Medical
Benefits
Employees can choose from two medical plans administered by Aetna®. All of our medical plan options include free* care within the RWJBarnabas Health system.
Aetna® Medical Plan Options
Click on the plan name to see what’s covered!
- Core Plan – The lowest-cost medical option for employees who primarily use care within the RWJBarnabas Health system and our partner systems through the HTC. Care received within the Premier tier is free* for Core Plan members.
- Flex Plan – Designed for employees who live in New Jersey, but want to pay less out-of-pocket when receiving care outside the RWJBarnabas Health system or in other states. Payroll contributions are higher for this plan. This plan also includes free* care within the RWJBarnabas Health system.
- Out-of-Area Plan – Designed for employees who live outside of New Jersey. Employees can still access free* care within the RWJBarnabas Health System, and will also have lower out-of-pocket costs when accessing care outside of New Jersey.
You can view the Summary of Benefits and Coverage for additional plan design details, found on the Aetna website.
*Payroll deductions and Emergency Room copay ($200) still apply.
Finding Care
To search for a provider or facility, you can:
- Visit the Aetna resource page or call the Aetna Concierge at 855.546.5415.
- Call our Care Navigation team at 844.424.2628 for assistance with finding a provider or booking an appointment.
- Check out the list of frequently used providers by visiting “Explore Your Care Network.”
Looking for Urgent Care?
RWJBarnabas Health has many urgent care partner practices across New Jersey. Click here to view a listing of urgent care locations available at no cost* for employees and their family members enrolled in our health benefit plans through Aetna.
Accessing Your Member ID Card
- Access a digital version of your Aetna ID card by logging in to the Aetna portal here or by downloading the Aetna mobile app. You can also find a “Prescription drug only” ID card in the CVS Caremark portal or mobile app.
- Call the Aetna Concierge at 855.546.5415 for assistance in getting a physical ID card mailed to your home.
How much will I pay for care?
Your out-of-pocket costs depend on the plan you choose and the provider’s network tier. You can use providers in any tier throughout the year.
Note: Office visits in the Extended Tier are subject to copays only – the deductible and coinsurance do not apply to those visits. Services rendered at a Premier facility (Inpatient/Outpatient) will be covered at 100%*. Lab services in the Extended Tier (including LabCorp and Quest) are covered at 100%*.
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Premier (Tier 1) “Maximum Savings” |
Extended (Tier 2) “Standard Plus Savings” |
Aetna Network (Tier 3) “Standard Savings” |
Out-of-Network |
|---|---|---|---|
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Care within the Premier Tier will be at no cost* to you. The following are in the Premier Tier:
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Office visits in the Extended Tier typically have copays. This tier includes many large provider groups as well as health systems that are part of the Healthcare Transformation Consortium (HTC). Learn more about the HTC here.
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Most services in the Aetna Network Tier are subject to deductible and coinsurance. This tier includes providers in the Open Access Aetna Select Network (Core Plan) or Aetna Choice POS II Network (Flex/Out-of-Area Plans).
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Out-of-Network providers do not participate in Aetna’s provider network.
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- Note: Office visits in the Extended Tier are subject to copays only – the deductible and coinsurance do not apply to those visits. Services rendered at a Premier facility (Inpatient/Outpatient) will be covered at 100%*. Lab services in the Extended Tier (including LabCorp and Quest) are covered at 100%*.
- *Payroll deductions and Emergency Room copay ($200) still apply.
Questions?
Care Navigation
(Provider Search and Appointments)
Call: 844.424.2628
Monday – Friday from 8 a.m. to 7 p.m. ET
Aetna® Concierge
(Claims and Coverage Questions)
Call: 855.546.5415
Monday-Friday from 8 a.m. to 6 p.m. ET
Website: Aetna® Website
RWJBarnabas Health Benefits Center
(Enrollment Questions)
Call: 844.690.0920
Monday – Friday from 8:30 a.m. to 7 p.m. ET
Benefits Enrollment Portal
Still Have Questions?
My Service Portal
MSP Job Aid
Additional Resources
Urgent Care Partners (NJ)
2026 Benefits Guide
2026 Medical Contributions
2026 COBRA Rates
