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Preferred Provider (PPO) — Groups 51+
AmeriHealth Forms Online — New Jersey
Forms are in PDF format.
Option
Copay
Integrated Rx
PPO 5
$ 5
PPO $5/$15/$70
$ 5
PPO 10
$10
PPO $10/$20/$70
$10
PPO 15
$15
PPO $15/$25/$70
$15
PPO 20
$20
PPO $20/$30/$70
$20
PPO 310
$10
PPO 320
$20
PPO 520/80/50 (In-Area)
$20
PPO 1020/80/50 (In-Area)
$20
PPO 2020/80/50 (In-Area)
$20
PPO 2520/80/50 (In-Area)
$20