Individuals in New Jersey haven’t had many options for catastrophic health insurance in the past few years but I’m happy to announce that there is finally a product you can purchase.
Review of the Amerihealth Individual Catastrophic Plans
There are actually two options and they are both offered through Amerihealth. When searching for the plans, neither of the plans are labeled as catastrophic coverage so you need to actually look at the plan details. These plans are marketed as EPO plans through Amerihealth. One is an HSA qualified plan so you will need to meet the upfront deductible before they pay anything. The other plan has copays for physicians and prescriptions but everything else is subject to the deductible. Both offer low price points and the only downside I can see so far is that they utilized the Amerihealth Value Network. The Value network is a subset of the larger Amerihealth network and only includes NJ doctors.
Key Features of the Amerihealth Catastrophic Plans
- Low Premiums
- High Deductibles
- Higher Maximum Out of Pocket
- Network: Uses the Value Network – NJ Physicians only (in an emergency, you always go to the nearest hospital regardless of where you are and it is typically covered without an issue)
The two plans that I will be reviewing fit all the criteria above and they are a great option for any individuals and even business to consider for a low cost plan. One of the plans is even HSA qualified!
Amerihealth EPO Option 1 $30/50%
- Deductible $2500 Single / $5,000 Family
- After Deductible Plan Pays 50%
- Unlimited Overall Lifetime Max – means there is no limit on how much the plan will pay in claims
- Primary Care office Visit: $30 Copay
- Lab: 100% no deductible
- Preventive Care: 100% No Deductible
- Prescription Drugs: $7 Copay for Generics and 50% coinsurance for preferred. There is a $125 limit on how much you can pay for a preferred drug. There is also no deductible for the Rx.
- Out of Pocket Limit: $5,000 Single and $10,000 for a family
- Full Summary Here : Amerihealth Catastrophic Option 1
Amerihealth EPO Option 2 – 50% Plan
- Deductible $2500 Single / $5,000 Family
- After Deductible Plan Pays 50%
- Unlimited Overall Lifetime Max – means there is no limit on how much the plan will pay in claims
- Primary Care office Visit: 50% After Deductible
- Lab: 100% no deductible
- Preventive Care: 100% No Deductible
- Prescription Drugs: 50% After Deductible
- Out of Pocket Limit: $5,000 Single and $10,000 for a family
- Full Summary Here: Amerihealth Catastrophic Option 2
Get A Quote
Amerihealth NJ – Don’t forget, you are looking at the EPO Plans.
In our office, we have signed up many people to the new EPO plans that offer catastrophic coverage for NJ Individuals. The prices are the lowest of any other plans on the market currently and Amerihealth is a great company to work with both as a broker and a covered individual. They pride themselves on being the “Health Insurance That Pays” and in my experience they hold true to that.