QualCare, Inc. - Platinum
QualCare, Inc. is among New Jersey’s largest Managed Care Organizations started by provider sponsors. It offers self‐funded PPO, HMO network, point of service (POS) network, and open access health plans; third party administration (TPA) services, provider network access, care management services, wellness programs, and a workers’ compensation product. QualCare also provides ACO consultative services and infrastructure, a small group association health plan and insurance management services.
Headquartered in Piscataway, New Jersey, QualCare, a wholly-owned subsidiary of QualCare Alliance Networks, Inc. (QANI), services over 900,000 members, with a clientele that spans health systems, unions, local governments, school boards, and other commercial employers. QualCare’s network covers over 100 acute, specialty and rehabilitation hospitals, as well as over 40,000 physicians and other ancillary providers across New Jersey, Pennsylvania and New York.
QualCare Alliance Networks, Inc. (QANI) is a wholly-owned subsidiary of Cigna Health and Life Insurance Company.
MSNJ Sponsored Health Plan Administered by QualCare
QualCare, Inc., administers the MSNJ Affiliated Physicians and Employers - MEWA Health Plan, a multiple employer welfare arrangement (MEWA) which provides members with access to healthcare coverage options that might otherwise be too costly. Through this program, physicians may buy self-insured health plans at the equivalent of large-group rates.