APEHP Benefit Plans

Plan A: Open Access POS Network Plan Plus
Plan B: Open Access POS Network Plan
Plan D: Facility High Deductible Plan
Plan F: Network Only High Plan
Plan G: Open Access POS Network Plan Basic
Plan H: Network Only Base Plan
Plan J: Network Only Basic Plan
Plan K: Network Only High Deductible Plan
Plan L: High Deductible Low Plan
Plan M: Community Care Health Plan- Network Only (Gold)
Plan N: Community Care Health Plan- High Deductible- Network Only (HSA Silver)
Plan O: Network Only 70% Plan
Plan P: High Deductible 70% Plan
Plan R: High Deductible POS Plan HSA Compatible
Plan S: Network Only High Deductible Plan HSA Compatible
Plan T: Network Only HMO Plan
Plan U: High Deductible Network Only Plan
Plan V: High Deductible Catastrophic
Plan W: HSA Compatible Low Option
Plan X: Community Care Health Plan- NJ Network Only (Silver)
Plan Y: Community Care Health Plan- NJ Network Only (Bronze)

Plan A: Open Access POS Network Plan Plus
Plan B: Open Access POS Network Plan
Plan D: Facility High Deductible Plan
Plan F: Network Only High Plan
Plan G: Open Access POS Network Plan Basic
Plan H: Network Only Base Plan
Plan J: Network Only Basic Plan
Plan K: Network Only High Deductible Plan
Plan L: High Deductible Low Plan
Plan M: Community Care Health Plan- Network Only (Gold)
Plan N: Community Care Health Plan- High Deductible- Network Only (HSA Silver)
Plan O: Network Only 70% Plan
Plan P: High Deductible 70% Plan
Plan R: High Deductible POS Plan HSA Compatible
Plan S: Network Only High Deductible Plan HSA Compatible
Plan T: Network Only HMO Plan
Plan U: High Deductible Network Only Plan
Plan V: High Deductible Catastrophic
Plan W: HSA Compatible Low Option
Plan X: Community Care Health Plan- NJ Network Only (Silver)
Plan Y: Community Care Health Plan- NJ Network Only (Bronze)

Prescription Benefit Plan Summary - October 2018 Plans
Prescription Benefit Plan Summary - 2017 Plans

Dental Plans Combined
Delta Dental Base Plan Summary
Delta Dental Premier Plan Summary Effective July 1, 2018

• Click here for Delta Dental Plan Enhancements starting on July 1, 2018

Guardian DHMO Benefit Summary
Guardian PPO Benefit Summary

Shop Supplemental Benefits

January 2019 Summary of Material Modifications- Additional Information(SMM)
January 2019 Summary of Material Modifications(SMM)

Plan A: Open Access POS Network Plan Plus
Plan B: Open Access POS Network Plan
Plan D: Facility High Deductible Plan
Plan F: Network Only High Plan
Plan G: Open Access POS Network Plan Basic
Plan H: Network Only Base Plan
Plan J: Network Only Basic Plan
Plan K: Network Only High Deductible Plan
Plan L: High Deductible Low Plan
Plan M: Community Care Health Plan- Network Only (Gold)
Plan N: Community Care Health Plan- High Deductible- Network Only (HSA Silver)
Plan O: Network Only 70% Plan
Plan P: High Deductible 70% Plan
Plan R: High Deductible POS Plan HSA Compatible
Plan S: Network Only High Deductible Plan HSA Compatible
Plan T: Network Only HMO Plan
Plan U: High Deductible Network Only Plan
Plan V: High Deductible Catastrophic
Plan W: HSA Compatible Low Option
Plan X: Community Care Health Plan- NJ Network Only (Silver)
Plan Y: Community Care Health Plan- NJ Network Only (Bronze)