Find a Provider

With AmeriHealth 65 NJ HMO, you have access to an extensive network of doctors and hospitals. While we want you to have the widest range of choices, we also want to make sure you have access to quality care. To achieve this, we collect information through private data sources and carefully review all physicians, hospitals, and health care providers before they become participating providers.

Find Participating Doctors, Hospitals, and Ancillary Providers

The online provider directory provides information available through our network system on the physicians, hospitals, and ancillary providers who participate in AmeriHealth 65 NJ HMO. Provider search

Download a 2012 Provider Directory

Download an 2012 AmeriHealth 65 NJ HMO Provider Directory. Y0041_H3156_AH12_07 File & Use 09/24/2011

Find a Vision Provider

AmeriHealth Vision Programs are administered by Davis Vision. If you are a member of the AmeriHealth Vision program, we offer a convenient way to search for a Davis Vision provider online. Vision provider search

Download a 2012 Vision Directory

Download an 2012 AmeriHealth 65 NJ HMO Vision Provider Directory. Y0041_H3156_AH12_06 File & Use 09/24/2011

Preapproval/Precertification for Services
Certain services require preapproval/precertification from AmeriHealth prior to being performed.

You must continue to pay your Medicare Part B premium.

The Medicare Contract is renewed annually, and the availability of coverage beyond the end of the current year is not guaranteed.

The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change January 1, 2013. Members may enroll in the plan during specific times of the year. Contact the plan for more information. Please reference the Evidence of Coverage for information on premiums, cost-sharing, out-of-network coverage, rights and responsibilities upon disenrollment and any applicable conditions associated with using the plan benefits, as well as limitations, copayments, and restrictions.

Members must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply.

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:

• 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week;
• The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or
• Your State Medicaid Office.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay for up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don't even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

You must use plan providers except in emergency or urgent care situations or for out-of-are renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor AmeriHealth 65 NJ HMO will be responsible for the costs.

Please contact AmeriHealth 65 HMO for more information.

In lots of cases, your prescriptions are covered under AmeriHealth 65 NJ HMO, AmeriHealth Rx PDP if they are filled at a network pharmacy or through our mail-order pharmacy service. There are thousands of network pharmacies, including:

• national chain and independent retail pharmacies
• long-term care and home-infusion pharmacies
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Program pharmacies

Website last updated: 12/30/11
Y0041_HNS_12_301a Pending CMS Approval