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Monthly Rates
AmeriHealth® HMO
Preferred Plan – View Rates
Standard Plan – View Rates
Basic Plan
| Age |
Single |
Parent & Child/ Children |
Couple (Rate based on the age of the older adult) |
Family (Rate based on the age of the older adult) |
| |
| 0-24 |
$184 |
$334 |
$588 |
$738 |
$518 |
$368 |
$668 |
$922 |
$772 |
$1,072 |
| 25-29 |
$184 |
$402 |
$588 |
$805 |
$586 |
$368 |
$804 |
$990 |
$772 |
$1,207 |
| 30-34 |
$202 |
$378 |
$606 |
$782 |
$580 |
$404 |
$756 |
$984 |
$808 |
$1,160 |
| 35-39 |
$238 |
$349 |
$641 |
$753 |
$587 |
$476 |
$698 |
$990 |
$879 |
$1,102 |
| 40-44 |
$267 |
$364 |
$670 |
$768 |
$631 |
$534 |
$728 |
$1,034 |
$937 |
$1,132 |
| 45-49 |
$316 |
$380 |
$719 |
$784 |
$696 |
$632 |
$760 |
$1,099 |
$1,035 |
$1,164 |
| 50-54 |
$436 |
$434 |
$840 |
$838 |
$870 |
$872 |
$868 |
$1,274 |
$1,276 |
$1,272 |
| 55-59 |
$601 |
$562 |
$1,005 |
$965 |
$1,163 |
$1,202 |
$1,124 |
$1,567 |
$1,606 |
$1,527 |
| 60-64 |
$644 |
$642 |
$1,048 |
$1,046 |
$1,286 |
$1,288 |
$1,284 |
$1,690 |
$1,692 |
$1,688 |
| 65-69 |
$644 |
$644 |
$1,048 |
$1,048 |
$1,288 |
$1,288 |
$1,288 |
$1,692 |
$1,692 |
$1,692 |
| 70+ |
$644 |
$644 |
$1,048 |
$1,048 |
$1,288 |
$1,288 |
$1,288 |
$1,692 |
$1,692 |
$1,692 |
Preferred Plan
| Age |
Single |
Parent & Child/Children |
Couple (Rate based on the age of the older adult) |
Family (Rate based on the age of the older adult) |
| |
| 0-24 |
$274 |
$500 |
$875 |
$1,100 |
$774 |
$548 |
$1,000 |
$1,375 |
$1,149 |
$1,600 |
| 25-29 |
$287 |
$600 |
$887 |
$1,200 |
$887 |
$574 |
$1,200 |
$1,487 |
$1,174 |
$1,800 |
| 30-34 |
$303 |
$563 |
$903 |
$1,163 |
$866 |
$606 |
$1,126 |
$1,466 |
$1,206 |
$1,726 |
| 35-39 |
$355 |
$522 |
$955 |
$1,122 |
$877 |
$710 |
$1,044 |
$1,477 |
$1,310 |
$1,644 |
| 40-44 |
$397 |
$543 |
$998 |
$1,144 |
$940 |
$794 |
$1,086 |
$1,541 |
$1,395 |
$1,687 |
| 45-49 |
$470 |
$568 |
$1,070 |
$1,168 |
$1,038 |
$940 |
$1,136 |
$1,638 |
$1,540 |
$1,736 |
| 50-54 |
$650 |
$646 |
$1,251 |
$1,246 |
$1,296 |
$1,300 |
$1,292 |
$1,897 |
$1,901 |
$1,892 |
| 55-59 |
$898 |
$837 |
$1,498 |
$1,437 |
$1,735 |
$1,796 |
$1,674 |
$2,335 |
$2,396 |
$2,274 |
| 60-64 |
$959 |
$959 |
$1,560 |
$1,559 |
$1,918 |
$1,918 |
$1,918 |
$2,519 |
$2,519 |
$2,518 |
| 65-69 |
$959 |
$959 |
$1,560 |
$1,560 |
$1,918 |
$1,918 |
$1,918 |
$2,519 |
$2,519 |
$2,519 |
| 70+ |
$959 |
$959 |
$1,560 |
$1,560 |
$1,918 |
$1,918 |
$1,918 |
$2,519 |
$2,519 |
$2,519 |
How to determine the age for IHC Basic and Preferred Plan rates:
- For new policies, age is calculated based on the subscriber’s age as of the last day of the month preceding the effective date of the policy.
- For the “Couple” and the “Family” tiers, the rate is based on the age of the older adult.
- Under most circumstances, changes from one age band to another for affected policy holders will take place on March 1 (or on March 15 for policies originally effective on the 15th of a month). In this case, the updated age is calculated based on the subscriber’s age as of February 28.
Standard Plan
| Benefit Plan |
Single |
Parent & Child/ Children |
Couple |
Family |
| IHC 50 |
| IHC 30/50 |
| IHC 30 |
| IHC 15 |
Choose a Plan
Choose the option that meets your needs, then complete and return the application, along with your check for the first month’s premium, to:
AmeriHealth HMO, Inc.
485 Route One South
Building C, 3rd Floor
Iselin, NJ 08830-3037
Attn: Individual Sales Department
Please note:
- Your signed and dated application must be completed, with the full name of your primary care physician, including the Provider ID number found in the directory.
- Be sure to put your Social Security number on your check.
- Your application is subject to verification, and you may be subject to an exclusion for preexisting conditions. Preexisting conditions exclusion may apply for 12 months if the state/federal guidelines for continuous prior coverage are not met.
- Benefits and rates are subject to change at any time upon review by the Individual Health Coverage Board and/or the New Jersey Department of Banking and Insurance.
- Plan upgrades are permitted only during the annual open enrollment period in November.
- Plan downgrades are permitted anytime during the year with a 30-day notice.
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