AmeriHealth New Jersey

IHC Silver EPO AmeriHealth Advantage $25/$60

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Medical Deductible	Individual: $2,500 Family: $5,000 Per Person: $2,500
Prescription Drug Deductible	Individual: $0 Family: $0 Per Person: $0
Medical Out-of-Pocket Maximum	Individual: $8,700 Family: $17,400 Per Person: $8,700
Drug Out-of-Pocket Maximum	Individual: Included in Medical Family: Included in Medical Per Person: Included in Medical

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

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

Emergency Room