[
AmeriHealth New Jersey, along with Cooper University Health Care, Shore Medical Center, and Cape Regional Medical Center, are working together to offer affordable, high-quality health care coverage. AmeriHealth New Jersey has expanded its relationship with these local hospitals in order to help transform the delivery of health care in New Jersey.
In 2014, we introduced a new tiered product called Cooper Advantage. For 2015, this product has a new name – Community Advantage. Cape Regional Medical Center and Shore Medical Center, along with their more than 400 physicians, will be added to Community Advantage as Tier 1 providers. Our Community Advantage plans are tailored to meet the needs of individuals and employers based in the following counties: - Atlantic
- Burlington
- Camden
- Cape May
- Gloucester
Members may choose a Community Advantage plan during the 2015 open enrollment period, which began November 15, 2014. Individuals and families who purchase a Community Advantage product will have access to participating providers throughout the state via the Local Value Network; however, they will pay the lowest out-of-pocket costs when using Tier 1 providers (i.e., providers from Cooper University Health Care, Shore Medical Center, and Cape Regional Medical Center). | |  | |
Goals and benefits of Community Advantage
Community Advantage aims to achieve three key goals:
- encourage collaboration and care coordination across the delivery systems among hospitals, specialists, and primary care physicians;
- promote clinical integration of hospitals and physicians;
- reward the delivery of high-quality and cost-effective care.
Key member benefits include:
- lowest out-of-pocket costs for members using Tier 1 providers;
- access to Tier 2 providers (i.e., larger, statewide Local Value Network) at higher out-of-pocket costs;
- incentive rewards through our Commit2Wellness® program. Commit2Wellness is designed to help members and their families stay well, prevent illness, and benefit from healthy lifestyle choices.
Learn more
Affected providers will receive a letter informing them of their Tier 1 placement, effective January 1, 2015.
If you have any questions, please call Customer Service at 1-888-YOUR-AH1 (1-888-968-7241) or contact your Network Coordinator or Hospital/Ancillary Services Coordinator.
]