New Jersey Medicare PPO plans
AmeriHealth offers affordable PPO plans in Atlantic, Burlington, Camden, Gloucester, Mercer, Middlesex, and Ocean Counties. Compare our plans below to view coverage details and see which one best meets your needs. For additional information surrounding enrollment periods, visit our Medicare basics page.
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Finding a Medicare Advantage plan that's right for you is important.
AmeriHealth is here to help you choose the plan that best fits your needs. All our PPO plans include coverage for prescription drugs; dental, vision, and hearing care; and a lot of other great benefits, such as:
- Plans as low as $0
- $0 PCP copay per visit
- Specialist copays as low as $5 per visit
- Up to a $124 Part B Premium Giveback
- NO referrals
- Plans with flexible benefits card valued at up to $300 per year
- Plans that include an Over-the-Counter allowance
| AmeriHealth Medicare Ultimate PPO | AmeriHealth Medicare Secure PPO | AmeriHealth Medicare Core PPO | AmeriHealth Medicare Enhanced PPO | |
|---|---|---|---|---|
Premium |
$0 |
$0 |
$0 |
$30.40 |
Part B Premium Giveback on each monthly Medicare Part B premium payment¹ |
$124 |
$74 |
N/A |
N/A |
PCP Visit Copay |
$0 |
$0 |
$0 |
$0 |
Specialist visits copay (no referrals required)² |
$50 |
$30 |
$20 |
$5 |
Routine dental services |
$0 copay; one exam and cleaning once every six months |
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Routine eye exam |
$0 copay; one routine eye exam every year |
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Hearing services |
$0 copay; one routine hearing exam per year $0 copay; unlimited hearing aid fittings and evaluations for the first year |
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Quarterly over-the-counter allowance³ |
N/A |
$30 |
$50 |
$100 |
Annual dental, vision, and hearing flex benefit4 |
N/A |
$300 |
$300 |
$300 |
Tier-one preferred generic drugs |
$0 |
$0 |
$0 |
$0 |
FREE fitness membership |
Included |
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¹The giveback is set up by Medicare and administered through the Social Security Administration (SSA). The giveback incentive only participates with Social Security and is credited monthly on your Social Security check or Medicare Part B premium statement. There are no direct payments made to beneficiaries by Independence. Beneficiaries who pay their own Part B premium are eligible for the Giveback. Meaning, beneficiaries cannot receive Medicaid or any other assistance from a health program that could potentially pay their Part B premium.
²This is a general copay that applies to specialist visits for consultation, diagnosis, and treatment by a specialist in a physician’s office, but copay amounts vary for some specialist visits including podiatry, psychiatry, pulmonology, cardiology, etc. Please reference the plan's Evidence of Coverage for a complete listing of benefits.
³OTC balance does not roll over. Can be redeemed online or at participating local retailer
4The DVH Flex allowance preloaded on the AmeriHealth Care Card is a separate wallet from the OTC benefit provided on the same card. No activation is required. Any unused balance will not roll over to the next year. Members should retain the card through the expiration date.
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Website last updated: 8/14/2024
