Official Site of The State of New Jersey

Notices

ACA Transparency in Coverage

The Affordable Care Act (ACA) includes resources to make the health care system more transparent and competitive.

Machine-readable Files

These links lead to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and include negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to access and analyze data more easily.

• Aetna: Machine-readable Files
• Horizon: Machine-readable Files

Click on "Self Insured" and type in "State Health Benefits Program" (NJ DIRECT); "SHBP" or "SEHBP" (HMO and OMNIA)

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Non-Discrimination Statement

Pursuant to federal and state law, members of the State Health Benefits Program and School Employees’ Health Benefits Program are protected from discrimination on the basis of actual or perceived race, religion, national origin, gender, sexual orientation, gender identity or expression, disability, and other protected characteristics. The non-discrimination policy applies to all vendors of the SHBP and SEHBP, including Horizon, Aetna, and Optum.