Dr. Rainville and Dr. Matier participate with the following Insurance Companies:

 

They accept but are out of network providers for Qualcare.

 

Horizon Blue Cross Blue Shield

  • Omnia Tier 1 (ONLY)
  • Omnia Bronze
  • Omnia Silver
  • Omnia Silver HSA
  • Omnia Platinum
  • Omnia HAS
  • Omnia Gold
  • NJ Direct MA PPO
  • NJ Direct
  • Horizon Patient-Centered Adv EPO
  • Horizon POS
  • Horizon Medicare Blue Choice w/Rx (HMO)
  • Horizon Medicare Blue Value (HMO)
  • Horizon Medicare Blue Value w/Rx (HMO)
  • Horizon MyWay HRA Direct Access
  • Horizon MyWay HSA Direct Access
  • Horizon Medicare Blue Choice w/Rx (HMO)
  • Horizon Medicare Blue Value (HMO)
  • Horizon Medicare Blue Value w/Rx (HMO)
  • Horizon MyWay HRA Direct Access
  • Horizon MyWay HSA Direct Access
  • Horizon Medicare Blue Choice w/Rx (HMO)
  • Horizon Medicare Blue Patient-Centered w/Rx (HMO)
  • Horizon Medicare Blue Value (HMO)
  • Horizon Medicare Blue Value w/Rx (HMO)
  • Horizon MyWay HRA Direct Access
  • Horizon MyWay HSA Direct Access

Cigna

  • Open Access Plus, OA Plus ChoiceFund OA Plus
  • Open Access Plus OA Plus, ChoiceFund OA Plus with CareLink
  • PPO, Choice Fund PPO
  • Network, HMO, POS

United Healthcare

  • Choice
  • Choice HMO
  • Choice Plus
  • Choice Plus with Harvard Pilgrim
  • Choice with Harvard Pilgrim
  • CORE
  • CORE Essential
  • CORE HMO/CORE Essential HMO
  • Heritage Plus
  • Heritage Select POS/HMO
  • Heritage Select EPO
  • Heritage Select Advantage – IA
  • HERITAGE SELECT ADVANTAGE – AR, GA, NC, SC, TN
  • NAVIGATE HMO / NAVIGATE BALANCED HMO / NAVIGATE PLUS HMO
  • NAVIGATE / NAVIGATE BALANCED
  • NAVIGATE PLUS
  • NexusACO (Tier 1 Only)
  • OPTIONS PPO
  • OPTIONS PPO WITH HARVARD PILGRIM
  • Select
  • Select HMO
  • Select Plus
  • AARP MedicareComplete Essential (HMO) – Rainville Only at Clara Maass
  • AARP MedicareComplete Plan 1 (HMO) – Rainville Only at Clara Maass
  • AARP MedicareComplete Plan 2 (HMO) – Rainville Only at Clara Maass
  • AARP MedicareComplete Plan 3 (HMO) – Rainville Only at Clara Maass
  • AARP MedicareComplete Plan 4 (HMO) – Rainville Only at Clara Maass
  • UnitedHealthcare Dual Complete ONE (HMO SNP) – Rainville Only at Clara Maass
  • UnitedHealthcare Group Medicare Advantage (HMO) – Rainville Only at Clara Maass
  • UnitedHealthcare Group Medicare Advantage (PPO) – Rainville Only at Clara Maass
  • UnitedHealthcare Nursing Home Plan (HMO SNP) – Rainville Only at Clara Maass
  • UnitedHealthcare Nursing Home Plan (PPO SNP) – Rainville Only at Clara Maass

AmeriHealth

  • AmeriHealth Advantage (Tier 2)
  • AmeriHealth Advantage Network for 2018 (Tier 2)
  • Local Value Network
  • Tier 1Advantage
  • Tier 1 Advantage for 2018

Horizon NJ Health

  • Horizon NJ Health
  • Horizon NJ TotalCare (HMO SNP)

Aetna

  • (CT) Aetna Whole Health – Hartford HealthCare & Value Care Alliance
  • (ME) Aetna Whole Health℠- Maine – Aetna Select
  • (ME) Aetna Whole Health℠- Maine – Health Network Only/Option
  • (NC) Aetna Whole Health℠- Duke Health & WakeMed
  • (NJ) Aetna Whole Health℠- Hackensack Meridian Health
  • (NJ) Aetna Whole Health℠- Virtua
  • (TN) Aetna Whole Health Tennessee
  • (TX) PCP Referral Plan
  • (VA) Aetna Whole Health℠- Coastal Virginia Health Partners
  • (VA) Aetna Whole Health℠- VA Preferred – Roanoke
  • NAP (National Advantage Plan)
  • Aetna Choice® POS (Aetna HealthFund®)
  • Aetna Choice® POS (Open Access)
  • Aetna Choice® POS II (Aetna HealthFund®)
  • Aetna Choice® POS II (Open Access)
  • Aetna DC Bronze, Silver and Gold Open Access Health Network Only
  • Aetna DC Bronze, Silver and Gold Open Access Managed Choice
  • Aetna DC Silver and Gold PPO
  • Aetna DE Bronze, Silver and Gold PPO
  • Aetna DE Bronze, Silver and GoldOpen Access Health Network Option
  • Aetna Health Network Only℠(Open Access)
  • Aetna Health Network Option
  • Aetna HealthFund® Aetna Health Network Only℠(Open Access)
  • Aetna HealthFund® Aetna Health Network Option℠(Open Access)
  • Aetna MD Bronze, Silver and Gold Open Access Health Network Only
  • Aetna MD Bronze, Silver and Gold PPO
  • Aetna Medicare℠Plan (HMO / Open Access HMO)
  • Aetna Medicare℠Plan (PPO)
  • Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®)
  • Aetna Open Access® Managed Choice® POS (Aetna HealthFund®)
  • Aetna Premier Care Network Plus – Duke Health & WakeMed
  • Aetna Premier Care Network Plus – Baptist Health System & Health Texas Medical (2017 providers)
  • Aetna Premier Care Network Plus – Baptist Health System & Health Texas Medical
  • Aetna Premier Care Network Plus – CHI Health Accountable Care Network (2017 providers)
  • Aetna Premier Care Network Plus – CHI Health Accountable Care Network
  • Aetna Premier Care Network Plus – INTEGRIS Health Partners Network
  • Aetna Premier Care Network Plus – Maine
  • Aetna Premier Care Network Plus – MemorialCare
  • Aetna Premier Care Network Plus – Mercy Health Toledo
  • Aetna Premier Care Network Plus – PinnacleHealth
  • Aetna Premier Care Network Plus – Puget Sound
  • Aetna Premier Care Network Plus – St. John Oklahoma Health Initiative
  • Aetna Premier Care Network Plus – Texas Health
  • Aetna Premier Care Network Plus – Virtua
  • Aetna Premier Care Network Plus – WellSpan Provider Network
  • Aetna Premier Care Network Plus-Banner Health Network
  • Aetna Premier Care Network Plus-Banner Health Network
  • Aetna Premier Care Network Plus-Baylor Scott & White Quality Alliance
  • Aetna Premier Care Network Plus-Colorado Front Range
  • Aetna Premier Care Network Plus-Colorado Front Range
  • Aetna Premier Care Network Plus-Innovation Health
  • Aetna Premier Care Network Plus-Innovation Health
  • Aetna Premier Care Network Plus-Integris Network (2017 Providers)
  • Aetna Premier Care Network Plus-Memorial Hermann Accountable Care Network
  • Aetna Premier Care Network Plus-Memorial Hermann Accountable Care Network
  • Aetna Premier Care Network Plus-Mercy Health Cincinnati
  • Aetna Premier Care Network Plus-Mercy Health Cincinnati
  • Aetna Premier Care Network Plus-Seton Health Alliance
  • Aetna Premier Care Network Plus-Seton Health Alliance
  • Aetna Select
  • Aetna Value Performance Network℠(2015)
  • Aetna Value Performance Network℠(2016)
  • Aetna Voluntary Plans
  • Banner Choice POS II Multi Tier
  • Choice POS II
  • Elect Choice® EPO (Open Access)
  • Elect Choice® EPO
  • HMO (Open Access)
  • HMO / Health Network Only
  • HMO
  • Kansas Connector Elect Choice EPO
  • Kansas Connector Managed Choice
  • Kansas Connector Preferred Elect Choice EPO
  • Kansas Connector Preferred Managed Choice
  • Managed Choice Open Access/Managed Choice
  • Managed Choice® (Open Access)
  • Managed Choice® POS
  • Mercy Preferred Aetna Choice POSII
  • Mercy Preferred Aetna Select (Open Access)
  • Mercy Preferred Elect Choice EPO (Open Access)
  • Mercy Preferred Managed Choice (Open Access)
  • Mercy Preferred Open Choice (PPO)
  • Open Choice® PPO (Aetna HealthFund®)
  • Open Choice® PPO
  • PPO
  • Peak Preference (Open Access) Aetna Select
  • Peak Preference HNOnly (Open Access) on the Altius Network
  • Peak Preference HNOption (Open Access) on the Altius Network
  • QPOS®
  • SW MO Region Premier Aetna Select (Open Access)
  • SW MO Region Premier Elect Choice EPO (Open Access)
  • Savings Plus of Amarillo, TX
  • Savings Plus of Lake County, OH
  • Savings Plus of Longview, TX
  • Savings Plus of Massachusetts-OA Aetna Select
  • Savings Plus of Massachusetts-OA Managed Choice
  • Savings Plus of Massachusetts-POSII
  • Savings Plus of Metro, NY
  • Savings Plus of New Jersey Choice POS II
  • Savings Plus of New Jersey-HMO/HNO
  • Savings Plus of New Jersey-POSII
  • Savings Plus of Ohio-POSII
  • Savings Plus of Southeast Pennsylvania AFA-POSII
  • Savings Plus of Southeast Pennsylvania Aetna Select Open Access
  • Savings Plus of Southeast Pennsylvania Aetna Select
  • Savings Plus of Southeast Pennsylvania Choice POS II
  • Savings Plus of Southeast Pennsylvania HNOption/HMO/QPOS
  • Savings Plus of Southeast Pennsylvania Managed Choice Open Access
  • Savings Plus of Southeast Pennsylvania Managed Choice
  • Savings Plus of Southeast Pennsylvania Open Choice PPO
  • Savings Plus of Tennessee
  • Utah Connected Network – Aetna Choice POS II (Open Access)
  • Utah Connected Network – Aetna Select (Open Acess)
  • Utah Connected Network – Aetna Select
  • Utah Connected Network – Elect Choice EPO (Open Access)
  • Utah Connected Network – Elect Choice EPO
  • Utah Connected Network – Managed Choice POS (Open Access)
  • Utah Connected Network – Managed Choice POS
  • Utah Connected Network – Open Choice PPO
  • Wesley Preferred Managed Choice (Open Access)

Magnacare

  • Maritain Health (Must confirm Coverage for Bariatrix)
  • Medicare
  • OSCAR

Dr. Ballem and Dr. Gohil are In Network with all Horizon Cross Blue Shield products and in Tier 1

Horizon BCBS, Medicare, HMC Aetna, Qualcare, NJ Family Health (BCBS product), Barnabas Health insurance

HORIZON BLUE CROSS BLUE SHIELD

  • Omnia Tier 1 (ONLY)
  • Omnia Bronze
  • Omnia Silver
  • Omnia Silver HSA
  • Omnia Platinum
  • Omnia HAS
  • Omnia Gold
  • NJ Direct MA PPO
  • NJ Direct
  • Horizon Patient-Centered Adv EPO
  • Horizon POS
  • Horizon Medicare Blue Choice w/Rx (HMO)
  • Horizon Medicare Blue Value (HMO)
  • Horizon Medicare Blue Value w/Rx (HMO)
  • Horizon MyWay HRA Direct Access
  • Horizon MyWay HSA Direct Access
  • Horizon Medicare Blue Choice w/Rx (HMO)
  • Horizon Medicare Blue Value (HMO)
  • Horizon Medicare Blue Value w/Rx (HMO)
  • Horizon MyWay HRA Direct Access
  • Horizon MyWay HSA Direct Access
  • Horizon Medicare Blue Choice w/Rx (HMO)
  • Horizon Medicare Blue Patient-Centered w/Rx (HMO)
  • Horizon Medicare Blue Value (HMO)
  • Horizon Medicare Blue Value w/Rx (HMO)
  • Horizon MyWay HRA Direct Access
  • Horizon MyWay HSA Direct Access

Please call our office to discuss a consultation and a full
analysis of your requirements: 800-633-8446

For the Out of Network policies our pricing follows the data on https://www.fairhealthconsumer.org/
As network status and pricing may change before updated on this website, please consult with the financial advisor at the office to understand your healthcare plan, benefits, copays, and deductibles.
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