GASTROENTEROLOGY ASSOCIATES OF OCEAN COUNTY PA
Accepted Insurance for NPI 1801849708
Internal Medicine - Gastroenterology in Lakewood, NJ
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
GASTROENTEROLOGY ASSOCIATES OF OCEAN COUNTY PA, a internal medicine provider in Lakewood, NJ, is listed as in-network for 116 health insurance plans from 2 insurance companies, led by Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Blue (BlueCross BlueShield FL). This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Florida Blue (BlueCross BlueShield FL)
BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx)
BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueOptions Bronze 24J01-06 (Rewards)
BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards)
BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)
BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueOptions Silver 24J01-03 ($10 Labs / Rewards)
BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards)
BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx)
BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueSelect Bronze 2139 ($50 PCP Visits / Rewards)
BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards)
BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards)
BlueSelect Bronze 2342S ($50 PCP Visits / Rewards)
BlueSelect Bronze 24L01-01 (Rewards)
BlueSelect Gold 1535 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueSelect Gold 1535V ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Adult Vision / Rewards)
BlueSelect Gold 1835 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueSelect Gold 2344S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueSelect Silver 1443 ($10 Labs / Rewards)
BlueSelect Silver 1443E ($10 Labs / Adult Dental & Vision / Rewards)
BlueSelect Silver 1443V ($10 Labs / Adult Vision / Rewards)
BlueSelect Silver 1456 ($50 PCP Visits / Rewards)
BlueSelect Silver 2343S ($40 PCP Visits / $80 Specialist Visits / Rewards)
Florida Blue HMO (a BlueCross BlueShield FL company)
BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx)
BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueCare Bronze 24K01-05 (Rewards)
BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards)
BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards)
BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueCare Bronze 24K02-18 (Rewards)
BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards)
BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards)
BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueCare Silver 24K01-02 ($10 Labs / Rewards)
BlueCare Silver 24K01-06 ($50 PCP Visits / Rewards)
BlueCare Silver 24K01-32S ($40 PCP Visits / $80 Specialist Visits / Rewards)
BlueCare Silver 24K02-21 ($10 Labs / Rewards)
BlueCare Silver 24K02-27S ($40 PCP Visits / $80 Specialist Visits / Rewards)
myBlue Bronze 1601 (3 PCP Visits for $0 then $25 / $75 Specialist Visits / Rewards)
myBlue Bronze 2013 (3 PCP Visits for $0 then $5 / $75 Specialist Visits / Rewards)
myBlue Bronze 2129 ($35 PCP Visits / $75 Specialist Visits / Rewards)
myBlue Bronze 2129E ($35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards)
myBlue Bronze 2129V ($35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards)
myBlue Bronze 2149 ($35 PCP Visits / $75 Specialist Visits / Rewards)
myBlue Bronze 2149E ($35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards)
myBlue Bronze 2149V ($35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards)
myBlue Bronze 2219 ($75 PCP Visits / Rewards)
myBlue Bronze 2286 ($75 PCP Visits / Rewards)
myBlue Bronze 2312S ($50 PCP Visits / Rewards)
myBlue Bronze 2322S ($50 PCP Visits / Rewards)
myBlue Bronze 26M01-23 (Rewards)
myBlue Bronze 26M02-24 (Rewards)
myBlue Connected Care Silver 24M03-70 ($0 Primary Care Visits with Select Providers / Rewards)
myBlue Gold 1605 ($0 Labs / Rewards)
myBlue Gold 2011 ($0 Labs / Rewards)
myBlue Gold 2016 ($0 Deductible / $25 PCP Visits / $60 Specialist Visits / Rewards)
myBlue Gold 2314S ($30 PCP Visits / $60 Specialist Visits / Rewards)
myBlue Gold 2325S ($30 PCP Visits / $60 Specialist Visits / Rewards)
myBlue Gold 24M05-74 ($0 Deductible / $25 PCP Visits / $60 Specialist Visits / Rewards)
myBlue Platinum 2015 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
myBlue Platinum 2324S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
myBlue Platinum 24M05-00S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
myBlue Platinum 24M05-75 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
myBlue Silver 2010 (Rewards)
myBlue Silver 2010E (Adult Dental & Vision / Rewards)
myBlue Silver 2010V (Adult Vision / Rewards)
myBlue Silver 2237 ($60 PCP Visits / Rewards)
myBlue Silver 2237E ($60 PCP Visits / Adult Dental & Vision / Rewards)
myBlue Silver 2237V ($60 PCP Visits / Adult Vision / Rewards)
myBlue Silver 2313S ($40 PCP Visits / $80 Specialist Visits / Rewards)
myBlue Silver 2323S ($40 PCP Visits / $80 Specialist Visits / Rewards)
myBlue Silver 24M02-78 ($50 PCP Visits / $20 Labs / Rewards)
myBlue Silver 24M02-78E ($50 PCP Visits / $20 Labs / Adult Dental & Vision / Rewards)
myBlue Silver 24M02-78V ($50 PCP Visits / $20 Labs / Adult Vision / Rewards)
myBlue Silver 24M03-70E ($0 Primary Care Visits with Select Providers / Adult Dental & Vision / Rewards)
myBlue Silver 24M03-70V ($0 Primary Care Visits with Select Providers / Adult Vision / Rewards)
myBlue Silver 24M06-76 ($50 PCP Visits / $15 Labs / Rewards)
myBlue Silver 24M06-76E ($50 PCP Visits / $15 Labs / Adult Dental & Vision / Rewards)
myBlue Silver 24M06-76V ($50 PCP Visits / $15 Labs / Adult Vision / Rewards)
myBlue Silver 25M02-03 ($0 Labs / $50 PCP Visits / Rewards)
myBlue Silver 25M02-03E ($0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards)
myBlue Silver 25M02-03V ($0 Labs / $50 PCP Visits / Adult Vision / Rewards)
myBlue Silver 25M03-01 ($0 Primary Care Visits with Select Providers / Rewards)
myBlue Silver 25M03-01E ($0 Primary Care Visits with Select Providers / Adult Dental & Vision / Rewards)
myBlue Silver 25M03-01V ($0 Primary Care Visits with Select Providers / Adult Vision / Rewards)
myBlue Silver 25M06-02 ($0 Labs / $50 PCP Visits / Rewards)
myBlue Silver 25M06-02E ($0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards)
myBlue Silver 25M06-02V ($0 Labs / $50 PCP Visits / Adult Vision / Rewards)
myBlue Silver 26M02-04 ($5 PCP Visits / $5 Labs / Rewards)
myBlue Silver 26M02-04E ($5 PCP Visits / $5 Labs / Adult Dental & Vision / Rewards)
myBlue Silver 26M02-04V ($5 PCP Visits / $5 Labs / Adult Vision / Rewards)
myBlue Silver 26M03-02 ($0 Primary Care Visits with Select Providers / $5 Labs / Rewards)
myBlue Silver 26M03-02E ($0 Primary Care Visits with Select Providers / $5 Labs / Adult Dental & Vision / Rewards)
myBlue Silver 26M03-02V ($0 Primary Care Visits with Select Providers / $5 Labs / Adult Vision / Rewards)
myBlue Silver 26M06-03 ($5 PCP Visits / $5 Labs / Rewards)
myBlue Silver 26M06-03E ($5 PCP Visits / $5 Labs / Adult Dental & Vision / Rewards)
myBlue Silver 26M06-03V ($5 PCP Visits / $5 Labs / Adult Vision / Rewards)
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does GASTROENTEROLOGY ASSOCIATES OF OCEAN COUNTY PA accept?
Marketplace files for the 2026 plan year list GASTROENTEROLOGY ASSOCIATES OF OCEAN COUNTY PA as in-network for 116 plans from 2 insurance companies. The largest networks are Florida Blue HMO (a BlueCross BlueShield FL company) (83 plans), Florida Blue (BlueCross BlueShield FL) (33 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is GASTROENTEROLOGY ASSOCIATES OF OCEAN COUNTY PA enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does GASTROENTEROLOGY ASSOCIATES OF OCEAN COUNTY PA participate in?
The accepted plans include 59 HMO plans, 24 POS plans, 19 EPO plans and 14 PPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
