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 (BCBSNJ)
Prescription Plans: BeneCard
Dental Plans: Delta Dental of New Jersey
Vision Plan: VSP

Horizon BCBSNJ Medical:
Effective January 1, 2024, our medical plan carrier is Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). See this announcement and below materials for details. Note there are no changes to our prescription, dental, or vision plans.

Plan Comparisons:
SEHBP Direct 15 / Horizon BCBSNJ Direct Access 15 Comparison
SEHBP Direct 10 / Horizon BCBSNJ Direct Access 10 Comparison
SEHBP NJEHP / Horizon BCBSNJ NJEHP Comparison

Horizon BCBSNJ Plan Summaries:
Direct Access 15
Direct Access 10
NJEHP Summary
GSP Summary

BeneCard Prescription:
$10/$15/$20 Copay Brochure
Note: you are advised to review the BeneCard Primary Drug Formulary to determine 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.

Note: you are advised to review the below 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 Prescription Brochure
GSP Prescription Brochure
2024 NJEHP / GSP Performance Formulary

Delta Dental:
PPO Plus Premier/Advantage Booklet / Summary

VSP Vision:
VSP Benefits Summary
VSP Program Flyer