New Jersey Medigap Plans

Your Health, Your Plan, Your Choice

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Find an AmeriHealth Insurance Company of New Jersey Medigap plan that’s right for you.

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Enroll online, by phone, or through the mail.

Contact Us

Questions? Need help enrolling? Call us at 1-866–365-5345 (TTY: 711), seven days a week, 8 a.m. to 8 p.m.

Medicare and Medigap Basics

Medicare is a federally-managed health insurance program. It provides coverage for people age 65 and older, younger individuals with disabilities, and people with End Stage Renal Disease (ESRD). You can choose to add coverage from a private insurance company to supplement Original Medicare (Parts A and B) coverage.

Original Medicare

Part A

This is the hospital insurance part of Original Medicare. It covers:

  • Hospital stays
  • Skilled nursing care
  • Home health visits

Part B

This is the medical insurance part of Original Medicare. It covers:

  • Doctor visits
  • Outpatient services
  • Other medical expenses
Medicare Supplement plans

Medicare Supplement

Medigap plans

This is additional coverage you can buy from a private insurance company, like AmeriHealth Insurance Company of New Jersey, to supplement your Part A and Part B (Original Medicare) coverage.

Medigap plans help with some or all of the out-of-pockets costs you're left with after Original Medicare pays its share.

Prescription Drug Coverage

Medicare Part D

This is prescription drug coverage. It covers the generic and brand names prescriptions that are listed on the plan's drug formulary list. (Every plan has a different formulary list. You should review each plan's formulary before enrolling.)

If you’re interested in learning more about our Part D plans, please call us at 1-866-365-5345.

When can you apply for Medicare Supplement Insurance?

The best time to buy a Medigap plan is during your six-month Medigap open enrollment period. During that time you can buy any Medigap plan sold in your state, even if you have health problems. This period automatically starts the month you turn 65 and enroll in Medicare Part B. After this enrollment period, you may not be able to buy a Medigap plan. If you're able to buy one, it may cost more and you may need to meet medical underwriting requirements.

Request a Medicare information kit

Call 1-866-365-5345 (TTY/TDD: 711) toll-free, 8 a.m. to 8 p.m., seven days a week to request your information kit. Please note that on weekends and holidays from February 15 through September 30, your call may be sent to voicemail.

Our Medigap Plans

If you're looking for a plan with no network restrictions and no referrals, AmeriHealth Medigap plans may be the right choice for you. AmeriHealth Medigap plans offer coverage for Medicare's "gaps", which may include deductibles, copayments, and coinsurance. AmeriHealth New Jersey offers four Medigap plans for you to choose from for 2019; A, C, F, and N.

AmeriHealth Medigap Plans comparison

No matter which AmeriHealth Medigap plan you choose:

  • You’re free to visit any doctor or hospital that accepts Original Medicare
  • There's no need to select a primary care physician
  • You don't need a referral to see a specialist
  • You’re covered when you travel anywhere in the United States
  • You have the option to enroll in a stand-alone Part D prescription drug plan

View our outline of Medicare supplement coverage for more information.

Benefits Included Plan A Plan C Plan F Plan N
Basic benefits (including 100% Part B coinsurance):

Hospitalization: Part A coinsurance plus coverage for 365 additional days after Medicare benefits end

Medical expenses: Part B coinsurance (generally 20% of Medicare‐approved expenses) or copayments for hospital outpatient services.

Blood: First three pints of blood each year

Hospice: Part A coinsurance 		checkmark checkmark checkmark checkmark
Part A deductible checkmark checkmark checkmark
Part B deductible checkmark checkmark
Part B excess charge (100%)

Medicare excess charges are the cost difference between the Medicare-approved amount for a service and what a doctor charges.		 checkmark
Skilled Nursing Facility coinsurance checkmark checkmark checkmark
Foreign travel emergency checkmark checkmark checkmark
* Except up to $20 copayment for office visit, and $50 copayment for emergency room.

Reimbursement programs

All AmeriHealth Medigap plan members have access to our AmeriHealth Healthy LifestylesSM Solutions reimbursement programs:

  • Tobacco Cessation Program — Members may receive up to $150 reimbursement for completing an approved tobacco-cessation program.
  • Weight Management Program — Members may also receive up to $150 reimbursement for participating in an approved weight-management program.
  • Fitness Reimbursement — Up to $150 reimbursement after 120 workouts in 365 days at an approved gym.

Learn More

Shop for an AmeriHealth Medigap plan

With several plans to choose from, it’s easy to find an AmeriHealth Medigap plan that works for you. The New Jersey Department of Banking and Insurance has not yet approved our 2020 Medigap rates. We cannot enroll members into our 2020 plans until these rates are approved. Please check back for more information as it becomes available, or call us at 1-866-365-5345 (TTY/TDD: 711) toll-free, 8 a.m. to 8 p.m., seven days a week.

Compare Plans

Ready to Enroll in an AmeriHealth Medigap Plan?

Enrolling in a Medigap plan is simple. To enroll in an AmeriHealth Medigap plan, select a method below.

Enroll online

With our online enrollment tool, you may view additional details about our Medigap plans, the Outline of Coverage and download or print an enrollment form. No premium payment is required at the time you apply. Once your application has been processed, we will notify you of your effective date and we'll send your AmeriHealth Medigap identification card (an ID card is mailed once the first premium payment is received), subscription agreement, and other important information. Your first premium payment is due prior to the effective date of your coverage. The New Jersey Department of Banking and Insurance has not yet approved our 2020 Medigap rates. We cannot enroll members into our 2020 plans until these rates are approved. Please check back for more information as it becomes available, or call us at 1-866-365-5345 (TTY/TDD: 711) toll-free, 8 a.m. to 8 p.m., seven days a week.

Enroll Online

Enroll by phone

Call toll-free, 8 a.m. to 8 p.m., seven days a week. Please note that on weekends and holidays from February 15 through September 30, your call may be sent to voicemail. The New Jersey Department of Banking and Insurance has not yet approved our 2020 Medigap rates. We cannot enroll members into our 2020 plans until these rates are approved. Please check back for more information as it becomes available, or call us at 1-866-365-5345 (TTY/TDD: 711) toll-free, 8 a.m. to 8 p.m., seven days a week.

1-866-365-5345 (TTY/TDD: 711)

Enroll by mail

Read our enrollment instructions and complete, sign, and mail the enrollment form below:

The New Jersey Department of Banking and Insurance has not yet approved our 2020 Medigap rates. We cannot enroll members into our 2020 plans until these rates are approved. Please check back for more information as it becomes available, or call us at 1-866-365-5345 (TTY/TDD: 711) toll-free, 8 a.m. to 8 p.m., seven days a week.

Mail completed documents to:

AmeriHealth New Jersey Medigap Plans
Medicare Department
P.O. Box 7576
Philadelphia, PA 19101-7576

When joining an AmeriHealth Medigap plan, please note the following:

  • You must have, and be enrolled in, Medicare Part A and Part B.
  • You must live in the plan's service area.
  • You'll pay a monthly premium to AmeriHealth NJ for your Medigap plan in addition to your monthly Part B premium that you pay to Medicare.
  • A Medigap plan only covers one person. Spouses must buy separate policies.
  • You must purchase a stand-alone prescription drug plan from a private insurance company during your enrollment period or risk receiving a late enrollment penalty. (Medicare Supplement plans do not include Part D prescription drug coverage.)

Once your application has been processed, we will notify you of your effective date and we’ll send your Medigap identification card, subscription agreement, and other important information. No premium payment is required at the time you apply.

Questions? If you need help completing the online enrollment process or paper form, or if you have any questions concerning AmeriHealth NJ Medigap Plans, just call our toll-free number 1-866-365-5345 (TTY/TDD: 711), 8 a.m. to 8 p.m., seven days a week.

How to Contact AmeriHealth Medigap

Prospective members

By phone:

Call 1-866-365-5345 (TTY/TDD: 711) toll-free, 8 a.m. to 8 p.m., seven days a week. Please note that on weekends and holidays from February 15 through September 30, your call may be sent to voicemail.

By mail:

AmeriHealth Medigap Plans
Medicare Department
P.O. Box 7576
Philadelphia, PA 19101-7576

Members

By phone:

Call 1-866-406-5967 (TTY/TDD: 711) toll-free, 8 a.m. to 6 p.m., Monday through Friday. Please note that on weekends and holidays from February 15 through September 30, your call may be sent to voicemail.

By mail:

AmeriHealth Medigap Plans
Medicare Department
P.O. Box 7820
Philadelphia, PA 19101-7576

Electronic Funds Transfer

If you would like to pay your monthly premium electronically, please use our Electronic Funds Transfer form.

Please complete the AmeriHealth New Jersey Medicare Supplement Disenrollment Form to cancel Medigap plan coverage. Once you have completed and signed the form, please mail or fax to:
AmeriHealth New Jersey Medigap Plans
Medicare Department
P.O. Box 7576
Philadelphia, PA 19101-7576

Fax: 215-238-2289

Updated Notice of Privacy Practices

View our updated Notice of Privacy Practices.