AmeriHealth New Jersey
AmeriHealth New Jersey is a regional health insurance provider offering individual, family, employer, and Medicare Advantage plans exclusively in New Jersey. It operates subsidiaries spanning TPA, Medicaid, and Medicare services, and has earned 14 consecutive NJBIZ Best Places to Work honors.
- Company typePrivate
- Founded1995
- HeadquartersCranbury, United States
- Headcount101–250
- GTM typeB2B and B2C
- OfferingServices
What AmeriHealth New Jersey does
AmeriHealth New Jersey is a regional health insurance provider operating exclusively in the state of New Jersey, offering health coverage to individuals, families, employers, and Medicare beneficiaries through plans issued by AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey. The company is headquartered in Cranbury, NJ, and operates alongside three affiliated entities within the AmeriHealth family: AmeriHealth Administrators (third-party administration for self-funded employer plans), AmeriHealth Caritas (Medicaid managed care), and AmeriHealth Medicare (Medicare Advantage plans).
The product portfolio spans individual and family health plans, employer-sponsored group plans (small business, large business, public sector, and fixed funding arrangements), and Medicare Advantage plans. Core platform features include an online provider finder, a prescription drug lookup tool, 24/7 telemedicine access via Teladoc Health, and wellness programs such as Baby FootSteps (maternity support with registered nurse health coaches) and Embrace Well-being. Supporting channels include a broker portal and Broker Care Center for licensed agents, an employer group portal and business hub, and a member-facing website. The provider network encompasses doctors, hospitals, pharmacies, medical equipment suppliers, and specialty services across New Jersey, with vision network access delivered through Davis Vision and cancer support services through Thyme Care.
AmeriHealth generates revenue primarily through recurring monthly insurance premiums from individual, family, and employer group plans, supplemented by Medicare Advantage premiums and third-party administration fees for self-funded employer plans. Distribution is multi-channel, combining direct-to-consumer online sales, broker-mediated sales, and direct enterprise sales for large employer and public sector accounts. No revenue, headcount, ownership, or financial figures are disclosed in the source material, and the broader corporate ownership structure is not explicitly stated.
AmeriHealth New Jersey firmographics
Firmographics- Name
- AmeriHealth New Jersey
- Legal name
- AmeriHealth HMO, Inc.
- Website
- https://amerihealthnj.com
- Company type
- Private
- Founded year
- 1995
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- AmeriHealth New Jersey is a regional health insurance provider offering individual, family, employer, and Medicare Advantage plans exclusively in New Jersey. It operates subsidiaries spanning TPA, Medicaid, and Medicare services, and has earned 14 consecutive NJBIZ Best Places to Work honors.
- Ownership category
- akta.pro rank
AmeriHealth New Jersey industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Accident & Health Insurance (6321)
- akta.pro primary industry
- Fully Insured Group Health Plans (Employer-Sponsored) (FSAIAFAA)
- akta.pro secondary industries
- Small Group Health Insurance (2–50/100) (FSAIAFAD), Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE)
Keywords
Where AmeriHealth New Jersey is headquartered
LocationHeadquarters
- HQ city
- Cranbury
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
AmeriHealth New Jersey business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Health Insurance Premiums: Recurring premium payments from individuals, families, and employer groups for health insurance coverage. Plans include HMO and other health plan options with various coverage levels.
- Medicare Advantage Plans: Government-sponsored Medicare Advantage plan offerings for eligible beneficiaries
- Third-Party Administration Services: TPA services through AmeriHealth Administrators for self-funded employer plans
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Individual and Family Plans |
| Subscription | Monthly | Employer Group Plans |
| Subscription | Monthly | Medicare Advantage Plans |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels6 records
AmeriHealth New Jersey product offering
Product offeringCore offering
AmeriHealth New Jersey sells regulated health insurance coverage to individuals and families, employers (small business, large business, public sector, fixed funding), and Medicare beneficiaries in New Jersey. Insurance products are issued by AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey and are complemented by supplemental wellness programs, behavioral health coverage, prescription drug benefits, and dental/vision options. The related AmeriHealth Administrators unit provides third-party administration services for self-funded employer plans.
Product overview
AmeriHealth New Jersey is a health insurance provider offering a comprehensive portfolio of insurance products and wellness programs. The core offerings include individual and family health plans, employer-sponsored plans (small business, large business, public sector, fixed funding), and Medicare coverage. Related brands include AmeriHealth Administrators (TPA/third-party administration services) and AmeriHealth Caritas (managed care). Supporting the insurance products are wellness programs such as the Embrace Well-being Program, Baby FootSteps Maternity Program, and Registered Nurse Health Coaches, along with behavioral health services, prescription drug coverage, and dental/vision supplementary plans. The provider network gives members access to doctors, hospitals, pharmacies, and specialty services.
Differentiator
Problem solved
Functional benefit
Brands
- Baby FootSteps: Maternity program offering support for expectant mothers
- Embrace Well-being
- Connect to Care
- Teladoc Health
Quantifiable outcome
- 14 consecutive years recognized as NJBIZ Best Places to Work
Companies that use AmeriHealth New Jersey
Customer profileSegments5 records
Ideal customer profiles4 records
AmeriHealth New Jersey technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
Feature5 records
AmeriHealth New Jersey partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core and minor.
- Teladoc HealthcoreTeladoc Health provides 24/7 access to doctors for AmeriHealth members, enabling virtual healthcare consultations anytime. This partnership allows members to connect with physicians remotely for non-emergency health concerns.
- Davis VisioncoreDavis Vision provides vision provider network access for AmeriHealth members, enabling members to find vision providers through the AmeriHealth website.
- Thyme CarecoreThyme Care provides cancer support services to AmeriHealth members through a dedicated Cancer Support Team, offering personalized support for members undergoing cancer treatment.
- AmeriHealth AdministratorscoreAmeriHealth Administrators provides third-party administration (TPA) services for self-funded employer health plans, operating as a separate but affiliated business unit.
- AmeriHealth CaritasminorAffiliated organization focused on Medicaid and community health plan services, part of the broader AmeriHealth family of companies.
- AmeriHealth MedicarecoreAffiliated organization specializing in Medicare plan offerings, operating as a separate channel within the AmeriHealth family of companies.
Scale indicators1 record
Recent moves6 records
Expansion highlights4 records
AmeriHealth New Jersey competitors and assessment
Company assessmentDirect peers
- Horizon Blue Cross Blue Shield of New Jersey: The largest health insurer in New Jersey, offering individual, employer group, and Medicare plans through the BCBS network. Directly competes with AmeriHealth NJ for the same NJ-based members, employers, and brokers with very similar product structures.
Emerging players
- Oscar Health: Tech-forward individual and small-group ACA marketplace insurer with growing presence in NJ. Competes with AmeriHealth NJ on the individual marketplace and increasingly on small employer plans with a digital-first model.
Broad incumbents
- UnitedHealthcare: Largest US health insurer offering individual, employer, Medicare Advantage, and Medicaid plans nationally, including significant NJ presence. Competes with AmeriHealth NJ across virtually all product lines but at much greater scale.
- Humana: Leading Medicare Advantage insurer with growing employer and individual presence. Directly competes with AmeriHealth Medicare in NJ's MA market and increasingly in commercial segments.
- Cigna: National carrier with employer-sponsored health plans and ancillary benefits. Competes with AmeriHealth NJ in the NJ mid-market and large employer segment, leveraging broader national network reach.
- Molina Healthcare: Government-focused managed care insurer with strong Medicare and Medicaid presence. Comparable to AmeriHealth Caritas and AmeriHealth Medicare segments, and increasingly active in NJ marketplace plans.
- Aetna (CVS Health): National health insurer offering employer, individual, and Medicare plans with strong NJ employer-group presence. Overlaps directly with AmeriHealth NJ's commercial and Medicare product offerings.
Regional players
- Independence Blue Cross: Dominant PA-based BCBS plan with affiliated AmeriHealth family relationships. Comparable regional Blue plan with similar product mix (commercial, Medicare, TPA via AmeriHealth Administrators); serves an adjacent Mid-Atlantic market rather than NJ directly.
- Highmark Blue Cross Blue Shield: BCBS licensee serving PA, DE, and WV with commercial and Medicare products. Comparable regional Blue plan operating in an adjacent geography with similar employer-group and individual product structures.
- EmblemHealth: NY-based regional nonprofit health plan offering commercial, Medicare, and Medicaid products. Comparable regional carrier with similar product mix and community-focused positioning, serving a neighboring Northeast market.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks5 records
Key highlights5 records
Customer concentration
AmeriHealth New Jersey social profiles
Digital presenceAmeriHealth New Jersey financial estimates
Financial estimateRevenue estimate
Valuation estimate
AmeriHealth New Jersey leadership team
Management profileNumber of profiles
AmeriHealth New Jersey subsidiaries and ownership
Company hierarchySubsidiaries3 records
AmeriHealth New Jersey funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
AmeriHealth New Jersey M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about AmeriHealth New Jersey
What does AmeriHealth New Jersey do?
AmeriHealth New Jersey sells regulated health insurance coverage to individuals and families, employers (small business, large business, public sector, fixed funding), and Medicare beneficiaries in New Jersey. Insurance products are issued by AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey and are complemented by supplemental wellness programs, behavioral health coverage, prescription drug benefits, and dental/vision options. The related AmeriHealth Administrators unit provides third-party administration services for self-funded employer plans.
When was AmeriHealth New Jersey founded?
AmeriHealth New Jersey was founded in 1995. It employs 101 to 250 people.
Where is AmeriHealth New Jersey based?
AmeriHealth New Jersey is headquartered in Cranbury, United States, in the North America region.
How does AmeriHealth New Jersey make money?
Three revenue lines are on record. Health Insurance Premiums are the primary driver. The others are medicare Advantage Plans and third-Party Administration Services.
Who are AmeriHealth New Jersey's main competitors?
Horizon Blue Cross Blue Shield of New Jersey is listed as a direct peer. Oscar Health is listed as an emerging player. Broad incumbents are UnitedHealthcare, Humana, Cigna, Molina Healthcare and Aetna (CVS Health). Regional players are Independence Blue Cross, Highmark Blue Cross Blue Shield and EmblemHealth.
Does AmeriHealth New Jersey have an API?
No public API is recorded for AmeriHealth New Jersey.
What industry is AmeriHealth New Jersey in?
AmeriHealth New Jersey's product category is Health Insurance. Its primary akta.pro industry code is FSAIAFAA, Fully Insured Group Health Plans (Employer-Sponsored), with a secondary code of FSAIAFAD, Small Group Health Insurance (2–50/100). Its NAICS code is 524114 and its SIC code is 6321.