Insurance

Insurance Coverage At Sixth
Borough Medical

Sixth Borough Medical is committed to serving its patients with exceptional care. We listen to what our patients have to say and tailor care plans accordingly. It is for these reasons that we do not have contracts with insurance companies and are considered an out-of-network provider. As an out-of-network provider, Sixth Borough Medical does not have to adhere to stringent rules and regulations put in place by insurance companies. If your health insurance includes out-of-network benefits (like a PPO), then you are covered!

We Currently Accept:

ACPN Insurance

Simply Insurance

United Healthcare

Worker’s Compensation

AvMed Insurance

Blue Cross Blue Shield

Insurance Humana

Coventry Insurance

Cigna Insurance

Aetna Insurance

Medicare Insurance

Motor Vehicle Insurance

Our Payment Methods Include:

Cash

Card

Bitcoin

Venmo For Business

Know Your Benefits

When visiting your doctor or having tests done, it’s important to understand your out-of-network insurance benefits. Certain health care plans cover various out-of-network medical and surgical procedures. For example, PPO plans often include out-of-network benefits to help you pay for your care.

Before your visit, Sixth Borough Medical recommends going to your insurance provider’s website or contacting a service representative to find out your specific benefits. Typically, you can find this contact information on the back of your insurance card. Of course, we are happy to work with you to find out your coverage. We are actively negotiating with the commercial health plans for participation agreements. We will update this page once agreements are made.

What Does It Mean To Be Out-Of-Network?

Simply, out-of-network medical centers do not have a current formal contract with your personal health insurance plan. Of course, there are plenty of advantages associated with out-of-network medical treatment. For example, seeking out-of-network services allow you to work with any doctor, physician, or physical therapist. If the treatment center you are seeking is out of your current insurance network, be sure to contact them to find out about available treatments and solutions.

In-Network vs. Out-Of-Network Provider Plans

When it comes down to making the decision between in-network and out-of-network provider plans, there are several key factors to examine. For a start, many insurance companies will pressure you into not using your out-of-network benefits. Some providers have even been accused of using scare tactics to encourage patients not to. However, your choice on medical care should always be a decision between you and your trusted physician. To accommodate patients in all financial scenarios, doctors are permitted to discount massive cost-sharing burdens on a case-to-case basis. This way, you can be sure to access high-quality treatment at fair, affordable healthcare costs.

Why Choose An Out-Of-Network Provider?

Out-of-network providers are able to spend more time with their patients which translates to better care plans. They are given freedom to use new treatments and diagnostic tools to optimize your health. These medical practices can focus on meeting your needs, and not the demands of the insurance company.

Please let us know if you have any questions!

New Jersey Doctor-Patient Alliance (NJDPA)

As a member of the New Jersey Doctor-Patient Alliance (NJDPA), we strongly oppose efforts by your insurance company to act as your healthcare provider. We believe that your trusted medical professional, who has actually seen you and examined you in person, is the only one who can make recommendations in the best interest of your health. To learn about the NJDPA, and the plans available, be sure to click here to find out more. Once you review the insurance guide, we encourage you to sign up to receive additional information.