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POS Plus — Groups 51+

AmeriHealth Forms Online — New Jersey

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Option Copay Integrated Rx
POS Plus Option 1 $10  
POS Plus Option 2 $10  
POS Plus Option 3 $15  
POS Plus Option 4 $15  
POS Plus Option 5 $20  
POS Plus Option 6 $20  
POS Plus Option 7 $30  
POS Plus Option 8 $30  
POS Plus Option 9 $40  
POS Plus Option 10 $40  
POS Plus Coinsurance $20/$40/90% $20  
POS Plus Coinsurance $30/$50/70% $30  
POS Plus Coinsurance $30/$50/80% $30