Plan Options
Pompton Lakes School District


Our District medical, prescription, dental, and vision plans are offered to eligible employees as follows:

Medical Plans: Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ)
Prescription Plans: BeneCard
Dental Plans: Delta Dental of New Jersey
Vision Plan: VSP

Horizon BCBSNJ Medical:
Direct Access 15
Direct Access 10
NJEHP Summary
NJEHP Overview
GSP Summary
GSP Overview

BeneCard Prescription:

NJEHP / GSP Prescription:
NJEHP Prescription Brochure
GSP Prescription Brochure
NJEHP / GSP Prescription Benefits Overview
Note: you are advised to review the BeneCard Performance Drug Formulary to learn which drugs are covered/not covered. Confirm coverage for your prescriptions by contacting BeneCard customer service at (877) 723-6005 or log into your online member portal.
NJEHP / GSP Performance Drug Formulary
NJEHP / GSP Performance Drug Formulary Exclusion Alternatives

Chapter 78 Prescription:
$10/$15/$20 Copay Brochure
Note: you are advised to review the BeneCard Primary Drug Formulary to learn which brand-name prescriptions are preferred and which are non-preferred. Contact BeneCard customer service at (877) 723-6005 or log into your online member portal.
Primary Drug Formulary

Delta Dental:
PPO Plus Premier/Advantage Booklet / Summary

VSP Vision:
VSP Benefits Summary
VSP Program Flyer