Choice is back
Equal benefits. Bigger networks.
Personalized care.
State of New Jersey
2024 State Health Benefits Program (SHBP)
Local Government
AetnaStateNJ.com
As an SHBP member, you’re committed to making
New Jersey and its local communities a great place
to live, work and raise a family. You’ve earned —
and deserve — the best benefits available.
That’s why Aetna® offers health benefits that are every bit as
big as your commitment. It’s health care that supports the
whole you, and the ones you love.
All of our medical plans are designed around your
total well-being — from prevention and fitness, to your
physical care and mental wellness.
And our large national network of trusted providers means
you have more options than ever to find the care you need,
both within New Jersey and when you’re on the go.
Total
wellness
for the whole you
Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies,
including Aetna Life Insurance Company (Aetna).
2
Special Open Enrollment
As part of a Special Open Enrollment period, you’ll have the chance to switch to an Aetna medical plan
during the month of April.
Questions? Call the Special Open Enrollment helpline at 1-833-398-0768 (TTY: 711), Monday through Friday,
8 AM to 6 PM ET. If you want to make a plan change, log in to mynjbenefitshub between April 1 and
April 30, 2024, through your myNewJersey account or via mynjbenefitshub.nj.gov.
Plan options
3
Plan options
It’s your choice
As you review your Aetna® medical plan options, remember that all of our plans cover the same services
and include the same programs and support.
When you think about your out-of-pocket costs, consider how
much you’ll pay each month for coverage, whether you’ll need
to meet an annual deductible, and how much you’ll owe when
you see a doctor, get lab work, need urgent care and more.
Also think about whether you’re okay staying within a provider
network to keep your costs lower, or if you want to be able to
visit providers outside of your plan’s network when you need
care. With all Aetna plans, you’ll have unrivaled access to
quality care, whether locally or across the country.
Of course, in a true emergency, you’ll be covered regardless of
a provider’s network status. And with all of our medical plans,
preventive care is covered at 100% with no deductible when
you use an in-network provider.
Liberty Plus plan
This is a new kind of plan that
gives you more ways to save
and stay healthy, without
compromising quality. When
you need care, you have two
“tiers” of providers to choose
from: Tier 1 providers are part of
the Aetna Premier Care Network
Plus, and Tier 2 providers are
part of the nationwide Open
Access Aetna Select℠ network.
You’ll save money when stay
within the Tier 1 network for
care. With this plan, no referrals
are required, and there’s no
out-of-network coverage.
To learn more about these plan options, see the charts on the following pages.
Freedom plans
With these plans, you have
access to the Aetna Choice®
POS II network when you need
care. This is our broadest
nationwide provider network.
You’ll still have the option to go
outside the network for care,
but your costs will be higher
when you do. Choose from
several Freedom plans, each
with different copays, including
two high-deductible health
plan (HDHP) options. You can
pair an HDHP with a Health
Savings Account (HSA) and set
aside pretax earnings to help
pay your out-of-pocket health
care expenses.
HMO plan
This plan is ideal if you want
fixed, predictable costs. It’s an
in-network-only plan, which
means you’ll need to use
providers within the nationwide
Aetna Select network in order
to receive coverage. Each
member will have to select a
primary care physician (PCP)
to guide their treatment, and
referrals are required to see a
specialist.
To calculate your health insurance premium or
find a provider, visit AetnaStateNJ.com.
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Plan options
Liberty Plus Tiered Network Freedom – employees hired prior to 7/1/2019
Benefit Tier 1 Tier 2 – Nationwide In network Out of network
Medical network APCN+ Multi-Tier Open Access Aetna Select℠ Aetna Choice® POS II
Deductible
Individual $0 $1,500 $0 $400
Family $0 $3,000 $0 $1,000
Coinsurance 0% 20% 10%
1
30%
Coinsurance maximum out of pocket
Individual n/a n/a $800 $2,000
Family n/a n/a $2,000 $5,000
Total maximum out of pocket
Individual $2,500 $4,500 $7,560 $2,000
Family $5,000 $9,000 $15,120 $5,000
Doctors’ office visits: primary care physician selection not required
Primary care office visit $5 $20 $15 30% after deductible
Specialist office visit $15 $30 $15 30% after deductible
Diagnostic procedures
Freestanding lab/radiology/
advanced imaging
$0 $0 $0 30% after deductible
Outpatient lab/radiology/
advanced imaging
$15 20% after deductible $0 30% after deductible
Hospital care
Inpatient admission $150 per admission 20% after deductible $0 $500/stay plus 30%
after deductible
Outpatient department
services/surgery
$150 20% after deductible $0 30% after deductible
Emergency care
Emergency room $100 $100 $150
2
$150
Ambulance $0 $0 10% 30% after deductible
Urgent care $15 $30 $15 30% after deductible
Other services
Acupuncture $15 20% after deductible $15 30% after deductible;
lesser of $60/visit or
75% of INN cost/visit
Short-term therapies:
Physical, occupational,
speech, respiratory
$5 office visit/$15
outpatient facility
$20 office visit/20%
after deductible at
outpatient facility
$15 30% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
PT/OT/SP limits 30-visit maximum each per calendar year Based on medical necessity
Chiropractic care $15 $30 $15 30% after deductible;
lesser of $35/visit or
75% of INN cost/visit
Chiropractic limits 25-visit maximum per calendar year 30-visit maximum per calendar year
Durable medical equipment $0 $0 10% 30% after deductible
Out-of-network
reimbursement
No out-of-network coverage 175% of CMS
• INN cost = in-network cost
• Retiree plan options are available at NJ.gov/treasury/pensions/hb-retired-shbp.shtml.
• This is not a complete list of covered services. Exclusions and limitations apply to some services.
Visit NJ.gov/treasury/pensions/member-guidebooks.shtml for more information.
1
On select services (durable medical equipment, prosthetics, orthotics, oxygen, private duty nursing, ambulance).
2
Lower copayment applies to children under 19 and physician referrals.
5
Plan options
Freedom 2019 – new hires on or after 7/1/2019 Freedom 10
Benefit In network Out of network In network Out of network
Medical network Aetna Choice® POS II Aetna Choice® POS II
Deductible
Individual $100 $400 $0 $100
Family $0 $1,000 $0 $250
Coinsurance 10%
1
30% 10%
1
20%
Coinsurance maximum out of pocket
Individual $800 $2,000 $400 $2,000
Family $2,000 $5,000 $1,000 $5,000
Total maximum out of pocket
Individual $7,560 $2,000 $400 $2,000
Family $15,120 $5,000 $1,000 $5,000
Doctors’ office visits: primary care physician selection not required
Primary care office visit $15 30% after deductible $10 20% after deductible
Specialist office visit $15 30% after deductible $10 20% after deductible
Diagnostic procedures
Freestanding lab/radiology/
advanced imaging
$0 30% after deductible $0 20% after deductible
Outpatient lab/radiology/
advanced imaging
$0 30% after deductible $0 20% after deductible
Hospital care
Inpatient admission $0 $500/stay plus 30%
after deductible
$0 $200/stay plus 20%
after deductible
Outpatient department
services/surgery
$0 30% after deductible $0 20% after deductible
Emergency care
Emergency room $150
2
$150 $75
2
$75
Ambulance 10% after deductible 30% after deductible 10% 20% after deductible
Urgent care $15 30% after deductible $10 20% after deductible
Other services
Acupuncture $15 30% after deductible;
lesser of $60/visit or
75% of INN cost/visit
$10 20% after deductible;
lesser of $60/visit or
75% of INN cost/visit
Short-term therapies:
Physical, occupational,
speech, respiratory
$15 30% after deductible;
lesser of $52/visit or
75% of INN cost/visit
$10 20% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
PT/OT/SP limits Based on medical necessity Based on medical necessity
Chiropractic care $15 30% after deductible;
lesser of $35/visit or
75% of INN cost/visit
$10 20% after deductible;
lesser of $35/visit or
75% of INN cost/visit
Chiropractic limits 30-visit maximum per calendar year 30-visit maximum per calendar year
Durable medical equipment 10% after deductible 30% after deductible 10% 20% after deductible
Out-of-network
reimbursement
175% of CMS 90% of FAIR Health national
• INN cost = in-network cost
1
On select services (durable medical equipment, prosthetics, orthotics, oxygen, private duty nursing, ambulance).
2
Lower copayment applies to children under 19 and physician referrals.
6
Plan options
Freedom 15 Freedom 1525
Benefit In network Out of network In network Out of network
Medical network Aetna Choice® POS II Aetna Choice® POS II
Deductible
Individual $0 $100 $0 $100
Family $0 $250 $0 $250
Coinsurance 10%
1
30% 10%
1
30%
Coinsurance maximum out of pocket
Individual $400 $2,000 $400 $2,000
Family $1,000 $5,000 $1,000 $5,000
Total maximum out of pocket
Individual $7,560 $2,000 $7,560 $2,000
Family $15,120 $5,000 $15,120 $5,000
Doctors’ office visits: primary care physician selection not required
Primary care office visit $15 30% after deductible $15 30% after deductible
Specialist office visit $15 30% after deductible $25 30% after deductible
Diagnostic procedures
Freestanding lab/radiology/
advanced imaging
$0 30% after deductible $0 30% after deductible
Outpatient lab/radiology/
advanced imaging
$0 30% after deductible $0 30% after deductible
Hospital care
Inpatient admission $0 $200/stay plus 30%
after deductible
$0 $200/stay plus 30%
after deductible
Outpatient department
services/surgery
$0 30% after deductible $0 30% after deductible
Emergency care
Emergency room $100
2
$100 $100
2
$100
Ambulance 10% 30% after deductible 10% 30% after deductible
Urgent care $15 30% after deductible $25 30% after deductible
Other services
Acupuncture $15 30% after deductible;
lesser of $60/visit or
75% of INN cost/visit
$25 30% after deductible;
lesser of $60/visit or
75% of INN cost/visit
Short-term therapies:
Physical, occupational,
speech, respiratory
$15 30% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
$25 30% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
PT/OT/SP limits Based on medical necessity Based on medical necessity
Chiropractic care $15 30% after deductible;
lesser of $35/visit or
75% of INN cost/visit
$25 30% after deductible;
lesser of $35/visit or
75% of INN cost/visit
Chiropractic limits 30-visit maximum per calendar year 30-visit maximum per calendar year
Durable medical equipment 10% 30% after deductible 10% 30% after deductible
Out-of-network
reimbursement
90% of FAIR Health national 90% of FAIR Health national
• INN cost = in-network cost
1
On select services (durable medical equipment, prosthetics, orthotics, oxygen, private duty nursing, ambulance).
2
Lower copayment applies to children under 19 and physician referrals.
7
Plan options
Freedom 15 Freedom 1525
Benefit In network Out of network In network Out of network
Medical network Aetna Choice® POS II Aetna Choice® POS II
Deductible
Individual $0 $100 $0 $100
Family $0 $250 $0 $250
Coinsurance 10%
1
30% 10%
1
30%
Coinsurance maximum out of pocket
Individual $400 $2,000 $400 $2,000
Family $1,000 $5,000 $1,000 $5,000
Total maximum out of pocket
Individual $7,560 $2,000 $7,560 $2,000
Family $15,120 $5,000 $15,120 $5,000
Doctors’ office visits: primary care physician selection not required
Primary care office visit $15 30% after deductible $15 30% after deductible
Specialist office visit $15 30% after deductible $25 30% after deductible
Diagnostic procedures
Freestanding lab/radiology/
advanced imaging
$0 30% after deductible $0 30% after deductible
Outpatient lab/radiology/
advanced imaging
$0 30% after deductible $0 30% after deductible
Hospital care
Inpatient admission $0 $200/stay plus 30%
after deductible
$0 $200/stay plus 30%
after deductible
Outpatient department
services/surgery
$0 30% after deductible $0 30% after deductible
Emergency care
Emergency room $100
2
$100 $100
2
$100
Ambulance 10% 30% after deductible 10% 30% after deductible
Urgent care $15 30% after deductible $25 30% after deductible
Other services
Acupuncture $15 30% after deductible;
lesser of $60/visit or
75% of INN cost/visit
$25 30% after deductible;
lesser of $60/visit or
75% of INN cost/visit
Short-term therapies:
Physical, occupational,
speech, respiratory
$15 30% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
$25 30% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
PT/OT/SP limits Based on medical necessity Based on medical necessity
Chiropractic care $15 30% after deductible;
lesser of $35/visit or
75% of INN cost/visit
$25 30% after deductible;
lesser of $35/visit or
75% of INN cost/visit
Chiropractic limits 30-visit maximum per calendar year 30-visit maximum per calendar year
Durable medical equipment 10% 30% after deductible 10% 30% after deductible
Out-of-network
reimbursement
90% of FAIR Health national 90% of FAIR Health national
• INN cost = in-network cost
1
On select services (durable medical equipment, prosthetics, orthotics, oxygen, private duty nursing, ambulance).
2
Lower copayment applies to children under 19 and physician referrals.
Freedom 2030 Freedom 2035
Benefit In network Out of network In network Out of network
Medical network Aetna Choice® POS II Aetna Choice® POS II
Deductible
Individual $0 $200 $200 $800
Family $0 $500 $500 $2,000
Coinsurance 10%
1
30% 20% 40%
Coinsurance maximum out of pocket
Individual $800 $5,000 $2,000 $6,500
Family $2,000 $12,500 $5,000 $13,000
Total maximum out of pocket
Individual $7,560 $5,000 $7,560 $6,500
Family $15,120 $12,500 $15,120 $13,000
Doctors’ office visits: primary care physician selection not required
Primary care office visit $20 30% after deductible $20 40% after deductible
Specialist office visit $30 adult/$20 child
2
30% after deductible $35 40% after deductible
Diagnostic procedures
Freestanding lab/radiology/
advanced imaging
$0 30% after deductible 20% after deductible 40% after deductible
Outpatient lab/radiology/
advanced imaging
$0 30% after deductible 20% after deductible 40% after deductible
Hospital care
Inpatient admission $0 $500/stay plus 30%
after deductible
20% after deductible $600 copay plus 40%
after deductible
Outpatient department
services/surgery
$0 30% after deductible 20% after deductible 40% after deductible
Emergency care
Emergency room $125 $125 $300 $300
Ambulance 10% 30% after deductible 20% after deductible 40% after deductible
Urgent care $30 adult/$20 child
2
30% after deductible $35 40% after deductible
Other services
Acupuncture $30 adult/$20 child
2
30% after deductible;
lesser of $60/visit or
75% of INN cost/visit
$35 40% after deductible;
lesser of $60/visit or
75% of INN cost/visit
Short-term therapies:
Physical, occupational,
speech, respiratory
$30 adult/$20 child
2
30% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
$35 copay/20% after
deductible for outpatient
facility
40% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
PT/OT/SP limits Based on medical necessity Based on medical necessity
Chiropractic care $30 adult/$20 child
2
30% after deductible;
lesser of $35/visit or
75% of INN cost/visit
$35 40% after deductible;
lesser of $35/visit or
75% of INN cost/visit
Chiropractic limits 30-visit maximum per calendar year 30-visit maximum per calendar year
Durable medical equipment 10% 30% after deductible 20% after deductible 40% after deductible
Out-of-network
reimbursement
90% of FAIR Health national 90% of FAIR Health national
• INN cost = in-network cost
1
On select services (durable medical equipment, prosthetics, orthotics, oxygen, private duty nursing, ambulance).
2
Dependent children under 26
8
Plan options
Freedom HDLow Freedom HDHigh
Benefit In network Out of network In network Out of network
Medical network Aetna Choice® POS II Aetna Choice® POS II
Deductible
Individual $1,600* $1,600* $4,100* $4,100*
Family $3,200* $3,200* $8,200* $8,200*
Coinsurance 20% 40% 20% 40%
Coinsurance maximum out of pocket
Individual $1,000 $3,600 $1,000 $6,100
Family $2,000 $7,200 $2,000 $12,200
Total maximum out of pocket
Individual $2,600 $3,600 $5,100 $6,100
Family $5,200 $7,200 $10,200 $12,200
Doctors’ office visits: primary care physician selection not required
Primary care office visit 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Specialist office visit 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Diagnostic procedures
Freestanding lab/radiology/
advanced imaging
20% after deductible 40% after deductible 20% after deductible 40% after deductible
Outpatient lab/radiology/
advanced imaging
20% after deductible 40% after deductible 20% after deductible 40% after deductible
Hospital care
Inpatient admission 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Outpatient department
services/surgery
20% after deductible 40% after deductible 20% after deductible 40% after deductible
Emergency care
Emergency room 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Ambulance 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Urgent care 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Other services
Acupuncture 20% after deductible 40% after deductible;
lesser of $60/visit or
75% of INN cost/visit
20% after deductible 40% after deductible;
lesser of $60/visit or
75% of INN cost/visit
Short-term therapies:
Physical, occupational,
speech, respiratory
20% after deductible 40% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
20% after deductible 40% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
PT/OT/SP limits Based on medical necessity Based on medical necessity
Chiropractic care 20% after deductible 40% after deductible;
lesser of $35/visit or
75% of INN cost/visit
20% after deductible 40% after deductible;
lesser of $35/visit or
75% of INN cost/visit
Chiropractic limits 30-visit maximum per calendar year 30-visit maximum per calendar year
Durable medical equipment 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Out-of-network
reimbursement
90% of FAIR Health national 90% of FAIR Health national
*In- and out-of-network deductible combined; includes eligible prescription drug cost-shares.
• INN cost = in-network cost
9
Plan options
Freedom HDLow Freedom HDHigh
Benefit In network Out of network In network Out of network
Medical network Aetna Choice® POS II Aetna Choice® POS II
Deductible
Individual $1,600* $1,600* $4,100* $4,100*
Family $3,200* $3,200* $8,200* $8,200*
Coinsurance 20% 40% 20% 40%
Coinsurance maximum out of pocket
Individual $1,000 $3,600 $1,000 $6,100
Family $2,000 $7,200 $2,000 $12,200
Total maximum out of pocket
Individual $2,600 $3,600 $5,100 $6,100
Family $5,200 $7,200 $10,200 $12,200
Doctors’ office visits: primary care physician selection not required
Primary care office visit 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Specialist office visit 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Diagnostic procedures
Freestanding lab/radiology/
advanced imaging
20% after deductible 40% after deductible 20% after deductible 40% after deductible
Outpatient lab/radiology/
advanced imaging
20% after deductible 40% after deductible 20% after deductible 40% after deductible
Hospital care
Inpatient admission 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Outpatient department
services/surgery
20% after deductible 40% after deductible 20% after deductible 40% after deductible
Emergency care
Emergency room 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Ambulance 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Urgent care 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Other services
Acupuncture 20% after deductible 40% after deductible;
lesser of $60/visit or
75% of INN cost/visit
20% after deductible 40% after deductible;
lesser of $60/visit or
75% of INN cost/visit
Short-term therapies:
Physical, occupational,
speech, respiratory
20% after deductible 40% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
20% after deductible 40% after deductible for
speech and occupational
therapy; lesser of $52/
visit or 75% of INN cost/
visit for physical therapy
PT/OT/SP limits Based on medical necessity Based on medical necessity
Chiropractic care 20% after deductible 40% after deductible;
lesser of $35/visit or
75% of INN cost/visit
20% after deductible 40% after deductible;
lesser of $35/visit or
75% of INN cost/visit
Chiropractic limits 30-visit maximum per calendar year 30-visit maximum per calendar year
Durable medical equipment 20% after deductible 40% after deductible 20% after deductible 40% after deductible
Out-of-network
reimbursement
90% of FAIR Health national 90% of FAIR Health national
*In- and out-of-network deductible combined; includes eligible prescription drug cost-shares.
• INN cost = in-network cost
HMO
Benefit In network
Medical network Aetna Select℠
Deductible
Individual $0
Family $0
Coinsurance 0%
Coinsurance maximum out of pocket
Individual n/a
Family n/a
Total maximum out of pocket
Individual $7,560
Family $15,120
Doctors’ office visits: primary care physician selection required
Primary care office visit $10
Specialist office visit $10
Diagnostic procedures
Freestanding lab/radiology/
advanced imaging
$0
Outpatient lab/radiology/
advanced imaging
$0
Hospital care
Inpatient admission $0
Outpatient department
services/surgery
$0
Emergency care
Emergency room $85
1
Ambulance $0
Urgent care $10
Other services
Acupuncture Not covered
Short-term therapies:
Physical, occupational,
speech, respiratory
$10
PT/OT/SP limits 60-visit maximum per calendar year
Chiropractic care $10
Chiropractic limits 20-visit maximum per calendar year
Durable medical equipment $100 deductible
No out-of-network coverage
1
Dependent children under 26
10
Care management/Behavioral health
A focus on the whole you
From physical health to mental well-being, and from chronic condition support to everyday wellness,
we create seamless connections to simplify your journey. We want to take the frustration out of health care
and help you get what you want, when you want it, how you want it.
Care management
If you’re managing a chronic condition, such as diabetes or
high blood pressure, or facing a complex health challenge,
we’ve got your back. With our care management program,
you’ll work one-on-one with a registered nurse. They can help
you put together a personalized care plan, find the providers
and resources you need, and answer your questions.
Think of your nurse as your dedicated health advocate —
there to help you stay on track, stay well and use your Aetna®
resources to the fullest.
Aetna Compassionate Care℠
If you or a covered family member is facing an advanced
illness, this program offers extra help and guidance. You’ll be
paired with an Aetna nurse care manager, who will support you
and your caregiver with both your physical and emotional
needs.
They’ll help you coordinate care, access resources, manage
your benefits and more. And if hospice care becomes
necessary, they’ll help arrange those services, too.
11
Care management/Behavioral health
Behavioral health care
Your Aetna® medical plan supports both your physical needs and your mental wellness, with behavioral health resources built
right in. Now, more than ever, we want to help you stay well in body and mind.
You’ll have access to a large network of behavioral health providers, including psychiatrists, psychologists, therapists and family
counselors. And you can schedule sessions in person or virtually, for short- or long-term care.
Once you’re an Aetna member, you’ll be able to call Aetna Behavioral Health or go online to get help finding a solution for your
specific needs — whether you’re struggling with anxiety or depression, everyday stress or relationship issues, or need help
overcoming an addiction.
Here are just a few of the behavioral health programs available to you:
AbleTo
An eight-week virtual program to help you better deal with a recent medical diagnosis or other life events
Brightline
Virtual support and digital tools for kids and teens
Workit Health
Different levels of support for substance misuse and other addictive behaviors
12
Care options
Connecting to care
We know that “one size fits all” no longer applies to how you access care. That’s why we give you
choices — both with our extensive provider networks, and with the following care options. In person,
virtually or by phone. . . you decide what works best for you.
Direct Primary Care
Aetna® members have access
to Direct Primary Care with
New Jersey SHBP care
providers. You can access this
service for nearly all of your
primary care needs, with both
in-person and virtual options.
It’s a cost-effective choice for
ongoing primary care for you
and your family. Your Direct
Primary Care providers will also
coordinate your care with other
providers to help ensure you get
the best care possible.
Teladoc Health
When you need care in a hurry
— even if you’re away from
home or it’s the middle of the
night — you can connect with
Teladoc Health in minutes.
You’ll have 24/7 access to a
board-certified primary care
doctor by phone or video. They
can diagnose and treat many
non-emergency medical issues,
and even order a prescription to
your local pharmacy if needed.
Here are some of the medical
conditions they can help with:
Allergies
Bronchitis
Cold and flu symptoms
Sinus infections
Sore throat
24-Hour Nurse Line
Not sure where to go for care?
Want to know more about a
medical diagnosis? Need help
preparing for a doctor visit?
You can talk with a registered
nurse anytime by calling our
24-Hour Nurse Line. Our nurses
can provide information and
support on a wide variety of
health topics — at no extra cost
to you.
13
Aetna® extras
Wellness perks and rewards
When you feel good, you can live life to the fullest. That’s why our medical plans focus on your total
wellness, supporting you when you’re sick or injured, and helping you stay well. These wellness perks can
help you get healthy, stay healthy, save money — even earn a reward.
Healthy Lifestyle Coaching
Whether you want to lose weight, exercise more, reduce your
stress, quit smoking or sleep better, this digital coaching
program can help you take charge of your health.
Aetna fitness reimbursement
Aetna members age 18 and older covered under the medical
plan can earn a fitness reimbursement every month. Stay
active and log your physical activity to earn a monthly $20
reward, up to $240 per year.
Aetna discounts
As an Aetna member, you’ll enjoy healthy discounts that are
automatically included as part of your medical plan. These
discounts are in addition to your plan benefits and can help you
save on products and services you use every day, including:
Eyewear
Hearing aids
Natural products and services
NJWELL — earn a $250 reward*
Of course, all of the Aetna plans include the NJWELL program
to help you earn a $250* reward each year for taking healthy
actions. Active employees and covered spouses can earn this
reward.
Here’s how the program works: There are two required
activities — completing a health assessment and a biometric
screening — that are worth 100 points each. Then you can
earn 600 more points by completing your annual preventive
care and participating in wellness activities. When you reach
800 points, you’ll earn the $250 reward.*
This program runs annually from November 1–October 31.
* For SHBP members, the reward is $350 if enrolled in these plans: Freedom/Freedom 2019, CWA Unity Freedom/
CWA Unity Freedom 2019, Aetna HMO, Aetna Liberty Plus and the HDHPs; the reward is $250 for all other plans.
14
We’re here to help
Call us with any questions to get the personalized support and answers you need.
Questions? Call the Special Open Enrollment helpline at 1-833-398-0768 (TTY: 711),
Monday through Friday, 8 AM to 6 PM ET, March 12 to June 30, 2024.
If you want to make a plan change, log in to mynjbenefitshub between April 1 and
April 30, 2024, through your myNewJersey account or via mynjbenefitshub.nj.gov.
Once you’re a member, here’s how to stay connected:
15
Call
Call your Aetna Concierge
Service Team at
1-877-StateNJ
(1-877-782-8365) (TTY: 711),
Monday through Friday,
8 AM to 6 PM ET.
They can help you better
understand your benefits,
find a provider, access
resources, answer claims
questions — and more.
Visit
Visit AetnaStateNJ.com to
calculate your premium,
use the provider search
tool, get plan and program
details, find forms — even
link to your Aetna member
website for personalized
plan information.
Download
Scan the QR code to download
the Aetna Health℠ app and
access all the great features of
your Aetna member website
from anywhere.
AetnaStateNJ.com
MOD STATENJ-945 Local Gov (3/24) ©2024 Aetna Inc.
Providers are independent contractors and are not agents of Aetna®. Provider participation may change without notice. Health
information programs provide general health information and are not a substitute for diagnosis or treatment by a health care
professional. Discount vendors and providers are not agents of Aetna and are solely responsible for the products and services they
provide. Discount offers are not guaranteed and may be ended at any time. Aetna may get a fee when you buy these discounted
products and services. Teladoc Health is not available to all members. Teladoc Health and Teladoc Health physicians are independent
contractors and are not agents of Aetna. Visit TeladocHealth.com/Aetna for a complete description of the limitations of Teladoc
Health services. Teladoc Health and the Teladoc Health logo are registered trademarks of Teladoc Health, Inc. Refer to Aetna.com for
more information about Aetna plans.
Healthier
happens together®
Questions?
Call us Monday through Friday, 8 AM to 6 PM ET.
For enrollment questions:
Aetna Special Open Enrollment helpline
1-833-398-0768
March 12 to June 30, 2024
For all other questions:
Aetna Concierge
1-877-782-8365 (TTY: 711)
