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Monthly Rates

AmeriHealth HMO

If you are already enrolled in one of these plans, you can keep that coverage until your 2014 anniversary date. Prior to your anniversary date, you will be required to choose one of our 2014 plans, which meet Affordable Care Act (ACA) requirements.

Preferred PlanView Rates
Standard PlanView 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)
 
Male
Female
Male Parent
Female Parent
Male/
Female
Male/
Male
Female/
Female
Male/
Female
Male/
Male
Female/
Female
0-24
$239
$434
$764
$959
$673
$478
$868
$1,198
$1,003
$1,393
25-29
$239
$523
$764
$1,047
$762
$478
$1,046
$1,287
$1,003
$1,570
30-34
$261
$492
$787
$1,017
$753
$522
$984
$1,279
$1,048
$1,509
35-39
$308
$453
$834
$980
$761
$616
$906
$1,287
$1,142
$1,433
40-44
$347
$472
$871
$998
$819
$694
$944
$1,343
$1,218
$1,470
45-49
$409
$494
$935
$1,019
$903
$818
$988
$1,429
$1,344
$1,513
50-54
$567
$564
$1,092
$1,090
$1,131
$1,134
$1,128
$1,656
$1,659
$1,654
55-59
$781
$731
$1,307
$1,256
$1,512
$1,562
$1,462
$2,038
$2,088
$1,987
60-64
$838
$835
$1,363
$1,360
$1,673
$1,676
$1,670
$2,198
$2,201
$2,195
65-69
$838
$838
$1,363
$1,363
$1,676
$1,676
$1,676
$2,201
$2,201
$2,201
70+
$838
$838
$1,363
$1,363
$1,676
$1,676
$1,676
$2,201
$2,201
$2,201

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)
 
Male
Female
Male Parent
Female Parent
Male/
Female
Male/
Male
Female/
Female
Male/
Female
Male/
Male
Female/
Female
0-24
$354
$650
$1,138
$1,431
$1,004
$708
$1,300
$1,788
$1,492
$2,081
25-29
$373
$780
$1,153
$1,562
$1,153
$746
$1,560
$1,933
$1,526
$2,342
30-34
$393
$733
$1,175
$1,515
$1,126
$786
$1,466
$1,908
$1,568
$2,248
35-39
$461
$679
$1,242
$1,461
$1,140
$922
$1,358
$1,921
$1,703
$2,140
40-44
$515
$706
$1,299
$1,490
$1,221
$1,030
$1,412
$2,005
$1,814
$2,196
45-49
$612
$738
$1,392
$1,521
$1,350
$1,224
$1,476
$2,130
$2,004
$2,259
50-54
$846
$840
$1,628
$1,623
$1,686
$1,692
$1,680
$2,468
$2,474
$2,463
55-59
$1,169
$1,090
$1,950
$1,871
$2,259
$2,338
$2,180
$3,040
$3,119
$2,961
60-64
$1,249
$1,249
$2,030
$2,029
$2,498
$2,498
$2,498
$3,279
$3,279
$3,278
65-69
$1,249
$1,249
$2,030
$2,030
$2,498
$2,498
$2,498
$3,279
$3,279
$3,279
70+
$1,249
$1,249
$2,030
$2,030
$2,498
$2,498
$2,498
$3,279
$3,279
$3,279

How to determine the age for IHC 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 age is calculated based on the subscriber’s age as of February 28.

*Under health care reform, children under 19 may not be denied coverage because of a preexisting condition for policy years beginning on or after September 23, 2010.

Standard Plan

Benefit Plan
Single
Parent & Child/ Children
Couple
Family
IHC 50
$977
$1,778
$1,954
$2,755
IHC 30/50
$1,111
$2,022
$2,222
$3,133
IHC 30
$1,169
$2,127
$2,338
$3,296
IHC 15
$1,974
$3,593
$3,948
$5,567

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 New Jersey
259 Prospect Plains Road
Building M
Cranbury, NJ 08512-3706
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.

The above table illustrates some of the benefit programs available. This managed care plan may not cover all your health care expenses. This information has been extracted from and is subject to the terms and conditions of all applicable group contracts and member handbooks.

For more information on the terms, limitations, and exclusions of the benefit programs, please contact your independent broker or the Marketing Department at 1-866-681-7368.