Sussex County Medical Associates

Billing Information

Payment Responsibilities

Payment Responsibilities

Co-Pays:   Your insurance company requires you to pay your co-payment at the time of service. If no co-payment is received at the time of service an additional administrative charge of $25 will be billed.

Self-Pays:   If no payment is received at the time of service an additional administrative charge of $25 will be billed.

General:   You are financially responsible for all co-pays, coinsurance, deductibles and/or services that are denied or not covered by your insurance carrier.


Attention Medicare Patients

Medicare has changed its rules for payment of your lab tests and will not pay for some tests that your doctor considers important. Medicare will not pay for tests:

  • When they are part of a routine physical or are screening for early detection of disease

  • If you have had the same test too often

  • If the test is not medically necessary based upon your doctor’s diagnosis; or if the test is considered to be for research or experimental use only.


 

Insurances Accepted

1199 Member Choice Horizon Managed Care Network
Aetna / US Healthcare Intn'l Union of Oper Engineers (Local 825)
Amerigroup Local 734 Welfare & Educ. Fund
Amerihealth Mastercare
Anthem Health Network Medicaid of NJ
Atlantis Health Plan Medicare of NJ
Beech Street Medicare of PA
ChoiceCare Network Multiplan, Inc.
Cigna/Comed National Provider Network
Consumer Health Network One Health Plan
Devon Health Services Oxford
Empire Blue Cross Private Health Care Systems
Federal Blue Cross QualCare
First Health Network  Railroad Medicare
First Priority Health  United Healthcare
Healthcare Advantage Association  University Health Plan
Healthcare Payors Coalition  Wellchoice
Health Net  
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, Sussex County Medical Associates, All Rights Reserved.