Policies & Forms

Roselle Park Medical Associates accepts most insurance plans, but patients should always check with their individual carriers to determine our participation with their plans. If you require a co-payment at the time of your visit, we accept cash, checks and most credit cards.

What to bring to your appointment:
•    Your insurance card
•    Picture identification
•    A list of your current medications
•    Reports pertinent to your visit
•    Medical records (in particular any old operative reports) pertaining to the reason for your visit

Patient Forms
Please print our Atlantic Medical Group New Patient Medical Questionnaire and bring to your appointment.

Versión en español de nuestro cuestionario médico para pacientes >

Insurance We Accept Health Care Reform Plans
  • Aetna
  • Amerihealth
  • Amerihealth PA- HMO, POS, PPO (for members that live in NJ
    but employers are based in PA)
  • Atlantic Health System PPO
  • Beech Street
  • CIGNA Healthcare
  • Consumer Health Network 
  • Coventry Health Care
  • Devon
  • Horizon Blue Cross Blue Shield of NJ
  • Horizon NJ Health 
  • Intergroup
  • Magnacare
  • Medicaid
  • Medicare
  • Medicare Rail Road
  • Multiplan
  • Oxford Health Plan
  • Private Healthcare System
  • Qualcare
  • United Healthcare
  • United Healthcare Community Plan                                                                                    
  • US Family Health Plan
  • Veteran's Choice Program
  • WellCare
  • Amerihealth NJ Premium National Access Bronze HSA EPO
  • Amerihealth NJ Premium Regional Preferred Bronze HSA EPO
  • Amerihealth NJ Premium National Access Silver POS +
  • Amerihealth NJ Premium Standard Regional Preferred Gold EPO
  • Amerihealth NJ Premium National Access Gold POS +
  • Amerihealth NJ Select National Access Platinum POS +
  • Horizon Blue Cross Blue Shield Advantage EPO plan
  • Horizon OMNIA Health Alliance