AmeriHealth 65 NJ HMO (medical-only coverage)

AmeriHealth 65 NJ HMO is a Medicare Advantage plan with a Medicare contract and gives you all the benefits of Original Medicare plus many more.

You can enroll in AmeriHealth 65 NJ HMO if you live in the service area that includes Burlington, Camden, Cumberland, Gloucester, and Salem counties in New Jersey.

AmeriHealth 65 NJ HMO provides members with:

• comprehensive medical coverage;
• virtually no paperwork;
• preventive care;
• extensive network with more than 3,000 primary care physicians, 50,000 specialist sites, and 100 hospitals;
• access to health resources and wellness programs;
• help managing chronic conditions, such as asthma, diabetes, and COPD.

AmeriHealth 65 NJ HMO
Monthly premium	$145.00
Yearly deductible	$1,500
Primary care physician visit	$10
Specialist visit	$40
Emergency room	$50 Not waived if admitted
Ambulance	Covered in full after deductible
Urgent care	$10 - $40
Inpatient hospital	Covered in full after deductible
Outpatient surgery (per date of service)	Outpatient hospital: Covered in full after $1,500 deductible Ambulatory surgical center: Covered in full, after $1,500 deductible
Preventive services	No copayments for outpatient lab services, routine physicals, most cancer screenings and more
Dental benefits	Preventive dental: $10 every 6 months; Comp dental: covered in full
Vision services	Medicare-covered eye exams: $40 Routine eye exams: $40 every two years Medicare-covered eyewear: One pair of eyeglasses or contacts after cataract surgery Other eyewear: $100 every 2 years ($65 frames and $35 lenses)
Hearing services	Medicare-covered hearing exams: $40 Routine hearing exams: $40 every 3 years Hearing aids: $500 every 3 years
Health/wellness education	Weight management: $200; smoking cessation: $200; Silver Sneakers basic gym membership; CPR and first aid

Enroll by mail

Download AmeriHealth 65 NJ HMO form.

Mail to:

AmeriHealth 65
Medicare Department
P O Box 7576
Philadelphia, PA 19101-8951

Summary of Benefits

The Summary of Benefits tells you about some of the plan’s features. You should refer to the Summary of Benefits for:

• applicable conditions and limitations;
• premiums;
• cost-sharing (e.g., copayments, coinsurance, and deductibles);
• any conditions associated with receipt or use of benefits.

Download the AmeriHealth 65 NJ HMO Summary of Benefits.

Evidence of Coverage

The Evidence of Coverage is our contract with you. It explains your rights, benefits, and responsibilities as a member of our plan.

Download the AmeriHealth 65 NJ HMO Evidence of Coverage.

Drug Formulary

A drug formulary is a list of generic and brand-name prescription drugs that are covered by the plan, are FDA-approved, and have been chosen for their reported medical effectiveness and value.

Download the AmeriHealth 65 NJ HMO Formulary.

Learn more

Read some of the most frequently asked questions about the AmeriHealth 65 NJ HMO.