IMPORTANT NOTE: these changes do not affect members who are on Medicare
SEHBP and Chapter 78 Relief
On January 1, 2021, the School Employees’ Health Benefits Plan (SEHBP) will begin its new plan year offering only the following options:
- Horizon Direct 10
- Horizon Direct 15
- A NEW PLAN, the Horizon NJ Educators Health Plan (NJEHP)***
The new plan will be in effect until January 1, 2028; it is still valued at a platinum level plan and is similar to Direct 10 and Direct 15. The notable changes are an increase in copayment for the emergency room visits that do not result in a hospital admission, the out-of-network deductible and coinsurance, and a different reimbursement schedule for out-of-network providers. For prescription drugs, there is an increase in most co-payments as well as mandatory use of generic drugs when they are available.
For full details, please review the charts at njea.org/jobjustice