Which insurance to choose from jersey care?

Log in / Sign Up

List of Forums + New Post Recipe Box Usergroups Following My Posts Bookmarks

Private Messages Advanced Search Rules New User Guide FAQ Advertise Contact Us

Forum -> Inquiries & Offers -> Lakewood, Toms River & Jackson related Inquiries

1 2 Next

View latest: 24h 48h 72h

amother

Wed, Nov 13 2019, 5:15 pm

I am applying for insurance for the family and it gives me a choice of Aetna, amerigroup, horizon, united healthcare, or wellcare.

I hope to use the Dr. Diamond practice when they open. I haven't done any other research about doctors. Which one do pediatric and adult dentists and primary care doctors take? Which ones cover medications best, particularly ADHD meds? Which one is best if/when I get pregnant?

Thanks!

amother

Thu, Nov 14 2019, 1:52 pm

Bump

Sebastian

Thu, Nov 14 2019, 1:55 pm

it depends who you want to use

amother

Thu, Nov 14 2019, 1:59 pm

Right so I don’t know anyone here yet and need to set up insurance. The question is who do most people use and what do they accept. The things that I would need in my op. Thanks!

Cmon be nice

Thu, Nov 14 2019, 2:59 pm

Ask Dr Diamond which plan they take. I have UHC but need to switch as my pediatrician is being kicked off it

amother

Amber

Thu, Nov 14 2019, 4:01 pm

I have UHC too. So far Dr Shanik was thrown off. And Dr. Fenster will be thrown off effective January 1. Many dentists and OBs began taking Amerigroup as Dr. Shanik requested that his patients transfer to them. Most still take UHC. But more and more are adding themselves onto the Amerigroup list and a quite a few are pending with WellCare as well.
To be sure, you would need to ask Dr. Diamond what he plans to accept. Otherwise you can choose one temporarily and switch when the time comes.
Good luck

amother

Tangerine

Thu, Nov 14 2019, 5:57 pm

Look into Aetna BH. I switched to that from UHC. They are quite reasonable with therapies.

amother

Copper

Thu, Nov 14 2019, 6:06 pm

Ive been happy on united HC but had to leave Shaniks office, I am still in search of a new pediatrician. Who is Dr Diamond?

amother

Scarlet

Thu, Nov 14 2019, 6:12 pm

I was a patient of dr shanik, I chose to switch insurance(I had United healthcare) instead of switching dr....
Amerigroup is a pain in the neck to deal with...
I might switch dr if it continues like that!

Last edited by amother on Fri, Nov 15 2019, 10:48 am; edited 1 time in total

amother

Peach

Thu, Nov 14 2019, 6:38 pm

It really depends on what doctors you have or need.
I switched from UHC to amerigroup because many of my doctors were making the switch.
Speak to your doctor, your children's doctor, dentist, specialists, etc. and see what insurance plan would work for you. Unless you'd be willing to change doctors.

twolilgirlies

Thu, Nov 14 2019, 8:08 pm

Dr. Diamond from brooklyn is moving to lakewood?? when and where??

amother

Tan

Thu, Nov 14 2019, 8:13 pm

UHC is no longer taking new patients either today or tomorrow is the last day to switch

SuperWify

Thu, Nov 14 2019, 11:24 pm

Delete

Last edited by SuperWify on Fri, Nov 15 2019, 1:05 pm; edited 1 time in total

amother

Wheat

Fri, Nov 15 2019, 10:17 am

I switched to Wellcare because they were going to cover patients at CHOP with ongoing preexisting conditions. Apparently the first couple of months, they were covering, but they have since stopped. They covered one visit for us after onerous and lengthy paperwork at the end of the summer and won't cover any more. So that was a bust. At this point, we are strongly considering switching to Aetna.

amother

Tangerine

Fri, Nov 15 2019, 10:26 am

If you use shore dental, they are now taking Aetna.

amother

Scarlet

Fri, Nov 15 2019, 10:35 am

SuperWify wrote:

Why are they a pain? Care to elaborate?

They denied coverage for my son's surgery, the dr has 24h to provide additional information, that's it. So I appealed, then appealed to medicaid and it was bh approved but I spent hours and hours on the phone with them!! Every time I spoke to someone else I got contradicting information.
It also took a full 2 weeks to approve a dental procedure for another son.(on antibiotics and painkillers!!)
They don't cover my migraine medicine or the allergy medicine that used to be covered by uhc.
They only reimburse $50/pair of glasses. Impossible to find anything for that price!
It seems like everything is a battle with them.

amother

Forestgreen

Fri, Nov 15 2019, 1:10 pm

I have horizon nj health. and they pay very nicely. I have been on for a couple of months. no problems with whatever I needed. I needed speech for my dauther they paid. also root canal they approved. they have quite a few doctors. I dont know how they will be with other issues. as my kids do have issues. medical wise.

amother

Forestgreen

Fri, Nov 15 2019, 1:17 pm

I have a child with adhd medication and thep pay no prob

amother

Tangerine

Fri, Nov 15 2019, 2:11 pm

Does someone know the difference between Aetna BH and Horizon?

amother

Ginger

Wed, Nov 27 2019, 12:25 am

Dr diamond is coming to Lakewood? Please tell me some good news!!!

Page 1 of 2

1 2 Next