Princeton Medical Group provides the full range of integrated, high-quality medical services, and is dedicated to maintaining and improving the health of the Princeton Community. We strive to be the most respected and successful multi-specialty medical group in central New Jersey.

Insurance and Billing

Participating with a variety of insurance providers enables Princeton Medical Group to make our quality healthcare services more widely accessible in the community. We participate with the following insurance carriers: (For Exchange Product participation, see the Affordable Care Act Section below)

For all other insurances, payment is expected at time of service.

AFFORDABLE CARE ACT

For the Affordable Care Act Exchange products, contact your carrier to confirm participation as the information below may change.

Currently we participate with the following Affordable Care Act Exchange Products:

  • Horizon BCBS of NJ Advance EPO (Silver and Gold)
  • Horizon BCBS of NJ Advantage EPO (Bronze and Silver)
  • Horizon BCBS of NJ  Patient Centered Advantage EPO (Silver and Bronze)
  • Horizon BCBS of NJ OMNIA (Bronze, Silver and Gold)
    • (Princeton Medical Group Providers are Horizon BCBS of NJ Omnia Tier 1 Providers)
  • Amerihealth New Jersey*  (excludes Amerihealth Value Network and Amerihealth Tier 1 products).

*Please note we do NOT participate with the following Exchange Products

  • Amerihealth
    • Value Network
    • Tier 1 Exchange Products
  • Health Republic Insurance of New Jersey Exchange Products
  • Aetna Exchange Products
    • Leap Plans
    • Valley Preferred Plans
    • Savings Plus
    • Pennsylvania HMO
    • Pennsylvania Managed Choice Open Access
  • United Health Care
    • COMPASS Plans
    • Garden State Network
    • Metro Network
  • Oxford Health Plans
    • COMPASS Plans
    • Garden State Network
    • Metro Network

Please note, this list is not all inclusive as carriers are continually changing product names and types. We ask that you also confirm particpation status with your carrier.

Even though your insurance may not be shown on the list, you may call (609) 924-9300 to see if we now accept it.

It is very important for you to bring your current insurance card each visit and to inform us if there has been any change in your coverage or in your address. As changes may occur in the plans that we accept, please verify our acceptance at the time you make an appointment.

Princeton Medical Group will make every effort to verify your coverage prior to your appointment, yet we cannot guarantee coverage of services by your insurance company.

Patients with Private Health Insurance

For those patients who have health insurance with which we  do not participate, it  means that you will be seeing the  health care provider  ”out of network”.  Many insurances have different levels of coverage, in which patients may have some coverage seeing a provider who does not participate with that insurance plan.  You may determine what your insurance company will cover by contacting them in advance of your visit. The two most common differences in cost between seeing the physician “out of plan” versus “in plan” is the amount of your annual deductible and the amount of your co-insurance.  Regardless of what your insurance covers, you are responsible for paying your bill.

Should you have any questions please contact our billing office at (609) 924-9300.

Self Pay Patients

If you are a self-pay patient (this applies only to patients who do not have any health insurance), please call to find out more details about our fees as it will vary by speciality and situation.

Benefits and Eligibility

To determine your insurance benefits and eligibility please contact your insurance carrier directly. Note that you are ultimately responsible for payment for all services that are not covered by your insurance plan.