AmeriHealth New Jersey has a variety of networks — making health insurance more affordable for you, your family, or your business. Networks differ based on geography as well as participating doctors, hospitals, and other health care providers.
Available through the Multiplan PHCS National Network for services obtained outside of the Regional Preferred service area.1,2
One of the largest networks of doctors, hospitals, and labs in the state of New Jersey.3 Members have access to participating physicians and providers in New Jersey, Delaware, and Southeastern Pennsylvania.2
Regional Preferred with NY Access
When a Small Group (EPO) and Large Group (EPO, PPO, POS NG and CMM) newly purchases or is renewing into a Regional Preferred plan with these products, they will have access to the Emblem Health (GHI/Emblem Network) in New York. The GHI/Emblem NY Network includes a full range of primary care physicians and specialists that members in these plans can access.
The Local Value network currently represents 82% of the New Jersey-based Regional Preferred network, offering individuals and employers a more affordable rate.4 The following plans are a subset of the Local Value network and are designed to offer additional options focused on affordability and high-quality health care coverage.
- AmeriHealth Hospital Advantage plans allow members to pay lower out-of-pocket costs for hospital and facility services if they use a participating AmeriHealth Hospital Advantage provider. Tier 2 providers are available through the AmeriHealth New Jersey Local Value network.5 View Tiered Facilities.
- AmeriHealth Advantage plans are offered in collaboration with the following health systems: AtlantiCare, Cape Regional Medical Center, Cooper University Healthcare, Deborah Heart and Lung Center, Hackensack Meridian Health, and RWJBarnabas Health.6,7 Learn more.
1Coverage provided by Multiplan PHCS National Network. AmeriHealth New Jersey members accessing care in the AmeriHealth New Jersey service area must use the Regional Preferred network.
2The AmeriHealth New Jersey service area includes all New Jersey and Delaware counties, and nine Pennsylvania counties in the Philadelphia area including: Northampton, Lehigh, Bucks, Berks, Montgomery, Philadelphia, Delaware, Chester, and Lancaster Counties.
3Data derived from analysis of information provided by a third-party vendor and is subject to change.
4The Local Value network is not available in Hunterdon County.
5AmeriHealth Hospital Advantage facilities are an enhancement to your benefits. Tier 2 providers are AmeriHealth New Jersey Local Value network providers.
6AmeriHealth Advantage plans are only available to individuals and employers based in the following counties: Atlantic, Burlington, Camden, Cape May, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Ocean, Somerset, and Union. Members can obtain services within the listed counties at the AmeriHealth Hospital level. AmeriHealth Advantage members can also access Tier 2 providers within the AmeriHealth New Jersey Local Value network. AmeriHealth Hospital Advantage hospitals are subject to change.
7The following are included in the AmeriHealth Advantage health systems: AtlantiCare Regional Medical Center — City Division, AtlantiCare Regional Medical Center — Mainland Division, Bayshore Community Hospital, Cape Regional Medical Center, Clara Maass Medical Center, Community Medical Center, Cooper University Hospital, Deborah Heart and Lung Center, Jersey City Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center, Monmouth Medical Center — Southern Campus, Mountainside Medical Center, Newark Beth Israel Medical Center, Ocean Medical Center, Palisades Medical Center, Raritan Bay Medical Center — Old Bridge, Raritan Bay Medical Center — Perth Amboy, Riverview Medical Center, RWJ University Hospital at Hamilton, RWJ University Hospital at New Brunswick, RWJ University Hospital at Somerset, RWJ University Hospital at Rahway, Saint Barnabas Medical Center, and Southern Ocean Medical Center.