Background Information
The New Jersey Department of Health and Senior Services developed this report with the cooperation of the New Jersey health plans. The Department was guided by an advisory group representing health plans, health care purchasers, providers and consumers.
There are two types of health plans presented in this report-health maintenance organizations (HMOs) and point-of-service (POS) plans. See details about how HMOs and POS plans work.
This report contains information on the following health plans:
| Health Plan | Shown in this Report |
| Aetna U.S. Healthcare-New Jersey | Aetna USHC HMO Aetna USHC POS |
| AmeriHealth, Inc. | AmeriHealth HMO AmeriHealth POS |
| CIGNA HealthCare of New Jersey, Inc. | CIGNA-NJ HMO CIGNA-NJ POS |
| Horizon Healthcare of New Jersey, Inc.1 | Horizon HMO |
| Oxford Health Plans-New Jersey, Inc. | Oxford HMO Oxford POS |
| Physicians Health Services of New Jersey, Inc.2 | PHS-NJ HMO PHS-NJ POS |
| Prudential HealthCare-New Jersey | Prudential HMO Prudential POS |
| United Healthcare of New Jersey, Inc. | United-NJ HMO United-NJ POS |
1 Previously known as HMO Blue.
2 Physicians Health Services of New Jersey, Inc. merged with First Option Health Plan of New Jersey, Inc. on January 1, 1999. The PHS measures also include First Option members.
This report covers the performance of HMOs and POS plans in New Jersey with large commercial enrollments. These plans cover 97 percent of the State's total commercial enrollment. This report does not cover the performance of health plans that serve Medicare or Medicaid beneficiaries. See ways to get information on Medicare and Medicaid plans.
To obtain additional copies of this report, please contact the Office of Managed Care, Department of Health and Senior Services, P.O. Box 360, Trenton, New Jersey 08625-0360, phone (888) 393-1062, fax (609) 633-0807. There is a charge for multiple copies. The report can be requested by e-mail: hmo@doh.state.nj.us.
This document may only be reproduced in its entirety. No portion of this document may be reproduced without the permission of the New Jersey Department of Health and Senior Services.
© 1999 New Jersey Department of Health and Senior Services.
