Plan Options
Your Health Plans
Perth Amboy Public Schools

Our District medical plans are offered through Aetna and prescripton coverage is through CVS/Aetna. Delta Dental and VSP are our dental and vision carriers respectively. The District also offers a Flexible Spending Account (FSA) and Health Benefits Waiver to eligible employees. Please refer to the Eligibility page for information about your child dependent(s). Below is information for the available health plan options.

Uodates to Teladoc Mental Health Visit Cancellations
Teladoc Solutions Flyer
Aetna Smart Compare Flyer

POSII-POS-PPO Health Insurance Premium Form 2022-2023 (date of hire prior to July 1, 2020)
NJEHP Health Insurance Premium Form 2022-2023 (date of hire on/after July 1, 2020)
Plan Contribution Calculators

Aetna Medical / Prescription Plans:
POS Plan: Booklet Certificate / Schedule of Benefits / Summary / SBC
PPO Plan: Booklet Certificate / Schedule of Benefits / Summary / SBC
NJEHP Plan: Booklet Certificate / Schedule of Benefits / Summary / Overview / SBC
GSP Plan: Booklet Certificate / Schedule of Benefits / Summary / Overview / SBC

Aetna Prescription Coverage Formularies:
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.

NJEHP / GSP Plan Formulary
Standard Plan Formulary (all other plans)

CVS Caremark Mail Service Pharmacy:
To obtain mail-order prescriptions after July 1, 2022, you must first set up a mail-order account in one of two ways:

1) with the Mail Service Order Form
2) at the Aetna member portal

Once your account is set up, your doctor can submit your prescription, either:

1) Online: using an e-prescribing service or the Aetna provider portal
2) Fax: fax to 877-270-3317 with a cover sheet that includes member ID number, birthdate, and mailing address. Note: only your doctor can fax a prescription

Introductory Brochure
Mail Service Order Form

Delta Dental Plan:
Plan Summary

VSP Vision Plan:
Plan Summary

Standard Insurance Policies:
Group Long Term Disability Certificate
Group Life Certificate