KBenefits
Insurance - Medicare - Retirement

Member Health Plan / Aetna

Benefits and Claims:     1-866-603-9961
Aetna One Advocate:    1-833-982-7368
Billing Department:       1-833-MewaNow, option 5
Carrier website:             
MembersHealthPlanNJ.com
Member Portal:              Aetna.com - use your Member ID number to register.

Detailed Plan Summaries
SBC - Summary of Benefits and Coverages:

Members Health plan / Aetna:  Click Here

Member Services:  
Aetna Care Advocate team member at
1-833-982-7368.  
Members have access to Aetna’s suite of programs and tools:

  • Aetna One Advocate (A1A)
  • Member Engagement Platform
  • Teladoc – Telemedicine
  • Informed Health Line
  • Member website
  • Member mobile experience

 

Visit MembersHealthPlanNJ.com for:

  • Carrier info
  • Billing
  • Benefits
  • Claims
  • Network search

Network Doctors and Hospitals?

Find a Members Health Plan/Aetna Doctor and Hospital Locator:  Click Here


 

Which Aetna network is associated with my Benefit Plan:

  • Aetna  Open Access Select:     Plans F, H, J, K, O, S, T, U, V, W
  • Aetna Choice® POS II Open Access:      Plans A, B, D, G, L, P, R (NJ)
  • Aetna Whole Health -  NJ Aetna Select Multi-Tier:    Plans M, N, X, Y, Z

     

Aetna Open Access Select:    For Plans:   F H J K O S T U V W
Instructions:

1) Continue as Guest:  Enter Zipcode

2) Network:  Go to Drop-down:  OPEN ACCESS PLANS...selection:  Aetna Select (open access).

3) Search



 

Aetna Choice POS II Open Access    For Plans:    A, B, D, G, L, P, R
Instructions:

1) Continue as Guest:  Enter Zipcode

2) Network:  Go to Drop-down:  OPEN ACCESS PLANS:   Aetna Choice® POS II Open Access

3) Search

 



 

Aetna Whole Health -NJ Aetna Select Multi-Tier:   For Plans:   X Y Z M N
Instructions:
1) Continue as Guest:  Enter Zipcode

2) Network:    (NJ) Aetna Whole Health- NJ- Aetna Select Multi-Tier
3) Search

 

T1 - Aetna Whole Health Network Multi-Tier   /   T2 - Aetna Open Access Select


 

Aetna Whole Health Hospital Map
2020 - Whole Health Hosp Map.pdf
Adobe Acrobat document [1.4 MB]

Billing:  1-833-MewaNow, option 5

Billing Address:

Regular Mail:                                              Overnight Mail:                               
APEMT/Members Health Plan NJ         Bank of America Lockbox Services                               
P.O. Box 412491                                          APEMT/Members Health Plan NJ

Boston, MA 02241-2491 
                           Lockbox# 412491    MA5-527-02-07 ,
                                                                     2 Morrissey Blvd.
                                                                     Dorchester, MA 02125                                                                                         

Association Requirements:

I. Employer Groups:  EANJ - Employers Assocation of NJ. 
Learn more about becoming an 
EANJ Member Members, Once a Member, employers if eligible have access to the health plan administered by Aetna.

 

II.  Physicians and Medical Practices must provide documentation that they are members of one of the following organizations:

  • Medical Society of New Jersey
  • CentraState Medical Center
  • IPA of North Jersey
  • Trinitas Hospital Medical Staff
  • Mountainside IPA
  • Northwest Physician Organization, Inc.
  • The Medical & Dental Staff of Hackensack Meridian Health. 

 

III.  Employer Groups with an industry classification related to the Medical field are 

eligible through the following organization:

  • Medical Society of New Jersey & Corporate Partner Program for non-physician and D.O. groups.  Click here to learn more about becoming a MSNJ Corporate Sponsor


IV.  Employer Groups with an industry classification related to the Biotechnology or pharmaceutical research and development, manufacturing, diagnostics, drug discovery and technology transfer companies must be a member of the following organization: 

 

V.  Employer Groups that enroll in one of the “Aetna Whole Health Plans” (M,N,X,Y,Z) AND are located in the Monmouth County" area are eligible through one of the following Chambers of Commerce:

  • Greater Monmouth Chamber of Commerce;
  • Howell Chamber of Commerce;
  • Jackson Township Chamber of Commerce  

 

 

Eligibility & Underwriting:: 
Refer to the Underwriting Guidelines located on the Members Health Plan NJ website to confirm eligibility requirements at 
www.MembersHealthplanNJ.com.

KBenefits, LLC
Christopher S. Kudryk
Call:  732-333-1976
Fax:   732-444-5971
chris@kbenefits.com

 

 

Healthcare.gov
Chris Kudryk
NPN: #7990501

 

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