Zufall Health  >  For patients  >  Fees/Insurance

Service Fees

Zufall Health has a sliding fee discount program to ensure affordable access to all services. Fees are based on services received and can be adjusted based on your income and family size. Fees for medical services typically range from $20 to $80. Fees for dental services typically range from $40 to $200. Patients may have to pay separately for certain lab services, vaccines, and contraceptive supplies.

Patients with insurance will pay the co-pay indicated on their insurance card. Insured patients may also participate in the sliding fee discount program if their co-pay is higher than the fee on the sliding fee discount schedule.

All patients wishing to participate in the sliding fee discount program must provide documentation of income and family size.

No patient will be denied services due to inability to pay.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical and dental care will cost. Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. For questions or more information about you right to Good Faith Estimate, visit www.cms.gov/nosurprises.

**Prices are subject to change and cannot be fully determined until full registration is completed at the time of your appointment. 

The below schedules are valid through March 2025

Medical and Behavioral Health Sliding Fee Schedule
Dental Health Sliding Fee Schedule
In-house Labs, Medications, Vaccines Sliding Fee Schedule

Insurance Plans Accepted

Currently, Zufall Health accepts the insurance plans listed below.

This information is subject to change at any time so it is important to confirm if your insurance plan is accepted at the time you make your appointment.

Public Insurance Plans

  • Medicaid
    • Aetna Better Health of NJ
    • AmeriChoice
    • Fidelis Care (formerly WellCare)
    • Geisinger (formerly UnitedHealthcare Community Plan)
    • Horizon NJ Health
    • Straight Medicaid
    • Wellpoint (formerly Amerigroup)
  •  Medicare
    • Aetna Medicare
    • Braven
    • Clover
    • HMOs/Advantage Plan/Supplement Plans
    • Humana
    • Straight Medicare
    • UnitedHealthcare
    • WellCare
  • Dual Eligible Insurance
    • Aetna Assure Premier Plus
    • Amerivantage Dual
    • Fidelis Care Dual
    • Horizon Total Care
    • UnitedHealthcare Dual

Private Insurance Plans

  • Aetna
  • Ambetter
  • Cigna
  • Clover
  • Horizon Blue Cross Blue Shield of NJ
  • Humana
  • MagnaCare
  • Oscar (QualCare)
  • UnitedHealthcare (UMR, Oxford)
  • Wellpoint (formerly Amerigroup)