AmeriHealth New Jersey

IHC Silver EPO AmeriHealth Advantage $25/$60

Plan Overview

Medical Deductible
  • Individual: $2,500
  • Family: $5,000
  • Per Person: $2,500
Prescription Drug Deductible
  • Individual: $250
  • Family: Included in Medical
  • Per Person: $250
Medical Out-of-Pocket Maximum
  • Individual: $9,000
  • Family: $18,000
  • Per Person: $9,000
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: $25 Copay
Specialist
  • Standard: $60 Copay

Prescription Drug Information

Preferred Brand Drugs
  • Standard: 50% Coinsurance after deductible
Non Preferred Brand Drugs
  • Standard: 50% Coinsurance after deductible
Generic Drugs
  • Standard: $25 Copay
Specialty Drugs
  • Standard: 50% Coinsurance after deductible

Inpatient Coverage

Hospital Services
  • Standard: 20% Coinsurance after deductible
Inpatient Services
  • Standard: 20% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: 20% Coinsurance after deductible