We are not in-network with Aetna Aexcel (No Plan), Aetna Better Health (Medicaid), Aetna NJ Savings Individual EPO.
Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.
*The below list of providers actively participates with Aetna Better Health Managed Medicaid plans:
Alex Arnouk Andrew Bernstein Danielle Blutstein Akwasi Boateng Phillip Brackin Doh Yoon Cha Michael Cohen William Ding Benjamin Fand Marc Feder Jarad Fingerman Joshua Fiske Russell Freid Stan Golin Gary Karlin Alexander Kirshenbaum David Koota Michael Lasser Bernard Lehrhoff Alon Mass Mark Miller Zein Nakhoda Steven Orland Matthew Pagano Rupa Patel Steven Richards Kenneth Ring Emad Rizkala Marc Schwarzman Neil Sherman Troy Sukkarieh William Terens Deep Trivedi John Watson Joshua Wein Vitaly Zholudev
All Plans
All Plans
Medicare Plans
All plans
Braven Health Medicare Advantage
We are not in-network with ALL NJ Family Plans, Horizon NJ Health, Horizon NJ Total Care, NJ Family Care.
Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.
*The below list of providers actively participates with Horizon Health of NJ Managed Medicaid plans:
Randy Ackerman Randah Al-Kana Alex Arnouk Scott Asroff Robert Barsky Jeffrey Becker Michael Benson Douglas Berkman Michael Bernstein Danielle Blutstein Akwasi Boateng Phillip Brackin Gordon Brown Rajen Butani Doh Yoon Cha Shih-han Chow Thomas Chun Michael Ciccone Patrick Ciccone Michael Cohen Elan Diamond William Ding Philip Dorsey Benjamin Fand Marc Feder Jarad Fingerman Russell Freid Glen Gejerman Robert Goldlust Martin Goldstein Dov Gorshein Robert Ivker George Johnson Gary Karlin Sanjay Kasturi Louis III Keeler Alexander Kirshenbaum George Klafter David Koota Carol Kornmehl Mitchell Kotler Evan Krisch Michael Lasser Robert Linden Daniel Lowe Eric Margolis Thomas Mueller Marcella Nachmann Zein Nakhoda William Niedrach Cynthia Nolan(Moceri) Steven Orland Matthew Pagano Rupa Patel Adam Perzin Steven Richards Emad Rizkala James Saidi Eric Seaman Neil Sherman Stuart Shoengold Andrew Siegel Alan Strumeyer Troy Sukkarieh David Sussman William Terens Smitha Thomas Paul Thur Deep Trivedi Erol Ulker-Sarokhan Konstantin Walmsley Heather Wargo Gary Wasserman John Watson Joshua Wein Brian Weiss Jeffrey Williams Jason Wynberg Vitaly Zholudev
All plans
We are not in-network with Health Plus (Medicaid) and Pathway (Medicaid).
All Plans
CHN or Medlogix
All plans
Medicare Advantage
Cigna Local Plus
Medicare Advantage
Workers Compensation
Workers Compensation and Motor Vehicle Only
Accepting Medicare Advantage plans
Accepting most Emblem, HIP and GHI plans
All locations out‐of‐network with Medicaid, Select Care or Millenium plans
First Health Logo on Card
Medigap Plans
We are not in-network with First Health Medicare Advantage.
PPO and HMO Plans
All Humana Medicare Plans
All Magnacare Commercial Plans
Workers Compensation
Medicare
Railroad Medicare
All plans
MVA
All plans
NY Workers Compensation
VA Community Care Network
Oscar NJ Individual & Family Plans (Exchange)
Oscar NJ PPO Plan
Oscar NJ Small Group Plans (Exchange)
We are not in-network with Oscar Medicare Advantage.
Freedom
Liberty
Medicare Plans (All)
We are not in-network with Americhoice, Compass Plan, Garden State Plans (All).
All plans
Workers Compensation
All plans except Medicaid
Government - all plans
CityMD NJ Locations
Select Providers for NJ Urology (Please check with your insurance carrier)
AARP Medicare Complete (All Plans)
Choice
Choice Plus
HMO
Medicare Advantage Plans
Navigate EPO, HMO, POS
NYSHIP
POS
PPO
VA Community Care Network
We are not in-network with Americhoice, Compass Plans, Essential Plan (United CityMD Essential Plan), Medicare Dual Complete, UHC Core.
Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.
*The below list of providers actively participates with United Community Managed Medicaid plans:
Randy Ackerman Alex Arnouk Danielle Blutstein Akwasi Boateng Phillip Brackin Doh Yoon Cha Michael Ciccone Michael Cohen William Ding Marc Feder Jarad Fingerman Russell Freid Glen Gejerman Chirag Gordhan Robert Ivker Gary Karlin Alexander Kirshenbaum David Koota Matthew Pagano Steven Richards Emad Rizkala Marc Schwarzman Stuart Shoengold Troy Sukkarieh Deep Trivedi Erol Ulker-Sarokhan John Watson Vitaly Zholudev
US Family Health plan - Tricare Prime
Managed Medicare
Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.
*The below list of providers actively participates with WellCare Managed Medicaid plans:
Randy Ackerman Alex Arnouk Scott Asroff Robert Barsky Jeffrey Becker Douglas Berkman Andrew Bernstein Michael Bernstein Danielle Blutstein Akwasi Boateng Phillip Brackin Gordon Brown Rajen Butani Doh Yoon Cha Shih-han Chow Michael Ciccone Patrick Ciccone Michael Cohen Karl Coutinho William Ding Philip Dorsey Benjamin Fand Marc Feder Jarad Fingerman Joshua Fiske Russell Freid Glen Gejerman Robert Goldlust Stan Golin Jamie Gray Matthew Hall Gary Karlin Sanjay Kasturi Aryeh Keehn Louis III Keeler Alexander Kirshenbaum David Koota Carol Kornmehl Mitchell Kotler Evan Krisch Michael Lasser Bernard Lehrhoff Sharon Li Robert Linden Paul Littman Alon Mass James Matteson Mark Miller Thomas Mueller Marcella Nachmann Zein Nakhoda Cynthia Nolan(Moceri) Steven Orland Matthew Pagano Karen Pandola-Dilolle Rupa Patel Adam Perzin Veronica Pomasin Ravi Rajan Steven Richards Kenneth Ring Emad Rizkala Frank Salvatore John Sanzone Christopher Schaefer Burton Schlecker Marc Schwarzman Matthew Shahbandi Neil Sherman Alan Strumeyer Troy Sukkarieh David Sussman William Terens Paul Thur Deep Trivedi Erol Ulker-Sarokhan Heather Wargo John Watson Timothy Weimer Joshua Wein Brian Weiss Jason Wynberg Akira Yamamoto Vitaly Zholudev James Zinman
All Summit Health New Jersey Providers participate with Wellpoint’s Medicare Advantage plans.
Medicare Advantage
Wellpoint Extra Help (HMO-POS) - NJ
Wellpoint Extra Help (HMO) - NJ
Wellpoint Full Dual Advantage (HMO D-SNP) - NJ
Wellpoint Full Dual Advantage Support (HMO-POS D-SNP) - NJ
Wellpoint Kidney Care (HMO-POS C-SNP) - NJ
Wellpoint Medicare Advantage (HMO-POS) - NJ
Wellpoint Medicare Advantage (HMO) - NJ
Only select Summit Health New Jersey Providers participate with Medicaid Advantage plans.
Managed Medicaid*
NJ FamilyCare - NJ
NJ KidCare (CHIP) - NJ
NJ Managed Long Term Services and Supports - NJ
NJ Medicaid - NJ
Limited participation in Medicaid Managed Care coverage for select providers. Check with your insurance company to determine if the provider participates in your plan.
*The below list of providers actively participates with Wellpoint Managed Medicaid plans:
Randy Ackerman MD Alex Arnouk MD Robert Barsky DO Jeffrey Becker MD Douglas Berkman MD Michael Bernstein MD Danielle Blutstein APN Akwasi Boateng MD Phillip Brackin MD Gordon Brown DO Rajen Butani MD Doh Yoon Cha MD Paul Chialastri DO Shih-Han Chow MD Michael Cohen MD William Ding MD Philip Dorsey MD Marc Feder MD Jarad Fingerman DO Russell Freid MD Glen Gejerman MD Robert Goldlust MD Chirag Gordhan MD Charles Gresham MD Robert Ivker DO George Johnson MD Gary Karlin MD Sanjay Kasturi MD Aryeh Keehn MD Louis Keeler MD Alexander Kirshenbaum MD David Koota MD Carol Kornmehl MD Mitchell Kotler MD Alan Krieger MD Evan Krisch MD Jayram Krishnan DO Michael Lasser MD Robert Linden MD Mark Mann MD Thomas Mueller MD Marcella Nachmann DO Zein Nakhoda MD Kelly Olsen DO Brett Opell MD Matthew Pagano MD Karen Pandola-Dilolle APN Brijesh Patel MD Rupa Patel MD Adam Perzin MD Veronica Pomasin APN Emad Rizkala MD James Saidi MD Domenico Savatta MD LeeAnn Schiller APN Eric Seaman MD Neil Sherman MD Stuart Shoengold MD Arvind Srinivasan MD Safirah Stewart PA Alan Strumeyer MD Troy Sukkarieh MD David Sussman DO William Terens MD Paul Thur MD Deep Trivedi MD Konstantin Walmsley MD Heather Wargo MD John Watson MD Timothy Weimer APN Joshua Wein MD Brian Weiss MD Samuel A. Weprin MD Matthew Whang MD Jeffrey Williams MD Vitaly Zholudev MD
New York Accepted Insurances
1199 - SEIU
All plans excluding Aetna Better Health and Aetna NJ Savings Individual EPO
All Plans (Westmed locations only)
Summit Health NY - Accepts all Medicare and Commercial plans
Health Plus Medicaid plans are not in-network
Summit Health NY/Westchester locations (formally Westmed Medical Group) accepts all plans including Healthplus Medicaid Plans
*Out-of-state plans must have Blue Care Network
All Plans
All plans
Medicare Advantage
Cigna Local Plus
Workers Compensation
Workers Compensation and Motor Vehicle Only
Accepting Medicare Advantage plans
Accepting most Emblem, HIP and GHI plans
All locations out‐of‐network with Medicaid, Select Care or Millenium plans
All Plans
All Plans (Westmed locations only)
Summit Health Westchester locations (formally Westmed) only accepting Medicare Advantage plans
All other Summit Health NY locations accepting Medicaid and Medicare plans
HMO & Medicaid plans ‐ Patient must have selected a PCP within the group prior to scheduling with a PCP
All Medicare Plans accepted for Summit Health - NJ locations
Summit Health – NY/Westchester locations (formerly Westmed Medical Group) is not in-network with Humana Medicare
All Commercial Plans (Westmed locations only)
Workers Compensation-All locations non-par.
Medicare
Railroad Medicare
All plans (WMG is non par with Beechstreet)
MVA
Accepting all plans
Medicare DSNP (Special Needs), Medicaid and Essential Plan: Patient must have selected a PCP within the group prior to scheduling with a PCP
NY Workers Compensation
Freedom
Liberty
Medicare Plans (All)
Excludes: All Garden State Plans
Metro (Westmed locations only)
Due to Oxford, Westmed Medical Group, and Westmed Urgent Care not being able to reach a contract negotiation agreement, WMG and WMGUC announced effective January 19, 2021, that they would no longer accept Oxford Metro and United Healthcare Compass New Patients with this plan. WMG and WMG UC agreed to continue to service Existing Patients with these plans until a runout date was provided. Our UHC/Oxford Provider Rep informed that letters went out to all members with the Oxford Metro Plan announcing that Westmed will no longer accept the Existing Patients as of November 1, 2023, therefore we are requesting this announcement to be noted.
Medicare Advantage (Westmed locations only with limited patient access)
Government – (all plans Summit locations)
AARP Medicare Complete (All Plans)
Choice/Choice Plus
Compass Plan
HMO, EPO, PPO
Medicare Advantage Plans
Navigate EPO, HMO, PPO, POS
Excludes: Community Network
US Family Health plan – Tricare Prime
Only accepted at Summit Westchester locations (formally Westmed)
All Medicare Plans
Excludes: Managed Medicaid Plans
Connecticut Accepted Insurances
1199 - SEIU
All plans excluding Aetna Better Health and Aetna NJ Savings Individual EPO
All Plans: Must have access to the Blue Card Network.
All plans
All plans
Medicare Advantage
Cigna Local Plus
Commercial Choice and Flex
Medicare Choice and Flex
Commercial/Medicare Passage-participation is limited to specialists only.
Accepting Emblem and Medicare Advantage with Connecticare logo
All Plans
Excludes workers compensation
Summit Health CT only accepting Medicare Advantage plans
For all HMO plans ‐ Patient must have selected a PCP within the group prior to scheduling with a PCP
All Commercial Plans
Excludes Workers Compensation
Limited Provider Participation
Medicare
Railroad Medicare
All plans
MVA
All commercial plans with access to the Cigna network only.
