Your Health Plans
North Brunswick Township School District
Our District medical and prescription plans are offered through Aetna and dental is with Delta Dental of New Jersey. A voluntary vision plan through VSP is also available. The below materials outline plan benefits and provisions for eligible employees. If you have questions about your plans, visit the Get Help page for contact information.
New: 2025 Amendment to Plan of Benefits
This amendment does the following:
1) Clarifies the ambulance and recognized charge provisions to conform with Aetna administrative practices and policies.
2) Updates language for weight loss drugs to align with the evolving dynamics in the weight management cycle.
3) Updates the definitions of Skilled Nursing Facility and Residential Treatment Facility to align with the requirements for coverage at those facilities.
4) Includes coverage for blood/blood products when purchased by a facility or a provider (blood has traditionally been supplied free of charge). This change is intended to address this shift in the blood market so that effective January 1, 2025, the product is covered regardless of whether it is obtained free of charge or purchased by a facility or provider.
Note: Per the current Collective Bargaining Agreement (2024 - 2027), Board-paid health benefits will be for "employee only" for the first three (3) years of employment in a position eligible to receive benefits. However, employees with fewer than three (3) years of employment (in a position eligible to receive health benefits) may purchase the family portion of the health benefits by paying 25% of the cost of the family portion through payroll deduction.
Resources:
CVS Virtual Care Replaces Teladoc
Aetna Smart Compare Flyer
Simplified Benefits Comparison
Transparency in Coverage Rule: Machine-Readable Files (MRF)
Aetna Medical Plans:
Open Access Managed Choice POS $20/$35:
Summary of Benefits and Coverage (SBC)
Plan Design & Benefits Summary
Benefit Booklet
Schedule of Benefits Certification
NJEHP / GSP:
NJEHP Summary of Benefits and Coverage (SBC)
NJEHP Plan Design & Benefits Summary
NJEHP Plan Overview
NJEHP Schedule of Benefits Certification
NJEHP Chapter 44 Calculator (download)
GSP Summary of Benefits and Coverage (SBC)
GSP Plan Overview
GSP Chapter 44 Calculator (download)
DocFind Search Instructions
CVS/Aetna Prescription:
Note: you are advised to review the below Aetna Drug Guides to learn which drugs are covered/not covered. For the latest formulary updates, be sure to check the most recent “plan guide changes” included at the below Aetna links. You can confirm coverage by logging into your Aetna Online Account.
$10 Generic / $15 Brand-Name Prescription Plan (excludes NJEHP / GSP plans):
Prescription Only Summary of Benefits and Coverage (SBC)
Schedule of Benefits Certification
Standard Opt Out Pharmacy Drug Guide
NJEHP / GSP Prescription Plan:
High Value Plan Pharmacy Drug Guide
NJEHP / GSP Prescription Benefits Overview
Mail-Order Resources:
aetna.com
Mail-Order Pharmacy Brochure
Delta Dental:
PPO Plus Premier Booklet
Oral Health Enhancement Option:
Informational Flyer
Dentist Form
Voluntary VSP Vision:
Vision Care Flyer
Vision Benefits Summary
Find an Eye Doctor