Medical Plan Information - SEHBP - Effective 2/1/24

Medical Plan Information - For January 2024 Only

    • Aetna Medical Benefit Plans & Rates - This document outlines the plans available to employees for the month of January 2024 along with their costs. 

    • Aetna DocFind - This document outlines how to determine if your providers are in-network. If you are not currently enrolled in the district's health care plan, you will need to search as a guest and use the following information to perform an accurate search: 

    New Plan Name

    Search using this Plan Name on Aetna’s website

    Aetna Open Access Managed Choice 10

    Managed Choice POS (Open Access)

    Aetna Open Access Managed Choice 15

    Managed Choice POS (Open Access)

    Aetna NJ Educators Health Plan (NJ EHP)

    Managed Choice POS (Open Access)

    Aetna NJ Garden State Plan (NJ GSP)

    (NJ) Aetna Whole Health New Jersey Choice POS II 4

    Aetna Enrollment Form  - For new employees enrolling in the Medical Benefit Program and employees who need to make a change as a result of a qualifying life-changing event. In section D1 you will need to write the plan you are selecting from the following choices:

    • Aetna Open Access Managed Choice 10 (OAMC 10)  (State Plan Equivalent = NJ DIRECT 10)
    • Aetna Open Access Managed Choice 15 (OAMC 15) (State Plan Equivalent = NJ DIRECT 15)
    • Aetna NJ EHP  (State Plan Equivalent = NJ EHP)
    • Aetna NJ GSP (State Plan Equivalent = NJ GSP)

Prescription Plan Information - For January 2024 Only

  • Aetna’s pharmacy network is a broad national network that includes 66,000  pharmacies nationwide and includes most chains and many independent pharmacies. 

    Mail Order Form

    Search for a Pharmacy (use the "Find a Pharmacy" option)


Cost Information

Flexible Spending Accounts

  • The flex spending limit for 2024 has increased to $3,200 (with a rollover amount up to $640). The dependent care limit remains at $5,000.

Waiving Coverage

  • Due to the anticipated transition to the School Employees' Health Benefits Program on 2/1/24, you may choose to waive coverage for the full calendar year, the month of January 2024 only, or for the time period February through December 2024. Please note that if your alternate coverage is with a plan offered by the state of New Jersey, you will no longer be eligible for a cash incentive payment beginning in February 2024. Proof of valid medical coverage & dependent eligibility is required.   

    • If you experience a qualifying event at any point in the year and choose to waive benefits, the waiver form must be completed and submitted to Manal Fouad ( within 60 days of the qualifying event. It must be accompanied by a copy of your insurance card, or other proof of coverage, and proof of dependent eligibility.

Dental Plan Information

  • Questions about your medical, dental or vision benefits? Please contact:

    Ms. Manal Fouad

    973-663-5780, ext. 5024 ~