AHMedicare

Health Plans

For Medicare beneficiaries who are interested in comprehensive medical coverage, prescription drug coverage, and wellness programs, AmeriHealth offers a variety of Medicare Advantage products. We invite you to learn more about these plans — and how to enroll.

2014

AmeriHealth 65 Preferred HMO Medical and Prescription Drug Coverage

AmeriHealth 65 Preferred Rx HMO is a Medicare Advantage Health Maintenance Organization (HMO) plan with prescription drug coverage for individuals designed for Medicare beneficiaries living in our three regions. Region 1 includes Ocean County. Region 2 includes Burlington, Camden, Cumberland, Gloucester, Salem, Mercer, Hunterdon, Somerset, Union, Essex, and Hudson Counties. Region 3 includes Atlantic, Monmouth, Warren, Morris, and Bergen Counties.

AmeriHealth 65 Preferred HMO Medical-only Coverage

AmeriHealth 65 Preferred Medical-only HMO is a Medicare Advantage Health Maintenance Organization (HMO) plan designed for Medicare beneficiaries living in in two of our three regions. AmeriHealth 65 Preferred Medical-only HMO is not available at this time in Region 1 which includes Ocean County. Region 2 includes Burlington, Camden, Cumberland, Gloucester, Salem, Mercer, Hunterdon, Somerset, Union, Essex, and Hudson Counties. Region 3 includes Atlantic, Monmouth, Warren, Morris, and Bergen Counties.

AmeriHealth Prescription Drug Plans

AmeriHealth Prescription Drug Plans are Part-D prescription drug plans (PDP). These plans are available to people with Medicare living in Pennsylvania and West Virginia.

Contact Us

For more information about our plans, please contact us. We have free interpreter services to answer any questions you may have about our health or drug plan. To get an interpreter, contact us and someone who speaks your language can help you. This is a free service.

Website last updated: 5/20/2014
Y0041_HNS_14_9867j Approved 07/03/2014

AmeriHealth HMO, Inc. is an HMO plan with a Medicare contract. Enrollment in AmeriHealth HMO, Inc. depends on contract renewal.

AmeriHealth Rx is a PDP plan with a Medicare contract. Enrollment in AmeriHealth Rx depends on contract renewal.

Please contact AmeriHealth Customer Service for more information.

You must continue to pay your Medicare Part B premium.

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year.

Medicare beneficiaries may enroll in AmeriHealth 65® NJ HMO, AmeriHealth 65® Preferred HMO or AmeriHealth® Rx PDP through the CMS Medicare Online Enrollment Center located at www.medicare.gov.

For accommodation of persons with special needs at sales meetings call toll-free 1-888-678-7007 (1-888-457-3002 for the speech- and hearing-impaired), 8 a.m. to 8 p.m., seven days a week. A sales person will be present with information and applications. However, please be aware that on weekends and holidays from February 15 through September 30, your call may be sent to voicemail.

We also list pharmacies that are in our network but are outside of the New Jersey, Pennsylvania, and West Virginia area. Please contact the plan toll-free 1-888-678-7007 (1-888-457-3002 for the speech- and hearing-impaired), 8 a.m. to 8 p.m., seven days a week, for additional information.

To file an appeal or grievance for your medical benefit coverage or your prescription drug coverage, contact AmeriHealth 65 Preferred HMO Customer Service at 1-800-645-3965; AmeriHealth Rx PDP Customer Service at 1-888-678-7007. TTY/TDD users should call 1-888-857-4816 (AmeriHealth 65 Preferred HMO); 1-888-457-3002 (AmeriHealth Rx PDP), 7 days a week, 8 a.m. to 8 p.m.

For additional information from the Centers for Medicare and Medicaid Services (CMS) visit www.medicare.gov. If you prefer to file a grievance through CMS, please complete the Medicare Complaint Form. For additional assistance, visit The Office of the Medicare Ombudsman.

Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

This information is available for free in other languages. Please call our customer service number at 1-866-569-5190, seven days a week, 8 a.m. to 8 p.m. However, please be aware that on weekends and holidays from February 15 through September 30 your call may be sent to voicemail.

Esta información está disponible gratis en otros idiomas. Por favor llame a nuestro número de servicio al cliente al 1-866-569-5190, los siete días de la semana, 08 a.m.-8 p.m. Sin embargo, tenga en cuenta que los fines de semana y festivos del 15 de febrero al 30 de septiembre la llamada puede ser enviada al correo de voz.

© 2014 AmeriHealth