Under NJ Law, Emergency Room Visits are ALWAYS In-Network!*
*NJ law and regulation states that when a patient is seen for emergency services, NJ insurance companies are required to hold the patient harmless. That means that your insurance company is legally obligated to only hold you responsible for your in-network, out of pocket amount. CarePoint Health will bill accordingly to hold your insurance company to this NJ State regulation. Not all plans issued in the state of NJ are governed by NJ law. Certain employer sponsored plans may fall under Federal ERISA law. Coverage for Emergency services for these plans should be clearly defined in your summary of benefits. If you have any questions regarding your coverage, we encourage you to contact your insurance carrier.
If for some reason you receive any statements that reflect an amount other than your expected in-network responsibility, please contact the Insurance Help Desk at 866-261-0801.
Want more information? Check out our Out of Network FAQ's page here!