For all other insurances, payment is expected at time of service. For Exchange Product participation, see the Affordable Care Act Section below.
Insurance & Billing
Participating Insurance Carriers
Participating with a variety of carriers enables PMG to make our quality healthcare services more widely accessible in the community.
- Aetna US Health Care (excludes New Jersey Savings Plus Exclusive Provider Organization and Aetna Better Health Plans (i.e. NJ FamilyCare MLTSS, A, B, C, D, – Medicaid, etc.))
- Amerihealth (excludes Personal Choice 65 and all Value Network Products)
- Blue Cross Blue Shield – Traditional (PPO and Indemnity), Managed Care, Blue Card (excludes Medicaid/NJHealth)
- Cigna Healthcare (excludes all Local Plus Plans)
- Independence Blue Cross Blue Shield (Keystone Health Plan East) (excludes Personal Choice 65)
- Medicare – Traditional Part B
- Oxford Health Plans (excludes Oxford Advantage)
- UnitedHealthcare (excludes Medicaid plans, MedComplete and Community Plans)
Rights & Protections
Against Surprise Medical Bills
When patients receive emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, they are protected from surprise billing.
Affordable Care Act
Currently we participate with the following Affordable Care Act Exchange Products:
- Horizon BCBS of NJ Advance EPO (Silver and Gold)
- Horizon BCBS of NJ Advantage EPO (Bronze and Silver)
- Horizon BCBS of NJ Patient Centered Advantage EPO (Silver and Bronze)
- Horizon BCBS of NJ OMNIA (Bronze, Silver and Gold)
- (Princeton Medical Group Providers are Horizon BCBS of NJ Omnia Tier 1 Providers)
- Amerihealth New Jersey* (excludes Amerihealth Value Network and Amerihealth Tier 1 products).
*Please note we do NOT participate with the following Exchange Products
- Amerihealth
- Value Network
- Tier 1 Exchange Products
- Health Republic Insurance of New Jersey Exchange Products
- Aetna Exchange Products
- Leap Plans
- Valley Preferred Plans
- Savings Plus
- Pennsylvania HMO
- Pennsylvania Managed Choice Open Access
- United Health Care
- COMPASS Plans
- Garden State Network
- Metro Network
- Oxford Health Plans
- COMPASS Plans
- Garden State Network
- Metro Network
Please note, this list is not all inclusive as carriers are continually changing product names and types. We ask that you also confirm participation status with your carrier.
Even though your insurance may not be shown on the list, you may call
609.924.9300 to see if we now accept it.
It is very important for you to bring your current insurance card each visit and to inform us if there has been any change in your coverage or in your address. As changes may occur in the plans that we accept, please verify our acceptance at the time you make an appointment.
Princeton Medical Group will make every effort to verify your coverage prior to your appointment, yet we cannot guarantee coverage of services by your insurance company.
Patients with Private Health Insurance
If PMG does not participate with your health insurance, it means you are seeing a healthcare provider that is “out of network.” Many insurances have different levels of coverage, in which patients may have some coverage seeing a provider who does not participate with that insurance plan.
You may determine what your insurance company will cover by contacting them in advance of your visit. The two most common differences in cost between seeing the physician “out of plan” versus “in plan” is the amount of your annual deductible and the amount of your co-insurance. Regardless of what your insurance covers, you are responsible for paying your bill.
Should you have any questions please contact our billing office at 609.924.9300.
Self-Pay Patients
If you are a self-pay patient (this applies only to patients who do not have any health insurance), please call to find out more details about our fees as it will vary by specialty and situation.
Benefits and Eligibility
To determine your insurance benefits and eligibility please contact your insurance carrier directly. Note that you are ultimately responsible for payment for all services that are not covered by your insurance plan.
