Plan Options
Shamong Township Schools

Our medical, prescription, and dental plans are offered to eligible employees as follows. See the below materials for outlines of plan benefits and provisions for eligible employees.

Medical Plans: Aetna SHIF / Horizon OMNIA

Prescription: BeneCard PBF

Dental: Delta Dental

Simplified Benefits Comparison
Online Contribution Calculators

Chapter 44 Plans: NJEHP / GSP Plans
Note: if your start date was on or after July 1, 2020, you must be enrolled in the New Jersey Educators Health Plan (NJEHP) or Garden State Plan (GSP for medical and prescription coverage. See below materials for plan details. If you are enrolled in either plan, see below for information about your benefits.

NJEHP Medical Plan: Overview / Booklet / SBC

GSP Medical Plan Overview / SBC

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 Plan: Brochure

GSP Prescription Plan: Brochure

2024 NJEHP / GSP Performance Formulary

Chapter 78 Medical Plans:

Aetna Choice POS II $15 SBC

Aetna Choice POS II $15/$25 SBC

Aetna QPOS $10 SBC

Horizon OMNIA SBC

Aetna DocFind Instructions

Aetna Discounts & Savings Brochure


Guardian Nurses Program: Employees and dependents enrolled in a medical plan have access to dedicated nurse advocates who can help coordinate care and navigate the complexities that can occur with an illness. See these flyers for information:
Struggling with a healthcare issue?
Get to know Guardian Nurses

Telemedicine: The telemedicine feature is available to members enrolled in medical plans other than the HDHP (HDHP members benefit from a reduced claim cost). Seek medical help 24/7 online via phone or computer!
Aetna Teladoc
Aetna Teladoc & Mental Health Care
Horizon OMNIA CareOnline


Chapter 78 Prescription Plans:

BeneCard PBF Group 1 ($3 generic / $10 brand-name retail copay)

BeneCard PBF Group 2 ($7 generic / $16 preferred / $35 non-preferred retail copay)

Note: if you are enrolled in a 3-tier pharmacy copay plan, 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.

Dental Plans:

Delta Dental PPO Plus Premier Booklet

Delta Dental PPO Plus Premier Overview


If you are enrolled in the Horizon OMNIA plan, note the below about the Pediatric Vision benefit:

- Davis Vision administers the Pediatric Vision benefit on behalf of Horizon BCBSNJ.
- This is an in-network benefit; members must visit a provider in the Davis Vision network to have services covered.
- Dependents up to age 19 are eligible for the benefit.
- Benefits renew every 12 months.
- A routine eye exam, including dilation, is available with $0 copay.
- The Davis Vision collection of frames is included with this benefit.
- If a member obtains frames elsewhere, there is a maximum allowance of $150 for frames or contacts.
- The benefit includes clear plastic, single-vision, lined bifocal, trifocal, or lenticular lenses.
- Present your Horizon BCBSNJ medical ID card to the provider, who will call Davis Vision to confirm eligibility.
- Go to www.davisvision.com/members and insert Client Code 3164 to access the Member Portal.
- Search for in-network providers, find benefits and forms, and more at the Member Portal.