What is the horizon blue Advantage plan?
Our Horizon Medicare Blue Advantage (HMO) plan allows us to offer Medicare Beneficiaries access to high-quality health care and lower out-of-pocket costs for the low premiums ($0 plan premium in some counties) that the New Jersey market is demanding.
Are there any out-of-network benefits with Horizon Medicare?
No out-of-network benefits, except in cases of medical emergencies. BlueCard® (out-of-area) coverage is not included. The Horizon Medicare Blue Advantage (HMO) plan uses a subset of physicians and other health care professionals who participate in the Horizon Managed Care Network, as well as a subset of facilities in the Horizon Hospital Network.
How do I contact horizon blue member services?
Please see below. Sign in to chat with a Member Services Representative Monday through Friday. Chat is for medical coverage questions, or for technical support with the member portal or Horizon Blue App. Have a question about behavioral health, prescription, dental or vision coverage? Please see below.
How do I purchase a plan through Horizon Medicare?
Visit the Horizon Medicare website to find a plan that’s right for you. Individual and Family Medical, Dental and Vision Plans (to purchase a new plan or change a plan if you bought directly from Horizon or through Get Covered NJ) Need help with the Horizon Blue app or HorizonBlue.com?
Is Horizon NJ Health the same as Horizon Blue Cross Blue Shield?
Headquartered in West Trenton, NJ, Horizon NJ Health is wholly owned by Horizon Blue Cross Blue Shield of New Jersey.
Who is the CEO of Horizon NJ Health?
Mr. St. Hilaire is President and Chief Executive Officer (CEO) of Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ), the region's leading health solutions company.
Is Horizon NJ Health the same as Horizon NJ Family care?
As a member of Horizon NJ Health, you get the benefits and services you are entitled to with the NJ FamilyCare Program. The medical care and services you get through Horizon NJ Health are free or low cost.
Is Horizon NJ Health HMO?
Our PlansHorizon NJ TotalCare (HMO D-SNP) It covers all Medicare and Medicaid benefits, plus additional features and services all at no cost to you. With one easy plan, from a name you trust, you get a team of doctors, specialists and Care Managers working together just for you.
Who is the CEO of Horizon Blue Cross Blue Shield NJ?
Gary D. St. Hilaire (Apr 6, 2020–)Horizon Blue Cross Blue Shield of New Jersey / CEO
How do I contact Horizon NJ Health?
1-800-682-9094, ext. 9606, prompt 2.
Which NJ Medicaid HMO is best?
According to the NJ FamilyCare/Medicaid “HMO Performance Report” released last month, Horizon NJ Health received a 92% overall performance score, the highest of all New Jersey's Medicaid managed care plans and the only plan to improve its overall score from previous reports.
How do I change my NJ FamilyCare HMO?
You can change your HMO once a year during the Open Enrollment period from October 1 to November 15th. And, you still have the option of changing your plan for “good cause” at any time by calling NJ FamilyCare/Medicaid at 1-866-472- 5338 (TTY 800-701-0720).
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.
What is the best HMO?
Kaiser Permanente's HMO scores highest among national plans, earning an overall score of 4.38 out of 5. Its highest-scoring component is prevention, where it also got a 4.38 rating. These plans are available in eight states.
Is Horizon NJ Health Medicaid or Medicare?
Horizon NJ Health is the leading Medicaid and NJ Family Care plan in the state and the only plan backed by Horizon BCBSNJ.
How to contact HMOs in Puerto Rico?
Just call the 24-hour hotline at 1-800-810-BLUE (2583).
What is a PCP in HMO?
Your PCP is a duly licensed practitioner who has entered into an agreement with us to participate in the Horizon BCBSNJ Managed Care Network and is responsible for coordinating all aspects of your medical care, including referrals to specialists, ancillary providers, or inpatient facilities. Your PCP:
What is the number to call for NJ Family Care?
Call 1-844-256-2625 to learn more about Special Enrollment for individual medical plans, or explore our Medicare and NJ FamilyCare options. Your Primary Care Physician guides and coordinates your health care, including filing your claims.
Does Horizon HMO have paperwork?
When using Horizon HMO doctors and hospitals, members have no claim forms to file and virtually no paperwork. All Horizon HMO providers handle all of the paperwork for members. Horizon BCBSNJ offers toll-free customer service Monday through Friday, 8 a.m. to 6 p.m., Eastern Time (ET), so members can get the help they need. Members also have online access to claim status and other services to help make their health care experience more satisfying.
What is the phone number for Horizon Blue Cross Blue Shield?
If you have any questions about the screenings above, call us at 1-888-754-2451 ( TTY 711 ), Monday to Friday from 8:30 a.m. to 5 p.m., ET. At Horizon Blue Cross Blue Shield ...
When do you have to complete a screening for Horizon BCBSJ?
Saturday, 8 a.m. to 1 p.m., ET. Screenings must be completed from January 1, 2020 to December 31, 2020 in order to participate in the program.
What is Blue365 Blue Cross Blue Shield?
Learn more about Blue365®, a discount program administered by the Blue Cross Blue Shield Association that offers eligible Horizon BCBSNJ members savings on products and services for a well-balanced lifestyle. Blue365® deals can help members stay active, while saving money at popular retailers and companies nationwide.
Elegible para Medicare?
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.
Is my enrollment in this plan based on my health history?
You can join a Medicare Advantage plan even if you have a pre-existing condition, except for End Stage Renal Disease (ESRD).
When enrolling into a Medicare Advantage plan, do I need to include drug coverage if I have PAAD?
Yes. PAAD is a pharmaceutical assistance program and does not actually function as prescription coverage.
Am I required to continue paying my Medicare Part B premium if I enroll in a Medicare Advantage plan?
Yes. You are required to have Medicare Part A and Part B to enroll in a Medicare Advantage plan.
Can I enroll in or switch a Medicare Advantage plan at any time?
No. Enrollment in a Medicare Advantage plan is generally for the entire year. Once you enroll, you may leave this plan or make changes to your coverage only during an open enrollment period or under certain special circumstances, such as when you move to a new address that is outside your plan’s service area.
Can I purchase a Medicare Advantage plan and a stand-alone prescription drug plan?
No. Enrolling in a Medicare Advantage plan will automatically end your enrollment in another Medicare health plan or prescription drug plan. However, you can choose a Medicare Advantage plan that includes Medicare prescription drug benefits.
Plans and Pricing
There are different Medicare Advantage plan options depending where you live. To get additional plan benefits, rates or to enroll, we will need your zip code to get started.