RESOURCE CENTER

Medical
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2017 Top selling plans for Large group
AmeriHealth Advantage Economy HSA & Tier 1 HSA plans are also now available for large groups. These plans have been very popular in 2017 and it is another example of how we continue to provide our customers with affordable plan options!
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2017 Summary of Benefits and Coverage Changes
The Department of Health and Human Services has mandated several changes to the Summary of Benefits and Coverage (SBC) template effective with April 1, 2017 renewals. They include...
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2017 Large Group AmeriHealth Advantage Plans
Members must stay in-network aside from emergencies. Members may utilize Tier 1 providers with a lower out-of-pocket cost, or may utilize Tier 2 providers at a higher out of pocket cost.
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2017 Large Group Tier 1 Advantage Plans
Tier 1 Advantage plans allow members to pay lower out-of-pocket costs for hospital and facility services if they use a participating Tier 1 facility3. Tier 2 is available through the AmeriHealth New Jersey Local Value network.
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Women’s Preventive Health contraceptives benefit (FAQ)
Beginning January 1, 2016, upon the member's plan renewal date, brand name contraceptives that have generic alternatives will go from being 100 percent covered to covered at standard cost sharing.
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2015 MyAHNJ Plans & Packages for Large Group
There will be no benefit exceptions for the Defined Contribution products. National Access Rider can only be offered on Package A or Package C, and must be offered to all employees.
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2015 51+ Large Group Portfolio (medical & Rx)
This reference sheet contains the standard plan offerings for groups 51+. Standard medical plans have been updated with the 2015 ACA in-network OOP maximum amounts and are available in ROAM.
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2014 MyAHNJ Plans & Packages
Employers will have to select 1 benefit package from the 10 packages offered. 4 different plan designs are available within each package, and most will allow for access to all their networks including: Value, Cooper, Preferred and National Access.
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10.11.2011
Influenza Vaccine 2011-12 - What you need to know
CDC released Q&A answering questions like: Why get vaccinated? Difference between in-active and active vaccination? Who should get vaccinated?
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10.07.2011
EPO (SEH) $1250/80%
benefit summary (available with their Preferred, Value, or National networks). This option is also available as a qualified HDHP.
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10.07.2011
EPO (SEH) $1500/70%
benefit summary (available with their Preferred, Value, or National networks). This option is also available as a qualified HDHP.
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10.07.2011
EPO (SEH) $2500/50%
benefit summary (available with their Preferred, Value, or National networks). This option is also available as a qualified HDHP.
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10.07.2011
EPO (SEH) $30/$50/80%
benefit summary (available with their Preferred, Value, or National networks)
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10.07.2011
EPO (SEH) $30/50%
benefit summary (available with their Preferred, Value, or National networks)
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