The introduction of the AmeriHealth New Jersey Value Network, a subset of our
Preferred Network, is one of many efforts to provide cost-effective health
coverage to individuals and small employer groups who may have trouble
affording health care.
This network meets access and quality standards for our members, but the lower
price point makes health insurance more affordable to members and helps them to
better manage health care costs and avoid out-of-pocket expenses by choosing
Value Network providers.
The AmeriHealth New Jersey Value Network plans offer the same benefits program
that AmeriHealth New Jersey offers through other plans but with a select
network of providers, allowing the premiums to be lower than current
AmeriHealth New Jersey rates. This network is comprised of only New
Jersey-based physicians, hospitals, and ancillary providers.
To verify member eligibility, providers should look for "Value Network" printed
on the ID cards for Value Network members. The Value Network is available with
HMO, HMO Plus, POS Plus, EPO, PPO, HSA, and all coinsurance plans.
[
]Participating AmeriHealth New Jersey Value Network
providers[
]
Primary care physicians (PCP) in the AmeriHealth New Jersey Value Network
should only issue referrals to specialists who are participating in the
AmeriHealth New Jersey Value Network. A list of participating providers can be
found online by using the Provider Finder tool. Follow these steps:
Go to the AmeriHealth website's home page.
Select Find a Provider at the top of the AmeriHealth web.
Select the first option for Find Participating Doctors, Hospitals and Ancillary
Providers.
Select Provider Type, then select Next.
Select the specialty type you're looking for, then select Next.
Enter your criteria for location and plan preference (be sure to select Value
Network plan).
[
]Nonparticipating AmeriHealth New Jersey Value Network
providers[
]
AmeriHealth New Jersey Value Network HMO members do not have out-of-network
benefits. To avoid service and claims processing issues, it is important that
your office staff and AmeriHealth New Jersey members are aware of your
nonparticipating status in the AmeriHealth New Jersey Value Network.
If you have any questions, please call Customer Service at 1-800-275-2583 or
contact your Network Coordinator or Hospital/Ancillary Services Coordinator.
*This information does not apply to Magellan Behavioral
Health, Inc. (Magellan). Magellan-contracted providers should contact their
Magellan Network Coordinator at 1-800-866-4108 for member eligibility. Magellan
manages mental health and substance abuse benefits for most AmeriHealth
members.