Policies & Forms

PASE Healthcare 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
  • Current vaccine records for pediatrics
  • Reports pertinent to your visit

Patient Forms
Please call our office to obtain the following forms:

  • New patient forms for patients (please specify for pediatric or adult)
  • Patient demographic form
  • Notice of privacy practices/health information rights
  • Referral request policy form
  • Patient record of disclosure form
  • Current medication list form
  • Record release authorization form requesting from another provider/facility
  • Log forms – diabetic insulin or non-insulin, or blood pressure
Insurance We Accept Health Care Reform Plans
  • Aetna
  • Aetna Better Health
  • 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 HMO POS
  • 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
  • World Trade Center Health Program
  • 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
  • Health Republic Insurance of NJ  (accesses Qualcare’s HMO Network)
  • Horizon OMNIA Health Alliance
  • Oscar Health Insurance  (accesses Qualcare’s HMO Network)
  • United Healthcare (Compass)