For Our Patients

Useful Information for Patients at OHI

New to OHI

As a new patient, please call (732) 363-6655opens phone dialer to schedule an appointment with one of our representatives or make your own appointment through our website at your convenience. Ocean Health Initiatives, Inc. (OHI) will see all patients regardless of their ability to pay.

Insurances Taken

Commercial Insurances Accepted:

  • Aetna
  • Amerigroup
  • Barnabas
  • Cigna
  • Guardian Dental
  • Horizon NJ Health
  • Horizon Blue Cross Blue Shield NJ
  • Oxford
  • Qualcare
  • UHC
  • United Healthcare Community Plan
  • WellCare

Ocean Health Initiatives, Inc. (OHI) accepts both Medicare and Medicaid.

Sliding Fee Scale

A sliding fee scale is available to all patients based on an individual’s ability to pay for the primary and preventative health care services rendered. No one is denied care because of an inability to pay. OHI offers a sliding fee discount program for both insured and uninsured patients based on an individual’s income and family size.

The following documentation is needed to be approved for reduced and sliding fees:

Sliding Fee Scale

The following documentation is needed in order to be approved for reduced and sliding fees:

  • Proof of Residency
  • Photo identification
  • Proof of income
  • Birth Certificate
  • Social Security Card
  • Additional documents as necessary

* New patients with insurance must bring photo identification and insurance card.*

OHI's 2023 Sliding Fee Schedule (All Services Eng/Spanish) opens PDF file

GYN Procedure Listopens PDF file

Dietician and Chiropratic Add-ons Englishopens PDF file

Sliding Fee (Spanish)opens PDF file

Dietician and Chiropratic Add-ons Spanishopens PDF file

Family Planning Sliding Fee (English/Spanish)opens PDF file

 

Veterans Choice Program

Are you a Veteran looking to receive health services?

OHI has been named an eligible provider in The Veterans Choice Program. The Veterans Choice Program provides eligible veterans with the option to receive non-VA health care services from approved community health care providers their communities. Using this program will not have any impact on existing VA health care or any other VA benefit.

Veterans can call (866) 606-8198opens phone dialer to find out if they qualify or visit opens in a new windowhttp://www.va.gov/opa/choiceact/ and schedule an appointment at OHI.

Veterans who do qualify should use their Veterans Choice Card, which will allow them to request OHI as their community-based primary health care provider. The Ocean County Veterans Service Bureau, located on the first floor of the Ocean County One-Stop Center, 1027 Hooper Avenue, Toms River, can provide additional assistance to veterans about obtaining and using their Veterans Choice Card.

Frequently Asked Questions:

opens in a new windowPDF Download

VA Information

Have you heard about the Veterans Choice Program? The VA launched the Choice Program on November 5, 2014 as part of the Veterans Access, Choice and Accountability Act of 2014 (VACAA). This program gives eligible Veterans the option to receive health care from providers in their communities.

The Department of Veterans Affairs sent all Veterans a Choice Card. If your eligibility for this new program is verified, the Choice Card provides you with flexibility in meeting your health care needs. Please note that the Choice Card does not replace the identification card you already use to access other VA benefits.

You might be eligible for the Choice Program if:

  • You are told by your local VA medical facility that they will not be able to schedule an appointment for care:
  • Within 30 days of the date your provider determines you need to be seen; or
  • Within 30 days of the date you wish to be seen if there is no specific date from your provider.
  • Your current residence is more than 40 miles driving distance from the closest VA medical facility (including Community- Based Outpatient Clinics) that has a full-time primary care physician.
  • You need to travel by plane or boat to the VA medical facility closest to your home.
  • You face an unusual or excessive burden in traveling to the closest VA medical facility based on geographic challenges, environmental factors, or a medical condition. Staff at your local VA medical facility will work with you to determine you are eligible for any of these reasons.
  • Your specific health care needs, including the nature and frequency of the care needed, warrants participation in the program. Staff at your local VA medical facility will work with you to determine if you’re eligible for any of these reasons.
  • You reside in a State or a United States Territory without a full-service VA medical facility that provides hospital care, emergency services, and surgical care having a surgical complexity of standard, and reside more than 20 miles from such a VA medical facility.

NOTE: This criterion applies to Veterans residing in Alaska, Hawaii, New Hampshire, Guam, American Samoa, Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands. Also note that some Veterans in New Hampshire reside within 20 miles of White River Junction VAMC.”

To find out if you are eligible for the Choice Program, call (866) 606-8198opens phone dialer. If you are satisfied and wish to continue with your current VA care, there is nothing you need to do at this time. Save your Choice Card in case you would like to use the program in the future.

Community Resources Guide

Ocean Health Initiatives is an integral part of the community that it serves by working closely with government agencies, health care providers and community human and social service organizations. These collaborations and partnerships encompass Monmouth and Ocean County, NJ with respect to specific services and programs and have been ongoing for years.

OHI strives to engage in community education services regarding lifestyle changes that impact preventable diseases. One of OHI’s major goals is to increase the prevention of disease. Since the major chronic diseases such as heart disease, cancer, stroke, COPD and diabetes have become more common OHI seeks to promote healthier behavior choices to users of all ages, relative to chronic disease, for both adults and the elderly. OHI hopes to accomplish this through education and collaboration with local community agencies to reduce the incidence of chronic disease.

OHI provides primary health services with both regional and local health care and human services providers.

State and local agencies dedicated to helping people live healthier lives include:

GetCoveredNJ

Do you need health insurance?

Big Savings on Health Plans – and now with more choices.

Open Enrollment for 2022 coverage is here!

New Jersey and the federal government are offering record levels of financial help to lower the cost of health insurance for most enrollees. Due to the COVID relief law passed earlier this year, many people who buy health insurance through the Marketplace are now eligible for more savings and lower monthly premiums. You can compare available 2022 health and dental plans now and see if you qualify for savings! Choose a plan by December 31 for coverage beginning January 1.

The coverage effective dates will be as follows:

Enroll by December 31, coverage effective January 1;

 

Qualified OHI staff are available to answer questions, explain any coverage changes and help individuals sign up for health insurance.

Bilingual, certified application counselors are available by appointment only. Appointments can be made for all OHI locations.

To sign up for health insurance at the time of their appointment, enrollees should bring their:

  • social security card
  • proof of income, (such as paystubs, W-2 forms, or other income information)
  • their employer’s information
  • and their date of birth

Eligible immigrants who want health coverage should bring their documents.

For Open Enrollment appointments and questions CLICK HERE or call Ocean Health Initiatives at (732) 363-6655.opens phone dialer

To learn more about Get Covered New Jersey and your healthcare options, please click here.

Preventative Health Screenings

At Ocean Health Initiatives, Inc, we are committed to improving our patients' health care. As part of your routine preventive care, your provider can order different types of preventive screenings depending on your age and family history. Ask your provider about the following services:

Lung Cancer Screenings

Breast Cancer Screenings

Cervical Cancer Screenings

Colorectal Cancer Screenings

Flu Shots

Flu Shots are available at all seven of our Health Centers throughout the entirety of the Flu season. It is not too late into the season to get a flu shot, and receiving the flu vaccine can help prevent you from getting and spreading the flu virus to your friends and family.

Currently, we have vaccinations for children (ages 6-35 months), children to adults (ages 3 and up), and the high dose vaccine for seniors (ages 65 and older). Preservative free, latex free, and egg-free vaccinations are also available. Children can receive their flu shot at no cost through the Vaccines for Children* program offered at all OHI Health Centers if they do not have insurance, are self-pay patients, or are recipients of Medicaid Plan A.

If you have any questions about receiving the flu shot, or would like to schedule an appointment to get the vaccine, please CLICK HERE.

*The Vaccines for Children (VFC) program is a federally funded program that provides vaccines at no cost to children who might not otherwise be vaccinated because of inability to pay.