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

August 2018 Summary of Material Modifications (SMM)
July 2018 Summary of Material Modifications (SMM)
December 2017 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)