Make it AmeriHealth, for coverage and services that meets your needs.

Benefits Summary

AmeriHealth® Point-of-Service (POS)

Benefits AmeriHealth POS 15/E AmeriHealth POS 20 Premium Select D AmeriHealth POS Premium Select 30/E
  Network Non-Network Network Non-Network Network Non-Network
Deductible NONE $2,500 Individual
$5,000 Family		 NONE $1,250 Individual
$2,500 Family		 NONE $2,500 Individual
$5,000 Family
Out-of-Pocket Maximum* $5,000 Individual
$10,000 Family		 $15,000 Individual
$30,000 Family		 $5,000 Individual
$10,000 Family		 $15,000 Individual
$30,000 Family		 $5,000 Individual
$10,000 Family		 $15,000 Individual
$30,000 Family
Overall Lifetime Maximum Unlimited $5,000,000 Unlimited $5,000,000 Unlimited $5,000,000
Office Visit (PCP) $15 70% $20 70% $30 70%
Specialist Visit $25 70% $25 70% $35 70%
Inpatient Hospital Care** 100% 70% $250 copay/day
4 day max/inpatient admission		 70% $300/day
4 day max/inpatient admission
$100 copay/outpatient surgery		 70%
Outpatient Rehabilitation Therapy‡ 100% 70% $25 70% $35 70%
X-ray 100% 70% $25 Routine
$25 Complex1		 70% Routine
70% Complex1		 $30** 70%
Lab 100% 70% 100% 70% $30 70%
Preventive Care $15 70% $20 $750/$500 allowance2 $30 70%
Maternity Care $25 1st visit
100% thereafter		 70% $25 1st visit
100% thereafter		 70% 1st visit
70% thereafter		 $35 1st visit
100% thereafter		 70%
Emergency Care (waived if admitted) $35 $35 $75 $75 $75 $75

* Annual Out-of-Pocket (OOP) Maximum per person/per family. For Network services, copayments and network coinsurance apply to OOP Max. For Non-Network services, deductible and coinsurance apply to OOP Max.

** Precertification Required

‡ This benefit plan applies copays to physical, occupational, and speech therapy visits, and X-rays. Up to 60 consecutive days per condition.

1No copay applicable when service is performed in ER or office setting.

2$750 per year allowance up to 1 year old; $500 per year allowance for all other members. Not subject to Deductible.

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 our Marketing Department at 1-866-681-7368.