Insurance Accepted
If your insurance is not on either list, please contact the Billing Department
Metropolitan Dermatology ACCEPTS many insurances that includes:
Note: Some of these Insurance Plans Are NOT Accepted at all Locations/Providers. List subject to change, updates will be provided.
If an insurance is not on the list, please check with the Billing Department.
- 1199 National Benefit Fund-NY ONLY
- NJ – Must have Aetna logo
- AARP Supplemental Plan
- Aetna (*See exceptions & note some plans require referrals)
- Aetna Assure Premier Plus DSNP (HMO)
- Aetna FirstHealth (must list ‘Aetna’ for submit claims to)
- Allied Benefits System
- AmeriHealth/AmeriHealth Administrator (note some plans require referrals)
- Ambetter by Fidelis (*See Exceptions)
- Essential Plan
- Braven Medicare PPO
- CHAMPVA (Secondary Only)
- Cigna
- Cigna Medicare PPO, HMO, and True Choice
- Cigna Local Plus (Provider specific, invite Refer to credentialing grid)
- Clover
- CoreSource
- Emblem Health GHI (Qualcare Logo) -NJ ONLY
- Emblem Health Essential Plan 1-NY ONLY
- Emblem Health NYC Employees PPO Plan (UHC)
- Empire Blue Cross Blue Shield (*See Exceptions)
- Blue Card - NY ONLY
- Florida Health Solutions
- Fidelis Plans - NY ONLY
- GEHA Medicare Supplement Only
- Great West
- Guardian
- Healthcare Partners (All Services Require Authorization)
- Highmark WholeCare
- HIP - NY ONLY
- Horizon Blue Cross Blue Shield (*See exceptions & note some plans require referrals)
- RWJ network– Inner Circle
- Tier 1 – All other Horizon plans
- Humana
- IDA
- INDECS, a Homestead Company
- +Loomis
- Medicare
- Meritain Health
- MEWA
- Multiplan
- Ally Align Health (NJ and NY)
- Independent Health (National Travel Network)
- Kaiser Foundation Plan of Colorado and Washington
- Priority Health
- UCare
- Univera Healthcare
- MVP
- National Elevator (Secondary Only)
- NYCE PPO (Formally Emblem GHI CBP) -NY ONLY
- Oscar (PPO & EPO [must verify home state in NJ or NY])
- Partners Direct Health
- Premera BCBS (includes Amazon & Subsidiaries) --- - Bill to Local BCBS (NY/NJ)
- PHCS – Requires verification
- PNOA PPO
- Qualcare
- Railroad Medicare
- Smart Choice Health Plan
- Starmark
- Tricare East
- Prime (Referrals required)
- Select
- Tricare for Life (Secondary Only)
- WellCare (*See Exceptions) -NJ ONLY
- Health Plan Medicare of NJ
- Medicare Advantage
- NJ FIDE WellCare
- Wellpoint Medicare HMO
- WTC (Authorization is Required)
Metropolitan Dermatology does NOT accept the insurance listed below:
Note: Patients with the Insurances below should be listed and processed as Self-Pay unless it’s the patient’s secondary insurance.
List subject to change, updates will be provided.
- ACS Benefits Services
- Aetna Better Health (Medicaid)*
- Aetna WholeHealth CVS* (OON 5/1/25)
- All Savers (UHC)
- Altrua HealthShare
- Ambetter Medicaid Plan*
- Amerigroup Medicare Advantage
- Amerigroup Community Care
- Anthem MediBlue Extra (HMO)
- AARP Medicare Complete Plans
- AmBetter (Wellcare)
- Ameri Advantage (Medicaid)
- AmeriChoice of NJ (Medicaid)
- Braven Medicare Plus (HMO)
- CarePlus
- Centivo
- Christian Healthcare Ministries
- Empire - HealthPlus GateKeeper*
- Emblem Health Silver Bold CSR 1 HMO*
- First Health Axis
- First Health CVS
- First Health Network (All plans)
- Freedom HealthShare
- GEHA – United Healthcare
- GEHA - Aetna eff. 1/1/24
- Geisinger Health Plan – HMO
- Geisinger Health Plan - PPO
- HealthFirst
- HealthNet
- Health Plus Empire (Medicaid)
- Health Scope Benefits
- Horizon NJ Health (Medicaid)*
- Horizon NJ Total Care HMO*
- Horizon Medicare Blue Advantage HMO* (Prefix YKO)
- ILA Local 1478
- Independence HMO Keystone East
- Independent Health – Self Fund Services
- Jericho Share
- Keenan/PRIMEHEALTHCARE
- Liberty HealthShare
- Magnacare
- Medicaid NJ & NY (Primary)
- Medicare Part A
- Medi-Share
- MCS Medical Cost Sharing
- Molina Healthcare
- MVP Healthcare
- No Fault/Motor Vehicle
- OneShared Limited
- Oxford
- Partners Health Plan (PHP)
- Prime Healthcare
- Salvasen Health
- Samaritan Ministries
- The Empire Plan (UHC)
- Trinity HealthShare
- United Healthcare (All Plans, including Student Resources)
- United Refuah HealthShare
- US Family Health Plan (Tricare)
- UMR
- VitalCare
- VVA CCN Optum
- WellCare Dual Liberty (HMO) *
- WellCare Medicaid HMO *
- WellMed Medical Management
- WellPath
- Wellpoint Medicaid
- Worker’s Comp
Metropolitan Dermatology ACCEPTS many insurances that includes:
Note: Some of these Insurance Plans Are NOT Accepted at all Locations/Providers. List subject to change, updates will be provided.
If an insurance is not on the list, please check with the Billing Department.
- 1199 National Benefit Fund-NY ONLY
- NJ – Must have Aetna logo
- AARP Supplemental Plan
- Aetna (*See exceptions & note some plans require referrals)
- Aetna Assure Premier Plus DSNP (HMO)
- Aetna FirstHealth (must list ‘Aetna’ for submit claims to)
- Allied Benefits System
- AmeriHealth/AmeriHealth Administrator (note some plans require referrals)
- Ambetter by Fidelis (*See Exceptions)
- Essential Plan
- Braven Medicare PPO
- CHAMPVA (Secondary Only)
- Cigna
- Cigna Medicare PPO, HMO, and True Choice
- Cigna Local Plus (Provider specific, invite Refer to credentialing grid)
- Clover
- CoreSource
- Emblem Health GHI (Qualcare Logo) -NJ ONLY
- Emblem Health Essential Plan 1-NY ONLY
- Emblem Health NYC Employees PPO Plan (UHC)
- Empire Blue Cross Blue Shield (*See Exceptions)
- Blue Card - NY ONLY
- Florida Health Solutions
- Fidelis Plans - NY ONLY
- GEHA Medicare Supplement Only
- Great West
- Guardian
- Healthcare Partners (All Services Require Authorization)
- Highmark WholeCare
- HIP - NY ONLY
- Horizon Blue Cross Blue Shield (*See exceptions & note some plans require referrals)
- RWJ network– Inner Circle
- Tier 1 – All other Horizon plans
- Humana
- IDA
- INDECS, a Homestead Company
- +Loomis
- Medicare
- Meritain Health
- MEWA
- Multiplan
- Ally Align Health (NJ and NY)
- Independent Health (National Travel Network)
- Kaiser Foundation Plan of Colorado and Washington
- Priority Health
- UCare
- Univera Healthcare
- MVP
- National Elevator (Secondary Only)
- NYCE PPO (Formally Emblem GHI CBP) -NY ONLY
- Oscar (PPO & EPO [must verify home state in NJ or NY])
- Partners Direct Health
- Premera BCBS (includes Amazon & Subsidiaries) --- - Bill to Local BCBS (NY/NJ)
- PHCS – Requires verification
- PNOA PPO
- Qualcare
- Railroad Medicare
- Smart Choice Health Plan
- Starmark
- Tricare East
- Prime (Referrals required)
- Select
- Tricare for Life (Secondary Only)
- WellCare (*See Exceptions) -NJ ONLY
- Health Plan Medicare of NJ
- Medicare Advantage
- NJ FIDE WellCare
- Wellpoint Medicare HMO
- WTC (Authorization is Required)
Metropolitan Dermatology does NOT accept the insurance listed below:
Note: Patients with the Insurances below should be listed and processed as Self-Pay unless it’s the patient’s secondary insurance.
List subject to change, updates will be provided.
- ACS Benefits Services
- Aetna Better Health (Medicaid)*
- Aetna WholeHealth CVS* (OON 5/1/25)
- All Savers (UHC)
- Altrua HealthShare
- Ambetter Medicaid Plan*
- Amerigroup Medicare Advantage
- Amerigroup Community Care
- Anthem MediBlue Extra (HMO)
- AARP Medicare Complete Plans
- AmBetter (Wellcare)
- Ameri Advantage (Medicaid)
- AmeriChoice of NJ (Medicaid)
- Braven Medicare Plus (HMO)
- CarePlus
- Centivo
- Christian Healthcare Ministries
- Empire - HealthPlus GateKeeper*
- Emblem Health Silver Bold CSR 1 HMO*
- First Health Axis
- First Health CVS
- First Health Network (All plans)
- Freedom HealthShare
- GEHA – United Healthcare
- GEHA - Aetna eff. 1/1/24
- Geisinger Health Plan – HMO
- Geisinger Health Plan - PPO
- HealthFirst
- HealthNet
- Health Plus Empire (Medicaid)
- Health Scope Benefits
- Horizon NJ Health (Medicaid)*
- Horizon NJ Total Care HMO*
- Horizon Medicare Blue Advantage HMO* (Prefix YKO)
- ILA Local 1478
- Independence HMO Keystone East
- Independent Health – Self Fund Services
- Jericho Share
- Keenan/PRIMEHEALTHCARE
- Liberty HealthShare
- Magnacare
- Medicaid NJ & NY (Primary)
- Medicare Part A
- Medi-Share
- MCS Medical Cost Sharing
- Molina Healthcare
- MVP Healthcare
- No Fault/Motor Vehicle
- OneShared Limited
- Oxford
- Partners Health Plan (PHP)
- Prime Healthcare
- Salvasen Health
- Samaritan Ministries
- The Empire Plan (UHC)
- Trinity HealthShare
- United Healthcare (All Plans, including Student Resources)
- United Refuah HealthShare
- US Family Health Plan (Tricare)
- UMR
- VitalCare
- VVA CCN Optum
- WellCare Dual Liberty (HMO) *
- WellCare Medicaid HMO *
- WellMed Medical Management
- WellPath
- Wellpoint Medicaid
- Worker’s Comp
