Notice
We’re experiencing a high volume of calls and emails, causing delays in response times. We apologize for any inconvenience and appreciate your patience.
On November 19th, the Call Center will be open from 8:00 AM to 11:45 AM ET due to team training.
To view benefit information and claim status at any time, you can sign into your account or use our Interactive Voice Response System 24/7 at 800-452-9310.
Individual and Family Plan Updates
Effective June 1, 2025 for new sales and renewals
Current Portfolio Changes
-
NJ Premium (PPO Plus Premier)
- New four-tier rate structure
- CYM increased from $2,000 to $2,500
- New lower rates for all tiers
- Enhancements including teeth whitening, composite (white) fillings, veneers, and nightguards
-
NJ Clear (PPO Plus Premier, in-network only)
- Three-band rate structure (no change)
- Rate increase for 0-25, no change for 26-50, and rate decrease for ages 51+
-
NJ Enhanced (PPO Plus Premier)
- Closed to new members; renewals only
- New four-tier rate structure
- New lower rates for all tiers
- Enhancements including teeth whitening and composite (white) fillings for existing members
-
NJ Classic (PPO Plus Premier)
- New four-tier rate structure
- Reduced rates for Family coverage tier (Individual + Spouse + Child(ren))
- Increased rates for all other tiers
- Enhancements including teeth whitening and composite (white) fillings
New Plans
-
Choice 5000 (PPO Plus Premier)
- Four-tier rate structure
- $5,000 CYM
-
NJ Progressive (PPO Plus Premier)
- Four-tier rate structure
- Benefits increase annually over three years
-
NJ Enhanced with Ortho (PPO Plus Premier)
- Four-tier rate structure
- Ortho benefit: $1,500 lifetime benefit maximum separate from annual CYM
- Enhancements including teeth whitening and composite (white) fillings
Note: There are no changes for 2025 with Family PPO I, II, and III plan rates and benefits.
