About AmeriHealth
|
Careers
|
Contact Us
Point-of-Service (POS) — Groups 2 – 50
AmeriHealth Forms Online — New Jersey
Forms are in PDF format.
Option
Copay
Integrated Rx
POS $15/$30 $0 Day
$15
POS $15/$30 $0 Day
$15
x
POS $15/$30 $200 Day
$15
POS $15/$30 $200 Day
$15
x
POS $20/$40 $0 Day
$20
POS $20/$40 $0 Day
$20
x
POS $20/$40 $300 Day
$20
POS $20/$40 $300 Day
$20
x
POS $25/$50 $500 Day
$25
POS $25/$50 $500 Day
$25
x
POS $30/$50 $0 Day
$30
POS $30/$50 $0 Day
$30
x
POS $30/$50 $400 Day
$30
POS $30/$50 $400 Day
$30
x
POS 10 Premium Option 1
$10
POS 10 Premium Option 3
$10
POS 10 Premium Option 4
$10
POS 10 Premium Option 5
$10
POS 10 Premium Option 6
$10
POS 10 Option 1
$10
POS 10 Option 2
$10
POS 10 Option 3
$10
POS 10 Option 4
$10
POS 10 Option 5
$10
POS 10 Option 6
$10
POS 15 Premium Option 1
$15
POS 15 Premium Option 3
$15
POS 15 Premium Option 4
$15
POS 15 Premium Option 5
$15
POS 15 Premium Option 6
$15
POS 15 Option 1
$15
POS 15 Option 2
$15
POS 15 Option 3
$15
POS 15 Option 4
$15
POS 15 Option 5
$15
POS 15 Option 6
$15
POS 20 Premium Option 1
$20
POS 20 Premium Option 3
$20
POS 20 Premium Option 4
$20
POS 20 Premium Option 5
$20
POS 20 Premium Option 6
$20
POS 20 Option 1
$20
POS 20 Option 2
$20
POS 20 Option 3
$20
POS 20 Option 4
$20
POS 20 Option 5
$20
POS 20 Option 6
$20
POS 30 Premium Option 4
$30
POS 30 Premium Option 6
$30
POS 30 Premium Option 7
$30
POS 30 Option 6
$30
POS 30 Option 7
$30
POS 40 Premium Option 6
$40
POS 40 Premium Option 7
$40
POS 40 Option 6
$40
POS 40 Option 7
$40
POS Coinsurance Option 1
$20
POS Coinsurance Option 1
$20
x
POS Coinsurance Option 2
$30
POS Coinsurance Option 2
$30
x
POS Coinsurance Option 3
$30
POS Coinsurance Option 3
$30
x