Finding Doctors Who Accept Medicaid
It can be difficult to find a doctor to treat your medical conditions when you are on Medicaid. There are many different types of medical coverage plans for those who have Medicaid. Single adults who receive General Assistance (GA) generally have NJ Family Care Plan G. Recipients of Temporary Assistance to Needy Families (TANF), Aged, Blind and Disabled Medicaid, and SSI Medicaid have different types of Medicaid coverage plans that may also include medical coverage through an HMO. People who are diagnosed with medical conditions, such as heart problems, diabetes, or chronic pain, are often told that they should see specialists to treat these problems. Luckily, there are resources available to help you find treatment services.
First, be sure you know what type of coverage you have. If you are not sure, look on your Medicaid card. It will have either the name of an HMO or NJ FamilyCare. Then try one of the suggestions below.
If I am covered through NJ FamilyCare or participating in fee-for-service Medicaid, who can I call to locate a primary care doctor or a specialist who accepts my Medicaid?
If you are covered through GA Family Care, or are participating in fee-for service Medicaid, you can call the Medicaid Medical Assistance toll-free hotline at 1-800-356-1561. Choose selection #5 by county or zip code to find a doctor who accepts Medicaid.
Medical Assistance Customer Centers (MACCs) are county/regional centers that help people with medical benefits and with finding specialists in their area:
- Atlantic, Cape May, and Cumberland counties: (609) 561-7569
- Camden, Burlington, Gloucester, Mercer, and Salem: (856) 614-2870
- Essex County: (973) 648-3700
- Hudson County: (201) 217-7100
- Middlesex and Union: (732) 777-6977
- Monmouth and Ocean: (732) 761-3600
- Morris, Somerset, Hunterdon, Sussex, and Warren: (973) 631-6440
- Passaic and Bergen: (973) 977-4077
What if I am a recipient of TANF, Aged, Blind and Disabled Medicaid,
or SSI Medicaid?
- TANF beneficiaries must enroll in an HMO to get their medical care but can get Medicaid-covered services on a fee-for-service basis for the first two months. If you have not chosen an HMO after two months, you will be randomly assigned to an HMO but will be able to change to another HMO at any time you wish. If you have doctors you want to stay with, ask them which HMO they accept and choose that as your HMO.
- Aged, Blind and Disabled Medicaid recipients and SSI Medicaid recipients are now being automatically enrolled in HMOs. However, if you would rather not be in an HMO and would like to use Medicaid fee-for-service, you have the option to disenroll from the HMO. Call Medicaid at 1-800-356-1561 to disenroll.
If I receive NJ FamilyCare Plan A (TANF recipients, Aged, Blind and Disabled Medicaid, or SSI Medicaid), through which HMO may I select medical coverage?
You may select coverage through any one of the six participating HMOs in New Jersey:
- AmeriChoice of New Jersey, Inc.:
1-800-941-4647
(Covers all counties)
- Amerigroup New Jersey, Inc.:
1-800-600-4441
(Covers all counties except Salem)
- Healthfirst NJ
1-800-464-4365
(Covers Bergen, Essex, Hudson, Passaic and Union Counties)
- Healthnet of New Jersey, Inc.:
1-800-555-2604
(Covers Burlington, Camden, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Ocean, Passaic, Salem, Somerset, Union Counties)
- Horizon NJ Health:
1-877-765-4325
(Covers all counties)
- University Health Plans, Inc.:
1-800-564-6847
(Covers all counties except Cape May)
Can I change my HMO?
People who receive NJ FamilyCare Plan A (TANF recipients, Aged, Blind and Disabled Medicaid, or SSI Medicaid) are able to switch from one HMO to another by calling a Health Benefits Coordinator at 1-800-701-0710 and asking to change their HMO. For example, you may find out that your doctor no longer accepts your particular HMO but does accept others. If you wish to remain in treatment with this doctor, you may switch to an HMO plan the doctor does accept.
Are there any other options?
Federally-funded qualified health care centers (FQHCs) provide much-needed care to individuals in the state. The FQHC Web site (from the New Jersey Primary Care Association) has location addresses and phone numbers for easy reference. There are locations in Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Sussex, Union, and Warren counties. Although somewhat different from one another in composition and in the nature of services offered, the FQHCs all target the health care needs of the medically underserved within their respective service areas.
Medical Care by County
Almost every county has at least one medical center or clinic that provides medical services for the uninsured or underinsured. The staff at these clinics often help their patients to find other medical specialists.
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Atlantic County
Atlanticare Health Services
2009 Bacharach Blvd.
Atlantic City, NJ
609-344-5714
Monday – Friday 9:00 AM -5:00 PM by appointment or emergency appointment.
South Jersey Family Medical Center
1301 Atlantic Ave.
Atlantic City, NJ
609-572-0000
Monday – Friday 8:00 AM-5:00 PM by appointment or emergent appointment.
South Jersey Family Medical Center
860 S. White Horse Pike
Hammonton, NJ
609-567-0200
Monday and Tuesday 8:30 AM – 9:00 PM; Wednesday and Thursday 8:30 AM – 8:30 PM; Friday 8:30 AM -5:00 PM by appointment only.
South Jersey Family Medical Center
932 S. Main St.
Pleasantville, NJ
609-383-0880
Monday and Tuesday 8:30 AM-9:00 PM; Wednesday and Thursday 8:30 AM – 8:30 PM; Friday 8:30 AM-5:00 PM by appointment only.
Bergen County
Bergen Regional Medical Center – Outpatient medical clinic
201-967-4061
Call Monday – Friday between 9:00 AM-5:00 PM for an appointment with the medical clinic. Client must go to the medical clinic first, and then can be referred to their specialty clinics, as appropriate. Clients will also be asked to apply for Charity care after their first visit to the medical clinic.
Burlington County
Lourdes Medical Center – clients should apply at the Charity care office
609-835-3017 or 609-835-3009.
South Jersey Family Medical Center
600 Pemberton- Browns Mills Road
New Lisbon, NJ
Monday – Friday 8:30 AM-5:00 PM
Call the Information & Appointments number: (800) 486-0131
Camden County
Lourdes Health System – Community Health Practice
856-968-2320.
Clinics run in the evenings from 4:00-8:00 PM for the following specialties: cardiology, rheumatology, psychiatry, gastrointestinal, endocrinology, gynecology, family medicine. Call for days and times of each clinic.
Osborn Family Health Center
1601 Haddon Ave.
Camden, NJ
856-757-3700
Monday – Friday 8:30 AM-5:00 PM by appointment as well as 24 hour emergency telephone service.
Bergen Lanning Health Center
439 Clinton St.
Camden, NJ
856-869-7182
Provides primary health care for the homeless. Monday - Friday 8:30 AM-4:30 PM.
Cape May County
Cape May Community Health Care
410 N. Rt. 9
Cape May Court House, NJ
609-465-0258
Monday – Friday 8:00 AM-4:00 PM. Appointments or emergency appointments.
Cumberland County
Community Health Care
105 Manheim Ave.
Bridgeton, NJ
856-451-4700
Monday and Friday 8:00 AM-4:30 PM; Tuesday – Thursday 8:00 AM-9:00 PM. Walk-in, telephone and emergency appointments.
Essex County
East Orange Primary Care Center
444 William St.
East Orange, NJ
973-675-1900
Monday and Wednesday 9:00 AM-7:00 PM; Tuesday, Thursday, Friday 9:00 AM-5:00 PM. Emergency and walk-in appointments available.
Newark Homeless Health Center
110 William St., Room 202
Newark, NJ
973-733-5300. Monday – Friday 8:30 AM-4:30 PM. Emergency and walk-in appointments.
Newark Community Health Center
741 Broadway
Newark, NJ
973-783-1300
Monday – Friday 9:00 AM-5:00 PM. Emergency and walk-in appointments.
Irvington General Hospital Family Health Center
832 Chancellor Ave.
Irvington, NJ
973-237-5999
Monday – Friday 9:00 AM-5:00 PM. Walk-in appointments available.
Gloucester County
Kennedy Health System Family Health Center
1 Somerdale Square
Somerdale, NJ
856-309-7700
Monday 9:00 AM-5:00 PM; Tuesday 12:30-6:30 PM; Wednesday and Thursday 8:15 AM-4:00 PM; Friday 8:00 AM-12:00 PM by appointment.
Kennedy Health System Family Health Center: Washington Pavilions, Suite A-3
100 Kings Way East, Sewell, 856-218-2312. Monday, Tuesday and Thursday 8:00 AM-4:30 PM; Wednesday 8:00 AM – 7:00 PM; Friday 8:00 AM-3:00 PM by appointment.
Hudson County
Health Service of Hudson County: Horizon Health Care
714 Bergen Ave
Jersey City, NJ
201-451-6300
Monday, Tuesday, and Thursday 8:30 AM-7:30 PM; Wednesday and Friday 8:30 AM-5:00 PM. Walk-in, telephone and emergency appointments
Satellite office located at 412 Summit Ave., Jersey City
North Hudson Community Action Corporation Health Center
5301 Broadway
West New York, NJ
201-866-2388
Monday – Friday 8:30 AM-7:00 PM; Saturday 8:30 AM-5:00 PM. Walk-in, telephone and emergency appointments.
Mercer County
Sr. Hyacintha program for the Homebound of St. Francis Medical Center
609-599-5073
Medicaid pays 100% of doctor home visits and other covered services.
Henry J. Austin Health Center
321 N. Warren St.
Trenton, NJ
609-989-3599
Monday – Friday 8:30 AM-5:30 PM. Walk-in and telephone appointments.
Ewing Health Center
112 Ewing St.
Trenton, NJ
609-396-9600
Monday – Friday 8:00 AM-4:00 PM. Walk-in and telephone appointments.
Chambers Family Practice
317 Chambers St.
Trenton, NJ
609-392-2635
Monday 9:00 AM-5:00 PM. Walk-in and telephone appointments.
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Middlesex County
Chandler Health Center
277 George St.
New Brunswick, NJ
732-235-6726
Monday, Wednesday and Friday 8:30 AM-5:00 PM; Tuesday and Thursday 8:30 AM-8:30 PM; Saturday 8:30 AM-1:00 PM. Telephone and urgent care appointments.
Jewish Renaissance Center
149 Kearny Ave.
Perth Amboy, NJ
732-293-0135
Monday – Friday 8:00 AM-8:00 PM; Saturday 9:00 AM-1:00 PM. Walk-in and telephone appointments.
Monmouth County
Jersey Shore Family Health Center
71 Davis Ave.
Neptune, NJ
732-776-4209
Monday – Friday 7:30 AM-4:00 PM by appointment or emergency appointment only.
Riverview Family Health Clinic
1 Riverview Plaza
Red Bank, NJ
732-530-2385.
Monday – Friday 8:00 AM-4:00 PM by appointment only.
Monmouth Medical Center Family Health Center
270 Broadway
Long Branch, NJ
732-923-7145.
Monday – Friday 8:30 AM-5:00 PM. Financial counselor to apply for charity care – 732-923-7103
VNA of Central Jersey Community Health Center
1301 Main St.
Asbury Park, NJ
732-502-5151
Monday, Tuesday, Thursday 8:00 AM-6:00 PM; Wednesday and Friday 8:30 AM-5:00 PM; Saturday 9:00 AM-2:00 PM.
Walk in and emergency appointments available.
VNA of Central Jersey Community Health Center
100 Main St.
Keansburg, NJ
732-787-1250
Mondays and Wednesdays 8:30 AM-4:30 PM. Walk in and emergency appointments available.
VNA of Central Jersey Community Health Center
35 Broad St.
Keyport, NJ
732-888-4149
Monday, Wednesday, Thursday, Friday 8:30AM-4:30PM. Walk in and emergency appointments available.
VNA of Central Jersey Community Health Center
176 Riverside Ave.
Red Bank, NJ
732-219-6620
Tuesday 8:30 AM-4:30 PM; Wednesday 10:00 AM–6:00 PM; Friday 8:30AM-4:30PM. Walk in and emergency appointments available.
Morris County
St Clare’s in Dover – Sr. Catherine’s Health Center
973-989-3343
Medicaid eligibility, charity care, social services, referrals to specialty services. Monday – Friday 9:00 AM-4:00 PM by appointment or emergency appointment only.
Ocean County
Ocean Health Initiative
101 Second St.
Lakewood, NJ
732-363-6655
Adult health appointments Monday – Friday 9:00 AM-6:15 PM; pediatric appointments Monday – Friday 8:00 AM-5:00 PM. Emergency appointments available.
Passaic County
St. Joseph’s Medical Center Family Health Center
Main phone number: 973-754-4200
Patient appointment number: 973-754-4222
Monday – Friday 8:30 AM-4:30 PM. Telephone and emergency appointments.
Paterson Community Health Center
32 Clinton St.
Paterson, NJ
973-790-6594
Monday, Tuesday, Wednesday and Friday 9:00 AM-5:00 PM; Thursday 9:00 AM-8:00 PM. Walk-in, telephone and emergency appointments.
North Hudson Community Health Center at Passaic
110 Main Ave.
Passaic, NJ
973-777-0256
Monday – Friday 8:30AM-5:00PM by appointment or emergency appointment.
Salem County
South Jersey Family Medical Center
238 East Broadway
Salem, NJ
856-935-7711
Monday, Wednesday, Friday 8:30 AM-5:00 PM; Tuesday and Thursday 9:00 AM–9:00 PM. By appointment or emergent appointment only.
Somerset County
Women’s Health and Counseling Center
71 Fourth St.
Somerville, NJ
908-526-2335
Also serves men for general medical needs, reproductive health and prostate cancer screening. Monday 9:00 AM-12:30 PM; Tuesday 9:00 AM-12:30 PM, 3:00-6:30 PM; Thursday 3:00-6:30 PM; Friday 9:00AM-12:00PM. Appointment only.
Zarephath Health Center
8 College Way
Zarephath, NJ
732-537-0737
Clinic does not accept any kind of insurance or payment, it is a free clinic run by volunteer doctors and other staff. Monday and Thursday 10:00 AM-2:00 PM; Tuesday and Wednesday 7:00-9:00 PM. Appointment only.
Union County
Plainfield Health Center
1700-58 Myrtle Ave.
Plainfield, NJ
908-753-6401
Monday – Thursday 8:00 AM – 8:00 PM; Friday 8:00 AM – 5:00 PM; Saturday 8:00 AM-1:00 PM. Walk-in and telephone appointments.
Warren County
Warren Health Center
433 Main St.
Phillipsburg, NJ
908-454-4600
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This article is from the December 2008 issue of Looking Out for Your Legal Rights®. |
