Plan Options
Shamong Township Schools

Our medical, prescription, and dental plans are offered to eligible employees as follows. See the below materials for outlines of plan benefits and provisions for eligible employees.

Medical Plans: Aetna SHIF / Horizon OMNIA

Prescription: BeneCard PBF

Dental: Delta Dental


Medical / Prescription Simplified Comparison


Medical Plans:

Aetna Choice POS II $15 / Horizon Direct Access $15 Comparison

Aetna Choice POS II $15/$25 / Horizon Direct Access $15/$25 Comparison

Aetna QPOS $10 / Horizon POS $10 Comparison

Horizon OMNIA Simplified Overview

Aetna Choice POS II NJEHP Simplified Overview

Aetna DocFind Instructions (Reminder: the Horizon OMNIA network remains the same)

Aetna Discounts & Savings Brochure


Prescription Plans:

BeneCard PBF Group 1 ($10 preferred / $3 generic retail copay)

BeneCard PBF Group 2 ($16 preferred / $7 generic / $35 non-preferred retail copay)

BeneCard Group 3 ($18 preferred / $3 generic / $46 non-preferred retail copay)

NJEHP members: confirm coverage for prescriptions by contacting BeneCard PBF customer service at (877) 723-6005.

NJEHP 2021 Performance Formulary

NJEHP Plan Brochure


Dental Plans:

Delta Dental PPO Plus Premier Booklet

Delta Dental PPO Plus Premier Overview


If you are enrolled in the Horizon OMNIA plan, note the below about the Pediatric Vision benefit:

- Davis Vision administers the Pediatric Vision benefit on behalf of Horizon BCBSNJ.
- This is an in-network benefit; members must visit a provider in the Davis Vision network to have services covered.
- Dependents up to age 19 are eligible for the benefit.
- Benefits renew every 12 months.
- A routine eye exam, including dilation, is available with $0 copay.
- The Davis Vision collection of frames is included with this benefit.
- If a member obtains frames elsewhere, there is a maximum allowance of $150 for frames or contacts.
- The benefit includes clear plastic, single-vision, lined bifocal, trifocal, or lenticular lenses.
- Present your Horizon BCBSNJ medical ID card to the provider, who will call Davis Vision to confirm eligibility.
- Go to www.davisvision.com/members and insert Client Code 3164 to access the Member Portal.
- Search for in-network providers, find benefits and forms, and more at the Member Portal.