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Health Maintenance Organization (HMO) Plus — Groups 2 – 50

AmeriHealth Forms Online — New Jersey

Option Copay Integrated Rx
HMO Plus $15/$30 $200 Day $15  
HMO Plus $20/$40 $300 Day $20  
HMO Plus $25/$50 $500 Day $25  
HMO Plus $30/$50 $400 Day $30  
HMO Plus Coinsurance Option 1 $20  
HMO Plus Coinsurance Option 2 $30  
HMO Plus Coinsurance Option 3 $30  
HMO Plus Coinsurance Option 4 $20  
HMO Plus Coinsurance Option 5 $25  
HMO Plus Coinsurance Option 6 $30