Health Insurance - Virtua

Virtua services are covered by a wide range of insurance plans. Call one of our Personal Health Navigators at 1-888-VIRTUA-3 (1-888-847-8823) to schedule an appointment. They’ll confirm if your plan is accepted by your preferred doctor, lab, or other service provider.


Monday - Friday
8 am to 8 pm

Saturday
9 am to 5 pm

Sunday
9 am to 4 pm

I Receive Coverage Through ...

Employer or Insurance Company

Aetna
The following plans provide full coverage for care provided at Virtua hospitals and its physicians.

Aetna Choice POS II 
Aetna Choice ™ POS 
Aetna Elect Choice (EC) 
Aetna Health Network Only (HNOnly)
Aetna Health Network Option (HNOption)
Aetna HMO
Aetna Indemnity
Aetna Limited Benefits Insurance Plan (PPO)
Aetna Managed Choice POS
Aetna Medicare Plans (PPO, HMO, HMO Open Access)
Aetna Medicare Prime (PPO, HMO)
Aetna Open Access HMO 
Aetna Open Access Managed Choice (OA MC)
Aetna Open Access® Elect Choice® 
Aetna Open Choice PPO 
Aetna QPOS
Aetna Select 
HRA - HMO-Based - Aetna HealthFund® Health Reimbursement Account 
HRA - PPO-Based - Aetna HealthFund® Health Reimbursement Arrangement 
HSA - AetnaHealth Fund® Health Savings Account
Open Access Aetna Select  
Traditional Choice (TC) 


Amerihealth 
The following plans provide full coverage for care provided at Virtua hospitals and its physicians.

Amerihealth 65 HMO
Regional Preferred (EPO), (EPO HSA), (PPO)
Regional Preferred (HMO), (HMO+), (POS), (POS+)
National Access (EPO), (EPO HSA), (POS+)


Horizon Blue Cross/Blue Shield of New Jersey 
The following plans provide full coverage for care provided at Virtua hospitals and its physicians.
Horizon PPO
Horizon Direct Access
Horizon Direct Access HSA/HRA
Horizon Advantage Direct Access
Horizon Advantage EPO
Horizon HMO Access
Horizon HMO Access HSA MyWay
Horizon Access Value
Horizon HMO
Horizon Medicare Blue Value
Horizon Medicare Blue Choice
Horizon Medicare Blue Patient Centered
Horizon Medicare Blue Access Group
Horizon Medicare Blue Group PPO
NJ DIRECT
Horizon Patient-Centered Advantage EPO
Horizon POS
Federal Employee Plans


CIGNA
The following plans provide full coverage for care provided at Virtua hospitals and its physicians:

GWH-CIGNA Open Access Plus
CIGNA Choice Fund Open Access Plus
Open Access Plus
PPO
Shared Administration OAP, PPO Plus
HMO or POS Open Access
Network Open Access
Local Plus


United Healthcare/Oxford Health Plans
The following plans provide full coverage for care provided at Virtua hospitals and its physicians:

United Core
United Core Essential
United Medicare
United Oxford EPO – Garden State Network

Managed Medicaid Plans
The following plans provide full coverage for care provided at Virtua hospitals and its physicians.

Aetna Better Health
Amerigroup
Horizon NJ Health
United Community Plan


Other HMO & PPO Plans
The following plans provide full coverage for care provided at Virtua hospitals and its physicians.  If you have any questions about whether your plan is accepted, please call Virtua's Patient Accounting Department at 1-856-355-2000.

CIGNA Behavioral Health *
CHN Solution (formerly Consumer Health Network)
Clover Health
Coventry Health
Devon Health Services
Family Health Choice Alliance *
First Health Network
First MCO
Galaxy Health Network
Health Integrated (formerly CMS Healthcare)
Humana Military
Independence Blue Cross
Intergroup Services
Keystone Health Plan
Magellan Behavioral *
Magnacare PPO
Managed Health Network *
Multiplan PPO
One Call (formerly Align)
Oxford Health Plans
Private Health Care Systems
Qualcare, Inc.
Three Rivers Network
Uniformed Services Family Health Plan
United Behavioral Health *
United Healthcare
USA Managed Care Organization
WellCare
Wellchoice

* Virtua Memorial Hospital Burlington County only

The Exchange (Healthcare.gov)

If you choose to purchase your health insurance through the Healthcare Marketplace (healthcare.gov) and want the option of receiving coverage for care provided by Virtua Hospitals and its physicians, there are several plans that will work for you.

Virtua is included in the following marketplace plans for 2018:


AmeriHealth New Jersey 
In Network, Tier 1 Plans

AmeriHealth-IHC Bronze EPO HSA Tier 1 Advantage
AmeriHealth-IHC Gold EPO Regional Preferred
AmeriHealth-IHC Gold HMO Regional Preferred
AmeriHealth-IHC Local Value Simple Saver
AmeriHealth-IHC Silver EPO HSA Local Value
AmeriHealth-IHC Silver EPO HSA Tier 1 Advantage
AmeriHealth-IHC Silver EPO Regional Preferred
AmeriHealth-IHC Silver HMO Local Value
AmeriHealth-IHC Silver HMO Regional Preferred

 

*In Network, Tier 2 Plans

AmeriHealth-IHC Bronze EPO HSA
Amerihealth Advantage AmeriHealth-IHC Silver EPO Amerihealth Advantage

 


Horizon Blue Cross/Blue Shield
In Network, Tier 1 EPO Plans

Horizon Advantage EPO Bronze
Horizon Advantage EPO Essentials
Horizon Advantage EPO Silver

*In Network, Tier 2 Plans

Horizon Blue Cross Blue Shield of NJ OMNIA Gold
Horizon Blue Cross Blue Shield of NJ OMNIA Silver
Horizon Blue Cross Blue Shield of NJ OMNIA Silver HSA
Horizon Blue Cross Blue Shield of NJ OMNIA Bronze HSA

 

 

Oscar
In Network, Tier 2 Plans

Oscar Classic Bronze 
Oscar Classic Secure
Oscar Classic Gold
Oscar Backup Silver
Oscar Classic Silver


Tier 2 plans may require more out-of-pocket expense.


EMERGENCY CARE:
No matter which plan you choose, emergency care at Virtua is covered by all carriers.

Medicare

If you have Medicare, your coverage will likely remain the same. If you have questions, you can visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227).

Medicaid

Managed Medicaid Plans
The following plans provide coverage for care provided at Virtua hospitals and physicians. 

Aetna Better Health
Amerigroup
Horizon NJ Health
United Community Plan


If you have basic Medicaid, your coverage will likely remain the same. Please call Virtua's Patient Accounting Department at 856-355-2000 if you have questions about Medicaid or your secondary insurance.

No Health Insurance Plan

If you need to purchase health insurance through the federal exchange, go to healthcare.gov or cuidadodesalud.gov. Not all insurance plans on the exchange include your preferred doctors, hospitals or other healthcare facilities.

Medicaid has been expanded for New Jersey residents. To find out if you are eligible, call Virtua Patient Accounting at 856-355-2000.

If you choose to purchase your health insurance through the Healthcare Marketplace (healthcare.gov) and want the option of receiving coverage for care provided by Virtua Hospitals and its physicians, there are several plans that will work for you.

Virtua is included in the following marketplace plans for 2018:

AmeriHealth New Jersey 
In Network, Tier 1 Plans

AmeriHealth-IHC Bronze EPO HSA Tier 1 Advantage
AmeriHealth-IHC Gold EPO Regional Preferred
AmeriHealth-IHC Gold HMO Regional Preferred
AmeriHealth-IHC Local Value Simple Saver
AmeriHealth-IHC Silver EPO HSA Local Value
AmeriHealth-IHC Silver EPO HSA Tier 1 Advantage
AmeriHealth-IHC Silver EPO Regional Preferred
AmeriHealth-IHC Silver HMO Local Value
AmeriHealth-IHC Silver HMO Regional Preferred

 

In Network, Tier 2 Plans

AmeriHealth-IHC Bronze EPO HSA Amerihealth Advantage
AmeriHealth-IHC Silver EPO Amerihealth Advantage 

 

Horizon Blue Cross/Blue Shield
In Network, Tier 1 EPO Plans

Horizon Advantage EPO Bronze
Horizon Advantage EPO Essentials
Horizon Advantage EPO Silver

*In Network, Tier 2 Plans

Horizon Blue Cross Blue Shield of NJ Omnia Gold
Horizon Blue Cross Blue Shield of NJ Omnia Silver 
Horizon Blue Cross Blue Shield of NJ Omnia Silver H.S.A
Horizon Blue Cross Blue Shield of NJ OMNIA Bronze HSA 

 

Oscar
In Network, Tier 2 Plans

Oscar Classic Bronze 
Oscar Classic Secure
Oscar Classic Gold
Oscar Backup Silver
Oscar Classic Silver


*Tier 2 plans may require more out-of-pocket expense.
___________________________________

EMERGENCY CARE:
No matter which plan you choose, emergency care at Virtua is covered by all carriers.

Accepted Insurance Plans

Hospital-Based Programs

Emergency Physician Services

Aetna
Amerihealth / Keystone
Beechstreet
Cigna / Great West
Horizon BCBS
Independence BCBS
Multiplan / PHCS
Oxford
Qualcare
United Healthcare
United Healthcare Community (fka Americhoice)
All Managed Medicare Plans
All Managed Medicaid Plans

 

Burlington Anestheshia Associates

Aetna
Aetna Medicare
All Savers (UHC)
Amerihealth NJ
CEED Grant
Cigna
Emblem Health NYC
Empire UHC
First Health Insurance
GHI
Golden Rule (UHC)
Great Est Healthcare (Cigna)
Horizon BCBS Omnia Health
Horizon BCBS NJ HMO
Horizon BCBS NJ HMO/EPO/POS
Horizon BCBS PPO
Horizon Casualty Services (WC)MVP Healthcare Comm (Cigna)
Horizon NJ
Horizon NJ Health (Medicaid)
MagnaCare
Oxford Health Plans (UHC)
PHCS by Multiplan
Qualcare HMO
Qualcare PPO
Qualcare Plan Administrators PPO
UHC Community Plan
UHC Medicare
UMR
United Health Care
United Medical Resource (UMR (UHC))

 

MediKine Group

Aetna
Amerihealth
FMCO
Health Republic Ins. NJ
Horizon BCBS NJ HMO
Horizon BCBS NJ PPO
Horizon Medicare
Horizon Advantage EPO
Magnacare
Medicare
Multiplan
Qualcare HMO / PPO / WCUnited Oxford

 

Mid-Atlantic Anesthesia Associates PA

Aetna
Amerihealth / Keystone / American Admin
Cigna
Horizon Blue Shield
Horizon NJ Health
Independence BS
Medicaid Plans
NJ Mediare
United Healthcare

 

NOVA Anesthesia (Virtua Joint Institute Only)

BCBS Blue Card PPO
Capital BC PPO
Highmark Alliance Flex Blue
Highmark BCBS Shared Cost 1500 (multi-state plan)
Highmark Bcommunity Blue Flex EPO
Highmark Community Blue PPO
Highmark Comprehensive Care Blue PPO
Highmark Comprehensive Care Flex Blue PPO
Highmark Health Savings blue PPO
Highmark PPO Blue
Highmark Shared Cost Blue PPO

 

West Jersey Anesthesia Associates

Aetna
Amerigroup
Amerihealth
CEED Grant
Cigna
CMS
Horizon
Horizon NJH (Medicaid)
IBS Products
NJ-Medicaid (Molina)
Qualcare
Tricare/Champus
UHC/Oxford

Health Insurance FAQs

Health Insurance FAQs

For up-to-date information on Healthcare Reform for New Jersey residents, go to www.njha.com/reform/links.


What is the health insurance exchange?

The health insurance exchange is a federally-run program where you can purchase your own health insurance. The exchange, or marketplace, can be accessed at healthcare.gov or cuidadodesalud.gov.


Where else can I buy health insurance?
In addition to the health insurance exchange, you can also obtain insurance through your employer. You can also opt in to buy insurance directly from a commercial insurance company or through an insurance broker.

 

I like going to Virtua, do I need to switch insurance plans?
Many changes are happening throughout the insurance industry. If you currently use Virtua’s services (doctors, labs, hospitals, imaging/radiology), you should check with your insurance company to be sure that Virtua is still included in your plan.


If I have a medical emergency, can I still come to Virtua?
Yes, emergency care is covered through all insurance plans.

 

Additional questions?
Call Virtua's Patient Accounting Department at 856-355-2000.

Ask your employer about Aetna Whole Health℠- Virtua

aetnafamily

Aetna Whole Health - Virtua

Through Aetna Whole Health - Virtua, employers can now offer employees a plan that features the region's best physicians as well as Virtua's services.

Read More