In April 2011, AmeriHealth New Jersey
introduced a new network called the AmeriHealth New Jersey Value Network. This
network meets access and quality standards for our members while also lowering
costs. We have designed this network to be comprised of only New Jersey-based
physicians, hospitals, and ancillary providers who will serve our New
Jersey-based employer groups. Notification was sent to providers that did not
meet the criteria for participation in the AmeriHealth New Jersey Value
Network.
Providing cost-effective health
coverage is one of our main priorities. In these challenging times, AmeriHealth
New Jersey is working hard to offer more affordable coverage for individuals
who may have trouble affording health care. The introduction of the AmeriHealth
New Jersey Value Network is one of many efforts to provide cost-effective
health coverage.
AmeriHealth New Jersey Value Network
members will have ?Value Network? printed on their ID cards. Please see the
sample ID card below to assist with identification of these members.
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Participating AmeriHealth New
Jersey Value Network providers
An AmeriHealth New Jersey Value Network
primary care physician (PCP) should only issue referrals to a participating
specialist in the AmeriHealth New Jersey Value Network. A list of participating
AmeriHealth New Jersey Value Network providers can be found online at
www.amerihealth.com by selecting the Find a Provider tab and using the
Provider Finder tool.
Non-participating 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 non-participating status in the AmeriHealth
New Jersey Value Network.
Please note that Pennsylvania and
Delaware providers and hospitals are not currently eligible for participation
in this new 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.