• AARP Medicare Complete Plans #1-4
• Aetna (NO Aetna Savings Plus, NO Aetna Premier Care Network, NO Aetna Whole Health Network)
• Aetna POS Choice II
• Aetna Assure Premier Plus HMO D-SNP (associated with Aetna Medicare Advantage program)
• Aetna Better Health
• (Aetna) First Health
• Aetna MA Plan for City of NY Retirees (effective 9/1/23)
• Aetna Medicare (Explorer Premier plus HMO and PPO, Explorer Elite HMO)(NO Prime Value HMO and PPO; NO Prime Credit PPO)
• Amerigroup Medicaid (NO Medicare) Also known as Wellpoint due to recent name change
• AmeriHealth & AmeriHealth Value Network (NO Medicare Advantage)
• AmeriHealth Hospital Advantage
• Braven Health – affiliate of Horizon (Medicare Advantage Plan) start date 1/1/21
• CHNPPO
• Cigna (NO Cigna Local Plus plans (starting 7/2019); NO Cigna Medicare advantage plans)
• Clover Health/ Care Point PPO and HMO plans
• Emblem Health (NO Emblem Select Care; NO Emblem Health Silver Value, NO Enhanced Care)
• Emblem GHI CBP (Excluding Physician Assistants)
• Empire BCBS HMO (Limited set of physicians only) NO PATHWAYS – Check eligibility.
• Fidelis Care NJ (formerly WellCare) (Accept both Medicaid and Medicare) Member ID must show Fidelis of NJ – not out of state
• First Health (Aetna)
• HealthNet/Tricare (now under Humana Military)
• Horizon BCBSNJ
• Humana Military (formerly HealthNet/Tricare) (This is different from Humana Commercial and Medicare)
• Magnacare
• Medicare/ Railroad Medicare
• Multiplan/PHCS (Excluding Diversified Administrators as of 3/1/2020 and HMA, LLC – see Non Par list)
• MVP Healthcare EPO/PPO, VT, Student Health (NO MVP M (Medicaid), MVP Essential, Premier, HMO) (Please confirm plans on their website using member ID number)
• NALC (National Association of Letter Carriers)
• Oscar Health Plan administered through Qualcare
• Oxford (including Oxford Metro)
• Qualcare (Emblem HIP HMO plans)
• United HealthCare (NO Community Plan; NO Medicare Complete Focus; NO Compass product; NO Dual Complete)
• USFHP
• VA Community Care Insurance (a plan through UHC)
• Wellcare (Accept both Medicaid and Medicare) WellCare of New Jersey is now Fidelis

• Wellpoint (Medicaid only) (No Medicare) Formerly known as Amerigroup

• Aetna Medicare Prime Value HMO and PPO; Aetna Medicare Prime credit
• Aetna Savings Plus
• Aetna Premier Care Network
• Aetna Whole Health Network
• AmeriHealth Medicare Advantage (no longer offered)
• Cigna Local Plus plans (starting 7/2019)
• Cigna Medicare Advantage plans
• Emblem Health Enhanced Care – this is a Medicaid Product
• Emblem Health Silver Value
• Emblem Select Care
• Empire BC Pathways and Empire MediBlue HMO products (not offered in NJ)
• Health First (we do take First Health)
• Health Republic of New Jersey (no longer offered in NJ)
• Healthy NY
• HMA, LLC : Back of card: (PO Box 22009, Tempe, AZ) Payer ID: 86066 : This is a PHCS plan but our group contract excludes this plan.
• Horizon NJ Health
• Horizon NJ Total Care Medicare and Medicaid (Horizon NJ Health Network)
• Humana Medicare plans (but check eligibility: some plans have combined in-network and out of network benefits where it can be
• covered)
• Medicaid – from any state
• MVP Healthcare M (Medicaid), MVP Essential, Premier, HMO
• United Healthcare Community Plan; United Healthcare Dual Complete Plan. UHC Dual Complete may be listed in EPIC as UHC Medicare replacement – UHC Dual Complete, but it is under the Community Plan network and we are non-par.
• United Healthcare Medicare Complete Focus; United Healthcare Compass
• World Trade Center Health Program
• Wellcare Ambetter

We do not take some MVP insurances (NY insurance through Cigna – but not all plans)

Please check member’s ID on the mvphealthcare.com website. No login required. Use find a doctor and search by MVP member ID -then add zip code and doctor last name