New Jersey 2020 Health Plans

Plan ID Plan Name CSR Variation Type
Gold
13953NJ0680001-00 Horizon HMO Gold Standard Gold Off Exchange Plan
23818NJ0010006-00 Classic Gold Option 1 (Free 24/7 Telemedicine + Free Preventive Care) Standard Gold Off Exchange Plan
23818NJ0010006-01 Classic Gold Option 1 (Free 24/7 Telemedicine + Free Preventive Care) Standard Gold On Exchange Plan
23818NJ0010006-02 AIAN (Free 24/7 Telemedicine + Free Preventive Care) Zero Cost Sharing Plan Variation
23818NJ0010006-03 Classic Gold Option 1 AIAN 300 (Free 24/7 Telemedicine + Free Preventive Care) Limited Cost Sharing Plan Variation
23818NJ0010007-00 Classic Gold Option 2 (Free 24/7 Telemedicine + Free Preventive Care) Standard Gold Off Exchange Plan
23818NJ0010007-01 Classic Gold Option 2 (Free 24/7 Telemedicine + Free Preventive Care) Standard Gold On Exchange Plan
23818NJ0010007-02 AIAN (Free 24/7 Telemedicine + Free Preventive Care) Zero Cost Sharing Plan Variation
23818NJ0010007-03 Classic Gold Option 2 AIAN 300 (Free 24/7 Telemedicine + Free Preventive Care) Limited Cost Sharing Plan Variation
77606NJ0040066-00 IHC Gold HMO Regional Preferred $15/$30 Standard Gold Off Exchange Plan
77606NJ0040066-01 IHC Gold HMO Regional Preferred $15/$30 Standard Gold On Exchange Plan
77606NJ0040066-02 IHC Gold HMO Regional Preferred Zero Dollar Zero Cost Sharing Plan Variation
77606NJ0040066-03 IHC Gold HMO Regional Preferred $15/$30 Limited Limited Cost Sharing Plan Variation
91661NJ2340004-00 OMNIA Gold Standard Gold Off Exchange Plan
91661NJ2340004-01 OMNIA Gold Standard Gold On Exchange Plan
91661NJ2340004-02 OMNIA Gold Zero Cost Sharing Plan Variation
91661NJ2340004-03 OMNIA Gold Limited Cost Sharing Plan Variation
91762NJ0070010-00 IHC Gold EPO Regional Preferred $30/$50 Standard Gold Off Exchange Plan
91762NJ0070010-01 IHC Gold EPO Regional Preferred $30/$50 Standard Gold On Exchange Plan
91762NJ0070010-02 IHC Gold EPO Regional Preferred Zero Dollar Zero Cost Sharing Plan Variation
91762NJ0070010-03 IHC Gold EPO Regional Preferred $30/$50 Limited Limited Cost Sharing Plan Variation
Silver
23818NJ0010002-00 Classic Silver (Free 24/7 Telemedicine + Free Preventive Care) Standard Silver Off Exchange Plan
23818NJ0010002-01 Classic Silver (Free 24/7 Telemedicine + Free Preventive Care) Standard Silver On Exchange Plan
23818NJ0010002-02 AIAN (Free 24/7 Telemedicine + Free Preventive Care) Zero Cost Sharing Plan Variation
23818NJ0010002-03 Classic Silver AIAN 300 (Free 24/7 Telemedicine + Free Preventive Care) Limited Cost Sharing Plan Variation
23818NJ0010002-04 Classic Silver CSR 250 (Free 24/7 Telemedicine + Free Preventive Care) 73% AV Level Silver Plan
23818NJ0010002-05 Classic Silver CSR 200 (Free 24/7 Telemedicine + Free Preventive Care) 87% AV Level Silver Plan
23818NJ0010002-06 Classic Silver CSR 150 (Free 24/7 Telemedicine + Free Preventive Care) 94% AV Level Silver Plan
23818NJ0010003-00 Saver Silver (Free 24/7 Telemedicine + Free Preventive Care) Standard Silver Off Exchange Plan
23818NJ0010003-01 Saver Silver (Free 24/7 Telemedicine + Free Preventive Care) Standard Silver On Exchange Plan
23818NJ0010003-02 AIAN (Free 24/7 Telemedicine + Free Preventive Care) Zero Cost Sharing Plan Variation
23818NJ0010003-03 Saver Silver AIAN 300 (Free 24/7 Telemedicine + Free Preventive Care) Limited Cost Sharing Plan Variation
23818NJ0010003-04 Saver Silver CSR 250 (Free 24/7 Telemedicine + Free Preventive Care) 73% AV Level Silver Plan
23818NJ0010003-05 Saver Silver CSR 200 (Free 24/7 Telemedicine + Free Preventive Care) 87% AV Level Silver Plan
23818NJ0010003-06 Saver Silver CSR 150 (Free 24/7 Telemedicine + Free Preventive Care) 94% AV Level Silver Plan
23818NJ0010004-00 Classic Silver Off-Ex Only (Free 24/7 Telemedicine + Free Preventive Care) Standard Silver Off Exchange Plan
77263NJ0210002-00 Silver Copay Select 70 Standard Silver Off Exchange Plan
77263NJ0210003-00 Silver Copay Select 80 Standard Silver Off Exchange Plan
77606NJ0040001-00 IHC Silver HMO Local Value $50/$75 Standard Silver Off Exchange Plan
77606NJ0040001-01 IHC Silver HMO Local Value $50/$75 Standard Silver On Exchange Plan
77606NJ0040001-02 IHC Silver HMO Local Value Zero Dollar Zero Cost Sharing Plan Variation
77606NJ0040001-03 IHC Silver HMO Local Value $50/$75 Limited Limited Cost Sharing Plan Variation
77606NJ0040001-04 IHC Silver HMO Local Value $50/$75 73% AV Level Silver Plan
77606NJ0040001-05 IHC Silver HMO Local Value $25/$50 87% AV Level Silver Plan
77606NJ0040001-06 IHC Silver HMO Local Value $5/$20 94% AV Level Silver Plan
77606NJ0040065-00 IHC Silver HMO Regional Preferred $50/$75 Standard Silver Off Exchange Plan
77606NJ0040065-01 IHC Silver HMO Regional Preferred $50/$75 Standard Silver On Exchange Plan
77606NJ0040065-02 IHC Silver HMO Regional Preferred Zero Dollar Zero Cost Sharing Plan Variation
77606NJ0040065-03 IHC Silver HMO Regional Preferred $50/$75 Limited Limited Cost Sharing Plan Variation
77606NJ0040065-04 IHC Silver HMO Regional Preferred $50/$75 73% AV Level Silver Plan
77606NJ0040065-05 IHC Silver HMO Regional Preferred $25/$50 87% AV Level Silver Plan
77606NJ0040065-06 IHC Silver HMO Regional Preferred $5/$20 94% AV Level Silver Plan
77606NJ0040070-00 IHC Select Silver HMO Local Value $50/$75 Standard Silver Off Exchange Plan
91661NJ2270001-00 Horizon Advantage EPO Silver Standard Silver Off Exchange Plan
91661NJ2270001-01 Horizon Advantage EPO Silver Standard Silver On Exchange Plan
91661NJ2270001-02 Horizon Advantage EPO Silver Zero Cost Sharing Plan Variation
91661NJ2270001-03 Horizon Advantage EPO Silver Limited Cost Sharing Plan Variation
91661NJ2270001-04 Horizon Advantage EPO Silver 73% AV Level Silver Plan
91661NJ2270001-05 Horizon Advantage EPO Silver 87% AV Level Silver Plan
91661NJ2270001-06 Horizon Advantage EPO Silver 94% AV Level Silver Plan
91661NJ2340002-00 OMNIA Silver Standard Silver Off Exchange Plan
91661NJ2340002-01 OMNIA Silver Standard Silver On Exchange Plan
91661NJ2340002-02 OMNIA Silver Zero Cost Sharing Plan Variation
91661NJ2340002-03 OMNIA Silver Limited Cost Sharing Plan Variation
91661NJ2340002-04 OMNIA Silver 73% AV Level Silver Plan
91661NJ2340002-05 OMNIA Silver 87% AV Level Silver Plan
91661NJ2340002-06 OMNIA Silver 94% AV Level Silver Plan
91661NJ2340003-00 OMNIA Silver HSA Standard Silver Off Exchange Plan
91661NJ2340003-01 OMNIA Silver HSA Standard Silver On Exchange Plan
91661NJ2340003-02 OMNIA Silver HSA Zero Cost Sharing Plan Variation
91661NJ2340003-03 OMNIA Silver HSA Limited Cost Sharing Plan Variation
91661NJ2340003-04 OMNIA Silver HSA 73% AV Level Silver Plan
91661NJ2340003-05 OMNIA Silver HSA 87% AV Level Silver Plan
91661NJ2340003-06 OMNIA Silver HSA 94% AV Level Silver Plan
91661NJ2340006-00 OMNIA Silver Value Standard Silver Off Exchange Plan
91661NJ2340006-01 OMNIA Silver Value Standard Silver On Exchange Plan
91661NJ2340006-02 OMNIA Silver Value Zero Cost Sharing Plan Variation
91661NJ2340006-03 OMNIA Silver Value Limited Cost Sharing Plan Variation
91661NJ2340006-04 OMNIA Silver Value 73% AV Level Silver Plan
91661NJ2340006-05 OMNIA Silver Value 87% AV Level Silver Plan
91661NJ2340006-06 OMNIA Silver Value 94% AV Level Silver Plan
91762NJ0070006-00 IHC Silver EPO HSA Local Value $50/$75 Standard Silver Off Exchange Plan
91762NJ0070006-01 IHC Silver EPO HSA Local Value $50/$75 Standard Silver On Exchange Plan
91762NJ0070006-02 IHC Silver EPO Local Value Zero Dollar Zero Cost Sharing Plan Variation
91762NJ0070006-03 IHC Silver EPO HSA Local Value $50/$75 Limited Limited Cost Sharing Plan Variation
91762NJ0070006-04 IHC Silver EPO HSA Local Value $40/$60 73% AV Level Silver Plan
91762NJ0070006-05 IHC Silver EPO Local Value $25/$50 87% AV Level Silver Plan
91762NJ0070006-06 IHC Silver EPO Local Value $5/$20 94% AV Level Silver Plan
91762NJ0070007-00 IHC Silver EPO HSA AmeriHealth Hospital Advantage $50/$75 Standard Silver Off Exchange Plan
91762NJ0070007-01 IHC Silver EPO HSA AmeriHealth Hospital Advantage $50/$75 Standard Silver On Exchange Plan
91762NJ0070007-02 IHC Silver EPO AmeriHealth Hospital Advantage Zero Dollar Zero Cost Sharing Plan Variation
91762NJ0070007-03 IHC Silver EPO HSA AmeriHealth Hospital Advantage $50/$75 Limited Limited Cost Sharing Plan Variation
91762NJ0070007-04 IHC Silver EPO HSA AmeriHealth Hospital Advantage $30/$60 73% AV Level Silver Plan
91762NJ0070007-05 IHC Silver EPO AmeriHealth Hospital Advantage $20/$40 87% AV Level Silver Plan
91762NJ0070007-06 IHC Silver EPO AmeriHealth Hospital Advantage $10/$20 94% AV Level Silver Plan
91762NJ0070093-00 IHC Silver EPO AmeriHealth Advantage $25/$50 Standard Silver Off Exchange Plan
91762NJ0070093-01 IHC Silver EPO AmeriHealth Advantage $25/$50 Standard Silver On Exchange Plan
91762NJ0070093-02 IHC Silver EPO AmeriHealth Advantage Zero Dollar Zero Cost Sharing Plan Variation
91762NJ0070093-03 IHC Silver EPO AmeriHealth Advantage $25/$50 Limited Limited Cost Sharing Plan Variation
91762NJ0070093-04 IHC Silver EPO AmeriHealth Advantage $25/$50 73% AV Level Silver Plan
91762NJ0070093-05 IHC Silver EPO AmeriHealth Advantage $20/$40 87% AV Level Silver Plan
91762NJ0070093-06 IHC Silver EPO AmeriHealth Advantage $5/$20 94% AV Level Silver Plan
91762NJ0070095-00 IHC Silver EPO Regional Preferred $50/$75 Standard Silver Off Exchange Plan
91762NJ0070095-01 IHC Silver EPO Regional Preferred $50/$75 Standard Silver On Exchange Plan
91762NJ0070095-02 IHC Silver EPO Regional Preferred Zero Dollar Zero Cost Sharing Plan Variation
91762NJ0070095-03 IHC Silver EPO Regional Preferred $50/$75 Limited Limited Cost Sharing Plan Variation
91762NJ0070095-04 IHC Silver EPO Regional Preferred $50/$75 73% AV Level Silver Plan
91762NJ0070095-05 IHC Silver EPO Regional Preferred $30/$50 87% AV Level Silver Plan
91762NJ0070095-06 IHC Silver EPO Regional Preferred $10/$20 94% AV Level Silver Plan
91762NJ0070101-00 IHC Select Silver EPO HSA AmeriHealth Hospital Advantage $50/$75 Standard Silver Off Exchange Plan
91762NJ0070102-00 IHC Select Silver EPO HSA AmeriHealth Advantage $25/$50 Standard Silver Off Exchange Plan
Bronze
23818NJ0010001-00 Classic Bronze (Free 24/7 Telemedicine + Free Preventive Care) Standard Bronze Off Exchange Plan
23818NJ0010001-01 Classic Bronze (Free 24/7 Telemedicine + Free Preventive Care) Standard Bronze On Exchange Plan
23818NJ0010001-02 AIAN (Free 24/7 Telemedicine + Free Preventive Care) Zero Cost Sharing Plan Variation
23818NJ0010001-03 Classic Bronze AIAN 300 (Free 24/7 Telemedicine + Free Preventive Care) Limited Cost Sharing Plan Variation
77263NJ0210001-00 Bronze Copay Select 50 Standard Bronze Off Exchange Plan
91661NJ2270002-00 Horizon Advantage EPO Bronze Standard Bronze Off Exchange Plan
91661NJ2270002-01 Horizon Advantage EPO Bronze Standard Bronze On Exchange Plan
91661NJ2270002-02 Horizon Advantage EPO Bronze Zero Cost Sharing Plan Variation
91661NJ2270002-03 Horizon Advantage EPO Bronze Limited Cost Sharing Plan Variation
91661NJ2340001-00 OMNIA Bronze Standard Bronze Off Exchange Plan
91661NJ2340001-01 OMNIA Bronze Standard Bronze On Exchange Plan
91661NJ2340001-02 OMNIA Bronze Zero Cost Sharing Plan Variation
91661NJ2340001-03 OMNIA Bronze Limited Cost Sharing Plan Variation
91762NJ0070004-00 IHC Bronze EPO HSA AmeriHealth Hospital Advantage $50/$75 Standard Bronze Off Exchange Plan
91762NJ0070004-01 IHC Bronze EPO HSA AmeriHealth Hospital Advantage $50/$75 Standard Bronze On Exchange Plan
91762NJ0070004-02 IHC Bronze EPO AmeriHealth Hospital Advantage Zero Dollar Zero Cost Sharing Plan Variation
91762NJ0070004-03 IHC Bronze EPO HSA AmeriHealth Hospital Advantage $50/$75 Limited Limited Cost Sharing Plan Variation
91762NJ0070097-00 IHC Bronze EPO HSA AmeriHealth Advantage $25/$50 Standard Bronze Off Exchange Plan
91762NJ0070097-01 IHC Bronze EPO HSA AmeriHealth Advantage $25/$50 Standard Bronze On Exchange Plan
91762NJ0070097-02 IHC Bronze EPO AmeriHealth Advantage Zero Dollar Zero Cost Sharing Plan Variation
91762NJ0070097-03 IHC Bronze EPO HSA AmeriHealth Advantage $25/$50 Limited Limited Cost Sharing Plan Variation
Catastrophic
23818NJ0010005-00 Simple Secure (Free 24/7 Telemedicine + Free Preventive Care) Standard Catastrophic Off Exchange Plan
23818NJ0010005-01 Simple Secure (Free 24/7 Telemedicine + Free Preventive Care) Standard Catastrophic On Exchange Plan
91661NJ2280001-00 Horizon Advantage EPO Essentials Standard Catastrophic Off Exchange Plan
91661NJ2280001-01 Horizon Advantage EPO Essentials Standard Catastrophic On Exchange Plan
91762NJ0070014-00 IHC Local Value Simple Saver Standard Catastrophic Off Exchange Plan
91762NJ0070014-01 IHC Local Value Simple Saver Standard Catastrophic On Exchange Plan