Medical Benefits

Your health matters. AmeriHealth Caritas Next provides you access to benefits for your todays and your tomorrows — and whatever is next.

Levels of Coverage

Under the Affordable Care Act, there are four levels of coverage on the Health Insurance Marketplace®:

  • Bronze
  • Sliver
  • Gold
  • Platinum

These metal levels have nothing to do with the amount of care or quality of care you receive. The plans in these levels differ based on how the plan shares the cost of care with the member, which is called actuarial value (AV). We offer both On- and Off-Exchange plans.

AmeriHealth Caritas Next offers one gold plan, three silver plans, and two bronze plans. All of these plans cover the 10 essential benefits.

Bronze Plans

The plan with the lowest monthly premium. This plan will work best if you think you will not need a lot of health care services. Learn more about our Bronze Plan (PDF) options:

Summary of benefits

  • Benefits at a Glance – Bronze (PDF)
  • Benefits at a Glance – Expanded Bronze (PDF)

Plan brochures

  • Benefits at a Glance – Bronze Plan brochure (PDF)
  • Benefits at a Glance – Expanded Bronze Plan brochure (PDF)

Silver Plans

The plan that divides the cost between the monthly premiums and out-of-pocket costs when you get health care services. Get more information about our Silver Plan options:

Summary of Benefits

  • Benefits at a Glance – Silver (PDF)
  • Silver Plan brochure (PDF)

Gold Plan

The plan that has a higher monthly premium, but offers you lower out-of-pocket costs. This plan will work best if you need regular health care services.

  • Benefits at a Glance – Gold (PDF)
  • Gold Plan brochure (PDF)

Have questions?

Call Member Services at 1-833-613-2262 (TTY 1-844-214-2471).

For Members