PLAN & TELEPHONE #	#002 TRADITIONAL1 1-800-414-7427 www.horizonblue.com	#001 - NJ PLUS www.horizonblue.com		#019 AETNA HMO 1-800-309-2386 www.aetna.com	#020 CIGNA HEALTHCARE HMO 1-800-244-6224 www.cigna.com/health	#028 OXFORD HMO 1-800-760-4566 www.oxfordhealth.com	#033 AMERIHEALTH HMO 1-800-877-9829 www.amerihealth.com	#034 HEALTH NET6 HMO 1-800-441-5741 www.healthnet.com	PLAN & TELEPHONE #
		In-Network 1-800- 414-7427	Out-of-Network1 1-800-414-7427
SERVICE AREA	Unrestricted	All of NJ and FL; Parts of NY and PA	Unrestricted	All of NJ, CT, DE, ME, and Wash.DC; Parts of AZ, FL, IL, IN, MA, MD, NC, NH, NV, NY, OH, PA, TX, and VA	All of NJ, AZ, CT, DE, SC and Washington DC; Parts of CA, FL, GA, MD, NC, NY, PA, VA, and WV,	All of NJ; parts of NY	All of NJ and DE; parts of PA	All of NJ and CT; Parts of NY	SERVICE AREA
PHYSICIAN (SURGERY)	Basic benefit at 100%; balance at 80% after deductible1	100%	70% after deductible	100%	100%	100%	100%	100%	PHYSICIAN (SURGERY)
PHYSICIAN (OFFICE VISITS)	80% after deductible; No coverage for wellcare.	100% after $5 copayment per visit	70% after deductible; No coverage for wellcare	100% after $5 copayment per visit	100% after $5 copayment per visit	100% after $5 copayment per visit	100% after $5 copayment per visit	100% after $5 copayment per visit	PHYSICIAN (OFFICE VISITS)
CHIROPRACTIC CARE	80% after deductible for up to 30 visits per calendar year.	100% after $5 per visit copayment; 30 visits per calendar year; no PCP referral required	70% after deductible for up to 30 visits per calendar year combined in-network and out-of-network	100% up to 20 visits per year $5 per visit copayment; PCP referral required	100% up to 20 visits per year $5 copayment per visit; PCP referral required	100% after $5 per visit copayment, no visit maximum; PCP referral required	100% up to 20 visits per year, no copayment; PCP referral required	100% up to 20 visits per year $5 per visit copayment; no referral needed	CHIROPRACTIC
1Benefits, excluding hospital expenses, are based on the Horizon's discounted provider network allowance or the "reasonable and customary" fee schedule at the 90% percentile. Some State employees may not be eligible for enrollment in the Traditional Plan; see other side of chart for details. 6Referral is not required from a PCP to a participating specialist.