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AmeriHealth HMO

AmeriHealth HMO, our Health Maintenance Organization (HMO) for CHOP members who work in New Jersey or live in a non-contiguous county outside of the service counties which border the licensed counties in which Keystone Health Plan East operates, provides a complete range of medical benefits through a select group of doctors and hospitals. Your overall medical needs are coordinated by one family doctor or pediatrician, the primary care physician (PCP). All specialty care needs are referred by your PCP. Our wide network of participating physicians and hospitals in Pennsylvania, New Jersey, and Delaware make the HMO an easy-to-use and cost-effective program for you.

Features of AmeriHealth HMO

  • NCQA accreditation — AmeriHealth HMO has received the highest standard of measurement from NCQA: Excellent.
  • Choose a PCP from our large network of more than 30,000 doctors and nearly 200 hospitals.
  • All referrals for specialty care are coordinated by the PCP.
  • Preventive care for children and adults is included.
  • Direct Access OB/GYNSM — no referrals are required to see a network OB/GYN for routine or maternity care.¹
  • Well-being programs, including fitness reimbursement and discounts on alternative health care services, are available at no additional cost.
  • Enhanced programs to control and manage chronic conditions are included.
  • Comprehensive benefits are provided for students and travelers out of the area.

Benefit Information