Health and benefit articles for our members

It’s important to understand your health benefits, how they work, and laws in place to protect your rights as a member. Each year, we share some important information about your insurance. From details about how we protect your privacy to the support you can receive when managing a chronic condition, you’ll find all this and more. Be sure to bookmark this page to access exclusive articles available online.

Your privacy and information

• Protecting your privacy and health information
• Member rights and responsibilities

Your care

• Physician review, utilization management, and language services
• Finding a network provider
• Working and communicating with your health care providers
• AmeriHealth standards for doctor appointments, wait times, hours, and access
• Hospital care procedures
• Differences between emergency care and urgent care
• Understanding advance directives
• Evaluating new and emerging medical technologies
• Our Quality Management program
• Care transitions

Medications, dental, and travel

• Medical benefit prescription drug guidelines
• Opioid use and substance use disorder
• Choose a primary dentist (HMO , DPOS, or Managed Dental Care dental coverage only; for Pennsylvania-based employer group members only)
• Using coverage when traveling

Wellness

• Achieve Well-being with AmeriHealth (For Pennsylvania-based employer group members only)
• Embrace Well-being with AmeriHealth (For consumer and New Jersey-based employer group members only)
• 24/7 Support from a Registered Nurse, Behavioral Health Clinician, or Health Information Line
• Support for condition management, case management, behavioral health, maternity, and general health concerns
• Discounts and savings for members (For Pennsylvania-based employer group members only)

Contacting us

• Accessing benefit and claims information online
• Reaching multilingual Customer Service

Claims, appeals, or complaints

• Submitting a claim
• Making an appeal or complaint (For consumer and New Jersey-based employer group members only)
• Making an appeal or complaint (For Pennsylvania-based employer group members only)

Learn more

If you have any questions about your health benefits, please log on to www.amerihealth.com/login.

If you do not have access to a printer and would like a printed copy of an article(s) mailed to you, please email hapaprintrequest@amerihealth.com. You must include the article name(s), your name, and complete mailing address. Please allow 4-6 weeks for delivery.

You can also view this printed mailer for a list of articles.