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Monthly Rates
AmeriHealth® HMO
Preferred Plan – View Rates
Basic Plan – View Rates
Standard Plan – View Rates
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 |
$239 |
$435 |
$761 |
$957 |
$674 |
$478 |
$870 |
$1,196 |
$1,000 |
$1,392 |
| 25-29 |
$250 |
$522 |
$772 |
$1,044 |
$772 |
$500 |
$1,044 |
$1,294 |
$1,022 |
$1,566 |
| 30-34 |
$264 |
$490 |
$786 |
$1,012 |
$754 |
$528 |
$980 |
$1,276 |
$1,050 |
$1,502 |
| 35-39 |
$309 |
$454 |
$831 |
$976 |
$763 |
$618 |
$908 |
$1,285 |
$1,140 |
$1,430 |
| 40-44 |
$346 |
$473 |
$868 |
$995 |
$819 |
$692 |
$946 |
$1,341 |
$1,214 |
$1,468 |
| 45-49 |
$409 |
$494 |
$931 |
$1,016 |
$903 |
$818 |
$988 |
$1,425 |
$1,340 |
$1,510 |
| 50-54 |
$566 |
$562 |
$1,088 |
$1,084 |
$1,128 |
$1,132 |
$1,124 |
$1,650 |
$1,654 |
$1,646 |
| 55-59 |
$781 |
$728 |
$1,303 |
$1,250 |
$1,509 |
$1,562 |
$1,456 |
$2,031 |
$2,084 |
$1,978 |
| 60-64 |
$836 |
$834 |
$1,358 |
$1,356 |
$1,670 |
$1,672 |
$1,668 |
$2,192 |
$2,194 |
$2,190 |
| 65-69 |
$836 |
$836 |
$1,358 |
$1,358 |
$1,672 |
$1,672 |
$1,672 |
$2,194 |
$2,194 |
$2,194 |
| 70+ |
$836 |
$836 |
$1,358 |
$1,358 |
$1,672 |
$1,672 |
$1,672 |
$2,194 |
$2,194 |
$2,194 |
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 |
$172 |
$312 |
$548 |
$688 |
$484 |
$344 |
$624 |
$860 |
$720 |
$1,000 |
| 25-29 |
$180 |
$375 |
$556 |
$751 |
$555 |
$360 |
$750 |
$931 |
$736 |
$1,126 |
| 30-34 |
$189 |
$353 |
$565 |
$729 |
$542 |
$378 |
$706 |
$918 |
$754 |
$1,082 |
| 35-39 |
$222 |
$326 |
$598 |
$702 |
$548 |
$444 |
$652 |
$924 |
$820 |
$1,028 |
| 40-44 |
$249 |
$340 |
$625 |
$716 |
$589 |
$498 |
$680 |
$965 |
$874 |
$1,056 |
| 45-49 |
$295 |
$355 |
$671 |
$731 |
$650 |
$590 |
$710 |
$1,026 |
$966 |
$1,086 |
| 50-54 |
$407 |
$405 |
$783 |
$781 |
$812 |
$814 |
$810 |
$1,188 |
$1,190 |
$1,186 |
| 55-59 |
$561 |
$524 |
$937 |
$900 |
$1,085 |
$1,122 |
$1,048 |
$1,461 |
$1,498 |
$1,424 |
| 60-64 |
$602 |
$599 |
$978 |
$975 |
$1,201 |
$1,204 |
$1,198 |
$1,577 |
$1,580 |
$1,574 |
| 65-69 |
$602 |
$602 |
$978 |
$978 |
$1,204 |
$1,204 |
$1,204 |
$1,580 |
$1,580 |
$1,580 |
| 70+ |
$602 |
$602 |
$978 |
$978 |
$1,204 |
$1,204 |
$1,204 |
$1,580 |
$1,580 |
$1,580 |
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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