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POS Plus — Groups 51+
AmeriHealth Forms Online — New Jersey
Forms are in PDF format.
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