HMO/POS Prescription Benefits at a Glance: Groups 2 – 99 AmeriHealth Forms Online — New Jersey Type Option Standard $15/$15 Standard $7/50%/$125 Standard $7/50%/$250 Standard 50%/50% Standard HMO 50%/$125 Standard POS 50%/$125 Select $10/$40/$60 Select $15/$25/$35 Select $15/$35/$50 Select $20/$40/$60 Select $5/$25/$50 Select $7/$35/$50 Deductible/Coinsurance $100/$15/$15 Deductible/Coinsurance $100/$15/$25 Deductible/Coinsurance $100/$15/$25/$35 Deductible/Coinsurance $200/$15/$15 Deductible/Coinsurance $200/$15/$25 Deductible/Coinsurance $200/$15/$25/$35