Education Center

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Understanding Your Coverage

The more you know about your health plan benefits and resources, the easier it is to make the best health care decisions.
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New Jersey has a law, the Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act (the “Act”), to help protect you from surprise bills, including bills for emergency services from doctors, hospitals and other health care professionals who are not in your health plan’s network (also called out-of-network providers). Read questions and answers to help you understand out-of-network care, surprise bills and how the Act can help you.
Refer to the handbook for your health plan.
Find out what an Explanation of Benefits (EOB) is, why it matters and how it can help you keep track of your health care expenditures.
If you need help finding a doctor, understanding your network choices or getting your member information, take a look at these helpful links.
for care in the U.S., Puerto Rico and U.S. Virgin Islands