How does Horizon Blue Cross Blue Shield of New Jersey rank on Medicare?
For 2022, Horizon Blue Cross Blue Shield of New Jersey received the following Overall Star Rating from Medicare. The number of stars shows how well our plan performs. Visit the Medicare website Medicare website opens a dialog window to learn more about our plan and how we are different from other plans.
What is the horizon advantage EPO plan?
With our Horizon Advantage EPO plans, members have access to all doctors, specialists and hospitals that participate in the Horizon Managed Care Network. The Horizon Advantage EPO plans provide integrated medical and pharmacy benefits, including wellness and emergency care.
How do I contact Horizon Health Guide?
Call your Horizon Health Guide at 1-800-414-SHBP (7427), weekdays, from 8 a.m. to 6 p.m., Eastern Time (ET), or sign in to chat or send an email. You can use the Horizon Blue app, too!
How do I get Medicare in New Jersey?
Si usted es elegible para Medicare, podrá inscribirse en un plan Medicare Advantage de Horizon Blue Cross Blue Shield of New Jersey, durante períodos específicos del año conocidos como períodos de inscripción o períodos de elección. Los materiales de inscripción están disponibles en español si se necesitan.
What does Horizon PPO mean?
Horizon PPO gives members referral-free access to many health care services and programs, including preventive care benefits, emergency medical care and a number of value-added programs. For in-network care, there are no claim forms to file and virtually no paperwork.
Is Horizon NJ direct a PPO?
The plan also covers you throughout the United States and around the world through the BlueCard® PPO program. Horizon Direct Access is a managed care plan that gives you access to many health care services and programs and our large national participating physician network.
Is Horizon BCBS the same as Horizon NJ Health?
Since its inception in 1993, Horizon NJ Health has grown to more than 854,000 members and provides services in all 21 New Jersey counties. Headquartered in West Trenton, NJ, Horizon NJ Health is wholly owned by Horizon Blue Cross Blue Shield of New Jersey.
Is Horizon NJ the same as Blue Cross Blue Shield?
Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association serving more than 3.7 million members.
Is Horizon NJ Health HMO or PPO?
Review the current Professional Contracting and Servicing Staff supporting the Horizon Behavioral Health program for members enrolled in Horizon NJ Health and Horizon NJ TotalCare (HMO D-SNP) plans.
What kind of insurance is Horizon NJ Direct?
managed care planHorizon Direct Access is a managed care plan that gives members referral-free access to many health care services and programs and one of the largest national doctor networks in the nation.
Is Horizon NJ Health Good?
Horizon NJ Health received the best overall compliance score and had the highest ratings in: Childhood Immunizations. Well Child visits (includes adolescents) Comprehensive Eye Exams at 72%, well above the national average of 53%
Do I need a referral with Horizon NJ Health?
We're making it easier than ever for you to get access to quality health care. Effective immediately, Horizon NJ Health members no longer need a referral from their Primary Care Provider (PCP) to visit an in-network specialist. Now, you can make an appointment with a specialist without getting a referral from your PCP.
Does Horizon NJ Health have out of network benefits?
Answer: No. For your care to be covered under your Horizon NJ Health plan, you must use a provider who participates with Horizon NJ Health. Your Primary Care Provider (PCP) coordinates all of your heath care needs. You can choose which participating PCP you want to see.
Is Horizon Omnia a good plan?
OMNIA SILVER Silver plans, on average, pay for 70% of the covered medical expenses; members pay 30%, and money-saving subsidies may be available. The OMNIA Silver Plan is a good choice if the member wants a balance between monthly premiums and out-of-pocket costs.
Is Horizon NJ Health Medicare?
Horizon NJ TotalCare (HMO D-SNP) is an HMO Medicare Advantage Dual Eligible Special Needs plan with a Medicare contract and a contract with the State of New Jersey Medicaid Program.
How many members does horizon Bcbsnj have?
With over 3 million members and nearly a $1 billion in surplus, Horizon BCBSNJ solidifies its position as New Jersey's largest health insurer.
What is Medicare Advantage?
Medicare Advantage. When it comes to choosing a plan, determine what’s most important to you.
Can you choose a Medicare Advantage plan?
However, you can choose a Medicare Advantage plan that includes Medicare prescription drug benefits. CLOSE ×. Medicare Advantage. To get you the best quote enter the information below to see the options available to you.
Do you have to choose a primary care physician?
Members are not required to choose a Primary Care Physician (PCP) and can visit any other licensed doctor, but pay higher out-of-pocket costs for that out-of-network care.
Can I add a Blue Card to Horizon PPO?
Employers can add the BlueCard ® Program to Horizon PPO, which offers members the in-network level of benefits outside of New Jersey when receiving services from doctors, other health care professionals and hospitals that participate with the many other Blue Cross and/or Blue Shield Plans across the country.
Does Horizon PPO require a PCP?
Horizon PPO members have lower out-of-pocket costs when they visit a Horizon PPO Network doctor or a facility within the Horizon Hospital Network. Members are not required to choose a Primary Care Physician (PCP) and can visit any other licensed doctor, but pay higher out-of-pocket costs for that out-of-network care.
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