Accepted Insurance Plans

• 1199 - SEIU

• All plans

We are not in-network with Aetna Aexcel (No Plan), Aetna Better Health (Medicaid), Aetna NJ Savings Individual EPO.

Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.

*The below list of providers actively participates with Aetna Better Health Managed Medicaid plans:

Andrew J. Bernstein, MD
Joshua M. Fiske, MD
Alon Y. Mass, MD
Mark I. Miller, MD
Kenneth S. Ring, MD
Jamie Uy, MD

• All Plans

• All Plans

• Medicare Plans

• All plans
• Braven Health Medicare Advantage

We are not in-network with ALL NJ Family Plans, Horizon NJ Health, Horizon NJ Total Care, NJ Family Care.

Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.

*The below list of providers actively participates with Horizon Health of NJ Managed Medicaid plans:

Michael R. Benson, MD
Thomas Y. Chun, MD
Michael P. Ciccone, MD
Elan Diamond, MD
Martin M. Goldstein, MD
George A. Johnson, MD
George Klafter, MD
Daniel R. Lowe, MD
Mark Mann, MD
Eric J. Margolis, MD
James Saidi, MD
Eric K. Seaman, MD
Stuart D. Shoengold, MD
Andrew L. Siegel, MD
Alan D. Strumeyer, MD
Erol E. Ulker, MD
Konstantin Walmsley, MD
Jeffrey F. Williams, MD

• All plans

We are not in-network with Health Plus (Medicaid) and Pathway (Medicaid).

• All Plans

• CHN or Medlogix

• All plans
• Medicare Advantage
• Cigna Local Plus

• Medicare Advantage

• Workers Compensation

• Workers Compensation and Motor Vehicle Only

• Accepting Medicare Advantage plans
• Accepting most Emblem, HIP and GHI plans
• All locations out‐of‐network with Medicaid, Select Care or Millenium plans

• First Health Logo on Card
• Medigap Plans

We are not in-network with First Health Medicare Advantage.

• PPO and HMO Plans
• All Humana Medicare Plans

• All Magnacare Commercial Plans
• Workers Compensation

• Medicare
• Railroad Medicare

• All plans

• MVA

• All plans

• NY Workers Compensation

• VA Community Care Network

• Oscar NJ Individual & Family Plans (Exchange)
• Oscar NJ PPO Plan
• Oscar NJ Small Group Plans (Exchange)

We are not in-network with Oscar Medicare Advantage.

• Freedom
• Liberty
• Medicare Plans (All)

We are not in-network with Americhoice, Compass Plan, Garden State Plans (All).

• All plans
• Workers Compensation

• All plans except Medicaid

• Government - all plans

• CityMD NJ Locations
• Select Providers for NJ Urology (Please check with your insurance carrier) 

• AARP Medicare Complete (All Plans)
• Choice
• Choice Plus
• HMO
• Medicare Advantage Plans
• Navigate EPO, HMO, POS
• NYSHIP
• POS
• PPO
• UHC Core
• VA Community Care Network

We are not in-network with Americhoice, Compass Plans, Essential Plan (United CityMD Essential Plan), Medicare Dual Complete.

Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.

*The below list of providers actively participates with United Community Managed Medicaid plans:

Michael R. Benson, MD
Michael P. Ciccone, MD
Kimberly L. Reynolds, APN
Stuart D. Shoengold, MD
Erol E. Ulker, MD

• US Family Health plan - Tricare Prime

• Managed Medicare

All Summit Health New Jersey Providers participate with Wellpoint’s Medicare Advantage plans.

Medicare Advantage

• Wellpoint Extra Help (HMO-POS) - NJ
• Wellpoint Extra Help (HMO) - NJ
• Wellpoint Full Dual Advantage (HMO D-SNP) - NJ
• Wellpoint Full Dual Advantage Support (HMO-POS D-SNP) - NJ
• Wellpoint Kidney Care (HMO-POS C-SNP) - NJ
• Wellpoint Medicare Advantage (HMO-POS) - NJ
• Wellpoint Medicare Advantage (HMO) - NJ

Only select Summit Health New Jersey Providers participate with Medicaid Advantage plans.

Managed Medicaid*

• NJ FamilyCare - NJ
• NJ KidCare (CHIP) - NJ
• NJ Managed Long Term Services and Supports - NJ
• NJ Medicaid - NJ

Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.

*The below list of providers actively participates with Wellpoint Managed Medicaid plans:

George A. Johnson, MD
Aryeh Y. Keehn, MD
Alan P. Krieger, MD
Mark Mann, MD
Brett M. Opell, MD
James Saidi, MD
Eric K. Seaman, MD
Stuart D. Shoengold, MD
Alan D. Strumeyer, MD
Konstantin Walmsley, MD
Jeffrey F. Williams, MD

• 1199 - SEIU 

• All plans excluding Aetna Better Health and Aetna NJ Savings Individual EPO

• All Plans (Westmed locations only)

• Summit Health NY - Accepts all Medicare and Commercial plans
  • Health Plus Medicaid plans are not in-network
• Summit Health NY/Westchester locations (formally Westmed Medical Group) accepts all plans including Healthplus Medicaid Plans

*Out-of-state plans must have Blue Care Network

• All Plans

• All plans
• Medicare Advantage
• Cigna Local Plus

• Workers Compensation

• Workers Compensation and Motor Vehicle Only

• Accepting Medicare Advantage plans
• Accepting most Emblem, HIP and GHI plans
• All locations out‐of‐network with Medicaid, Select Care or Millenium plans

• All Plans

• All Plans (Westmed locations only)

• Summit Health Westchester locations (formally Westmed) only accepting Medicare Advantage plans
• All other Summit Health NY locations accepting Medicaid and Medicare plans
• HMO & Medicaid plans ‐ Patient must have selected a PCP within the group prior to scheduling with a PCP

• Medicare Plans are accepted for Summit Health NJ and NY locations

• All Commercial Plans (Westmed locations only)
• Workers Compensation-All locations non-par.

• Medicare
• Railroad Medicare

• All plans (WMG is non par with Beechstreet)

• MVA

• Accepting all plans
• Medicare DSNP (Special Needs), Medicaid and Essential Plan: Patient must have selected a PCP within the group prior to scheduling with a PCP

• NY Workers Compensation

• Freedom
• Liberty
• Medicare Plans (All)
• Excludes:  All Garden State Plans
• Metro (Westmed locations only)
  • Due to Oxford, Westmed Medical Group, and Westmed Urgent Care not being able to reach a contract negotiation agreement, WMG and WMGUC announced effective January 19, 2021, that they would no longer accept Oxford Metro and United Healthcare Compass New Patients with this plan. WMG and WMG UC agreed to continue to service Existing Patients with these plans until a runout date was provided. Our UHC/Oxford Provider Rep informed that letters went out to all members with the Oxford Metro Plan announcing that Westmed will no longer accept the Existing Patients as of November 1, 2023, therefore we are requesting this announcement to be noted.

• Medicare Advantage (Westmed locations only with limited patient access)

• Government – (all plans Summit locations)

• AARP Medicare Complete (All Plans)
• Choice/Choice Plus
• Compass Plan
• HMO, EPO, PPO
• Medicare Advantage Plans
• Navigate EPO, HMO, PPO, POS
• Excludes:  Community Network

• US Family Health plan – Tricare Prime

Only accepted at Summit Westchester locations (formally Westmed)

• All Medicare Plans
• Excludes:  Managed Medicaid Plans

• 1199 - SEIU 

• All plans excluding Aetna Better Health and Aetna NJ Savings Individual EPO

• All Plans:  Must have access to the Blue Card Network.

• All plans

• All plans
• Medicare Advantage
• Cigna Local Plus

• Commercial Choice and Flex
• Medicare Choice and Flex
• Commercial/Medicare Passage-participation is limited to specialists only.

• Accepting Emblem and Medicare Advantage with Connecticare logo

• All Plans
• Excludes workers compensation

• Summit Health CT only accepting Medicare Advantage plans
• For all HMO plans ‐ Patient must have selected a PCP within the group prior to scheduling with a PCP

• All Commercial Plans 
• Excludes Workers Compensation

• Limited Provider Participation

• Medicare
• Railroad Medicare

• All plans

• MVA

• All commercial plans with access to the Cigna network only.

• Freedom
• Liberty
• Medicare Plans (All)
• Excludes:  Metro and All Garden State Plans

• AARP Medicare Complete (All Plans)
• Choice/Choice Plus
• HMO, EPO, PPO
• Medicare Advantage Plans
• Navigate EPO, HMO, PPO, POS
• Excludes: Compass, Nexus ACO, Community Network

• US Family Health plan – Tricare Prime