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Find a doctor, dentist, or pharmacy

Your AmeriHealth Medicare Advantage members have access to a large network of health care providers in New Jersey. Additionally, AmeriHealth contracts with an independent pharmacy benefits management (PBM) company to provide Medicare Part D prescription benefit management services, and pharmacy networks.

Find a doctor, specialist, or hospital

You can search for in-network health care providers (doctors, specialists, hospitals, urgent care centers, retail clinics, and more) in several ways.

Search our online Find a Provider tool

Use our online search tool to find doctors, hospitals, and other health care facilities that participate in the AmeriHealth Medicare PPO network.

Find a provider

Please note: To search for pharmacies near you use our Find a Pharmacy tool. To find participating providers for in-network routine dental, vision, and hearing benefits, use our search tools below.

View the Provider/Pharmacy Directory — updated 12/1/2024

View a printable list of network providers, using our Provider/Pharmacy Directories below. The Provider/Pharmacy Directory includes a list of doctors, hospitals, DME Suppliers, pharmacies and more. You can also request a printed copy be mailed to you by calling our Member Help Team.

Please note, if you discover an error in the directory information, including if a provider is no longer accepting new patients, please call 1-866-569-5190 (TTY/TDD: 711), seven days a week, 8 a.m. to 8 p.m. Please note that on weekends and holidays from April 1 through September 30, your call may be sent to voicemail.

To learn more about the resources and services available with your health plan, view our Stay Healthy page.

Find a dentist

Beginning January 1, 2025, our dental network will have a new name — the AmeriHealth Medicare Dental Network. It offers the same wide network of dentists and robust dental coverage — just with a new name!

To find a participating in-network provider, use our online Find a Dentist search tool below. Beginning January 1, 2025, members will choose AmeriHealth Medicare Dental Network from the drop-down menu. For the remainder of 2024, continue to choose Dominion Medicare Dental Network.

To search for an in-network AmeriHealth Medicare Dental Network dentist:

  • Click the link below
  • Enter your zip code or address
  • Choose a specialty
  • Select AmeriHealth Medicare Dental Network from the drop down menu

Find a dentist

To learn more about preventive, diagnostic, and comprehensive dental coverage, view our Stay Healthy page.

Find a vision provider

AmeriHealth Medicare PPO members have routine vision coverage included in their health plan and must use a Davis Vision provider for in-network routine vision care. To find a participating provider use the Davis Vision search tool below.

Find a Davis Vision provider

To learn more about routine vision coverage, view our Stay Healthy page.

Find a hearing provider

Routine hearing exams, evaluations, and hearing aids must be provided by a TruHearing® provider. All hearing services that are not covered by Medicare must be obtained by a TruHearing provider. Any care received from a non-participating provider will not be covered by the plan.

To find a TruHearing provider or schedule an appointment for routine hearing services, call 1-833-414-9748 (TTY: 711), Monday through Friday, 8 a.m. to 8 p.m. EST.

To learn more about routine hearing coverage, view our Stay Healthy page.

Find a network pharmacy

AmeriHealth contracts with an independent pharmacy benefits management (PBM) company to provide Medicare Part D prescription benefit management service. For more information on the AmeriHealth pharmacy network, visit our Find a Drug page or locate and confirm that a pharmacy is currently in our network:

Find a network pharmacy

Opioid treatment programs (OTPs)

Opioid treatment programs (OTPs) are covered under Part B of Original Medicare. AmeriHealth Medicare Advantage members can receive coverage for these services through their plan. Covered services include:

  • FDA-approved opioid agonist and antagonist treatment medications and the dispensing and administration of such medications, if applicable
  • Substance use counseling
  • Individual and group therapy
  • Toxicology testing

Search for in-network providers who are issuing OTP services.

 

 

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Website last updated: 10/1/2024

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