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AmeriHealth® HMO

Basic Eligibility Requirements*

  • You must be a New Jersey resident.
  • You (and any family members you wish to cover) must not be eligible for coverage under a group health benefits plan, group health plan, government plan, church plan, or Medicare.
  • You (and any family members you wish to cover) must not be covered by any other individual health plan, unless you intend to replace your existing coverage with the coverage you are applying for.

Instructions for mailing your application

If you would prefer download an AmeriHealth Individual Coverage application and forward it along with a check for the first month’s premium to the following address:

AmeriHealth HMO, Inc.
485C U.S. Highway 1 South
Suite 300
Iselin, NJ 08830-3037
Attn: Individual Product Sales Department

You may request an effective date of the 1st or the 15th of the month. We prefer that you submit your completed application and premium payment at least two weeks before your requested effective date. Your coverage will be effective on the requested date, or no later than the 1st of the month following the month in which a completed application is dated and the premium is received.

*Eligibility requirements are determined under the Individual Health Coverage Reform Act of 1992, P.L. 1992, c. 161.