Billing and Insurance at Bergen New Bridge Medical Center

Bergen New Bridge is committed to providing the information you need to protect yourself from receiving a surprise medical bill. The Finance team works throughout the Medical Center to ensure we meet New Jersey’s law requirements and fairly and effectively serve you and all the communities we support. 

While we have taken steps to comply with the requirements on your behalf, it is essential that you also consult your health insurance providers. Only your health insurance plan can provide detailed information about your coverage and potential obligations for possible out-of-pocket costs. The contact information is on your insurance card.

NJ hospitals are currently pending regulatory guidance from the Department of Banking and Insurance (DOBI) regarding its specific definition of “employed” and “contracting”. Upon DOBI’s issuance of their guidance, we may update this information or reorganize it to reflect the legislature’s intent. 

Out-of-network Consumer Protection, Transparency, Cost Containment and Accountability Act 

Per the new law, we list the insurance plans whose networks we participate in and a list of physicians who provide services to patients in the hospital. In addition to the physician’s name, we provide contact information so you can contact the physician to ask about their network status with your health insurance plan. You may find this information on the attached PDF of physicians or physician groups that Bergen New Bridge Medical Center employs

You should note that the state’s out-of-network law does not apply to health insurance plans issued outside of New Jersey. If you live in New Jersey but your employer is in another state, it is possible the law does not cover your plan.

Self-Funded Plans

The New Jersey law is optional for self-funded plans. Self-funded plans are when the employer assumes the responsibility to cover all the expenses of the plan. Self-funded plans are only required to follow federal requirements, not state laws. A self-funded plan may opt-in and elect to be subject to New Jersey’s out-of-network law, but it is not required to do so. It is essential that you ask your employer or health insurance carrier whether the new rule applies to your plan. 

Bergen New Bridge Medical Center is dedicated to providing consumers with as much information as possible regarding potential healthcare costs. Accordingly, we list information on the insurers and products the hospital participates in and any exceptions. This list may not be comprehensive. For example, we do not include specialty insurers such as workers’ compensation and personal injury protection (“PIP”). There are many different types of insurance products, and we may not participate in all of them. If you do not see your plan listed on our website, we strongly urge you to contact us or your health insurance plan to confirm whether your plan is in-network or out-of-network. 

Insurance Plans We Participate In 

Click here to see a list of the insurance plans Bergen New Bridge Medical Center participates in 

Physicians and Physicians Groups We Employee 

Click here to see a list of the physicians or physician groups Bergen New Bridge Medical Center employs. While most physicians are hospital employees, you may still receive a separate bill for their services if they process their own billing. 

Please Note: Physicians who participate in your care, including emergency room physicians, surgeons, radiologists, anesthesiologists, pathologists, and consultants may or may not participate with the same insurance plans as Bergen New Bridge. The Medical Center cannot assure that all physicians or consultants participate with all insurance plans. Your physicians’ bills will be separate from the Medical Center bill. Please get in touch with your insurance company to determine if your insurance plan covers these physicians.

Questions?

If you have any additional questions, please do not hesitate to email PatientAccounts@newbridgehealth.org 

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