |
Web Site |
Aetna Health Inc. (a New Jersey Corporation) |
(800) 872-3862 |
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AmeriChoice of New Jersey |
(800) 941-4647 |
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AMERIGROUP New Jersey |
(800) 600-4441 |
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AmeriHealth HMO, Inc. — New Jersey |
(866) 681-7368 |
www.amerihealthnj.com |
Bravo Health Pennsylvania, Inc. |
(800) 235-9188 |
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CIGNA HealthCare of New Jersey, Inc. |
(800) 345-9458 |
www.cigna.com |
Geisinger Health Plan |
(800) 631-1656 |
www.thehealthplan.com |
Healthfirst Health Plan of New Jersey, Inc. |
(866) 635-1521 |
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Horizon Healthcare of New Jersey, Inc. |
(800) 355-2583 |
www.horizonblue.com |
Oxford Health Plans of New Jersey |
(800) 444-6222 |
www.oxhp.com |
WellCare Health Plan of New Jersey |
(866) 687-8570 |
www.wellcare.com |
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Service Areas |
Counties |
NORTHERN |
Bergen, Essex, Hudson, Morris, Passaic, Sussex,
Union, Warren |
CENTRAL |
Hunterdon, Mercer, Middlesex, Monmouth, Somerset |
SOUTHERN |
Atlantic, Burlington, Camden, Cape May, Cumberland,
Gloucester, Ocean, Salem |
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Product Lines and Service Areas* |
HMOs |
PRODUCT LINES |
SERVICE AREAS |
Health Plans |
COMMERCIAL |
MEDICARE |
MEDICAID |
NORTH |
CENTER |
SOUTH |
Aetna Health, Inc. — New Jersey Corporation |
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AmeriChoice of New Jersey |
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1 |
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AMERIGROUP New Jersey |
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2 |
2* |
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AmeriHealth HMO, Inc. — New Jersey |
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Bravo Health Pennsylvania, Inc. |
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Atlantic,
Burlington, Camden, Gloucester, Mercer |
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CIGNA HealthCare of New Jersey, Inc. |
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Geisinger Health Plan |
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Monmouth |
Ocean |
Healthfirst Health Plan of New Jersey, Inc. |
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3 |
3* |
Bergen,
Essex,
Hudson, Morris, Passaic,
Sussex,
Union,
Warren
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Mercer, Middlesex, Monmouth, Somerset |
Atlantic, Ocean |
Horizon Healthcare of New Jersey, Inc. |
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Oxford Health Plans of New Jersey |
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4 |
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WellCare Health Plan of New Jersey |
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5 |
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Essex, Hudson, Passaic, Union |
Middlesex |
Camden |
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*Product line and service area information as of July 1, 2012. |
NOTES:
1. AmeriChoice Medicare is available only in Atlantic, Bergen, Burlington, Camden, Essex, Hudson, Mercer, Middlesex, Monmouth, Ocean, Passaic and Union counties.
2. AMERIGROUP Medicare is available in Bergen, Essex, Hudson, Middlesex, Monmouth, Ocean and Union counties only.
2*. AMERIGROUP Medicaid is available statewide except Salem County (South).
3. Healthfirst Medicare is available in Atlantic, Bergen, Essex, Hudson, Middlesex, Monmouth, Ocean, Passaic, Somerset and Union counties.
3*. Healthfirst Medicaid is available in Bergen, Essex, Hudson, Mercer, Middlesex, Morris, Passaic, Somerset, Sussex, Union and Warren counties.
4. Oxford Medicare is available in Bergen, Essex, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic and Union counties.
5. WellCare Health Plan Medicare is available in Camden, Essex, Hudson, Middlesex, Passaic and Union counties.
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