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what is patient centered medicare advantage plan horizon bcbs of nj

by Sarina Lakin Published 2 years ago Updated 1 year ago

Horizon BCBSNJ is leading an effort, through its patient-centered programs, to transform how health care is delivered in New Jersey. Horizon BCBSNJ’s patient-centered programs focus on delivering more coordinated and efficient patient care, and improving the satisfaction of patients.

Full Answer

What Medicare plans does Horizon Blue Cross Blue Shield of New Jersey?

The plans available in New Jersey are Medigap plans A, C, F, G, K, and N. Your premium may vary depending on where you live and the plan you select. As you can see, Horizon Blue Cross Blue Shield of New Jersey offers you a range of Medicare plan options.

What is the horizon Medicare blue Advantage plan?

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.

Is Horizon NJ health Medicaid Managed Care?

Learn about Horizon NJ Health, a Medicaid Managed Care health plan offered through the NJ FamilyCare program. Medicaid Find the affordable option that fits you best with a choice of Medicare Advantage, Medicare Supplement and Medicare Prescription Drug plans.

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.

Is Horizon NJ Health the same as Medicare?

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.

Is horizon the same as Horizon Blue Cross Blue Shield?

Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association serving more than 3.8 million members.

What is Horizon advantage?

The Horizon Advantage EPO plans provide integrated medical and pharmacy benefits, including wellness and emergency care. Although members are not required to select a Primary Care Physician (PCP), there are lower out-of-pocket costs when care is coordinated through a PCP.

Is Horizon NJ Health Same as Medicaid?

Horizon NJ Health, New Jersey's largest managed healthcare company serving the publicly insured, provides quality healthcare services for more than 500,000 children and adults in the Medicaid and NJ FamilyCare programs. Horizon NJ Health provides benefits for New Jersey residents enrolled in the Medicaid program.

Is NJ FamilyCare the same as Horizon NJ Health?

Horizon NJ Health is the leading Medicaid and NJ Family Care plan in the state and the only plan backed by Horizon BCBSNJ. Our members get the health benefits they can count on from a name they trust.

Is Horizon NJ Health an HMO?

As a Horizon HMO member, you have access to many health care services and programs, as well as access to one of the largest participating physician networks in the state. We offer preventive care benefits, an easy-to-use referral system, direct access to your Ob/Gyn, emergency medical care, and value-added programs.

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.

What is Horizon Blue Card?

What Is BlueCard? BlueCard enables eligible members to receive medical care when they are outside of New Jersey, Horizon Blue Cross Blue Shield of New Jersey's service area.

How do I get Horizon health NJ?

Contact the State's Health Benefits Coordinator to see if you are eligible. They can be reached toll free at 1-800-701-0710 (TDD/TTY 1-800-701-0720). Read more.

Is Horizon BCBS the same as Horizon NJ Health?

Headquartered in West Trenton, NJ, Horizon NJ Health is wholly owned by Horizon Blue Cross Blue Shield of New Jersey.

Is Horizon NJ Health PPO?

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.

Is Horizon NJ Health part of the Affordable care Act?

Horizon Blue Cross Blue Shield of New Jersey will only offer ACA-compliant plans. Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) today re-affirmed its decision to only sell and renew individual and small group plans that comply with the Affordable Care Act (ACA).

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If you need to find a new doctor who participates in one of our networks, our Doctor & Hospital finder makes it easy to find a health care professional who matches your needs.

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Search from more than 66,000 in-network pharmacies at Prime Therapeutics.

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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.

What is Horizon BCBSJ Pediatrics?

Recognizing that the health care needs of our youngest members require care designed just for them, Horizon BCBSNJ also has our Patient-Centered Pediatric Program. The program emphasizes preventive and developmental goals, and focuses on children with chronic conditions, such as asthma and diabetes.

How to be a patient centered doctor?

By receiving health care from a patient-centered practice: 1 The focus is on you — helping you get the care you need, when you need it. 2 The doctor directs a team of health professionals, including a nurse care coordinator, who can offer support, information and assistance. 3 Frequent communication within the team about care will allow your doctor to closely monitor your health conditions and respond immediately to you. 4 You have more ways to be in touch with the care team by phone, email and in person.

What is a nurse care coordinator?

The doctor directs a team of health professionals , including a nurse care coordinator, who can offer support, information and assistance. Frequent communication within the team about care will allow your doctor to closely monitor your health conditions and respond immediately to you.

About Blue Cross Blue Shield Association

The Blue Cross and Blue Shield Association is a national federation of 35 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans.

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For general press inquiries, please email us or reach out to our media relations team. For all other inquiries, visit our general Contact Us page.

How to contact Horizon Blue Cross Blue Shield of New Jersey?

ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1-800-365-2223 (TTY 711 ).

What is Medicare Advantage?

Medicare Advantage offers all of the benefits of Original Medicare, and includes extra benefits such as dental, vision, hearing and wellness programs. Many Medicare Advantage plans include reimbursement for gym or yoga studio memberships, activity trackers, weight management programs, and more.

Why are Medicare Advantage plans so popular?

One of the reasons these types of Medicare Advantage plans are so popular is because you don’t need to get separate prescription drug coverage. Everything is included in one plan. Many plans have low or no premiums.

What is the phone number for Horizon Blue Cross Blue Shield?

Help is always a phone call away. Call Member Services at 1-800-365-2223 (TTY 711 ). Representatives are available Monday through Friday from 8 a.m. to 8 p.m., Eastern Time (ET).

What are the parts of Medicare?

There are four basic parts to Medicare. They are called Parts A, B, C and D. Let’s take a look at what each part covers and what it may cost you. Part A covers hospital services, hospice care, care in a skilled nursing facility, some home health care.

Does Medicare cover all medical expenses?

When you enroll in Original Medicare, you get Part A Hospital coverage and Part B Medical coverage. But Original Medicare doesn’t cover all of your medical costs. If you want prescription drug coverage, you can buy a separate Part D plan.

Does Medicare have a maximum limit?

Original Medicare doesn’t provide a maximum limit. Choosing Medicare Advantage will give you the coverage and support you need, all in one plan.

Member Sign In

Horizon BCBSNJ's Member Portal & Mobile App will undergo scheduled maintenance beginning at 8 p.m. February 25, 2022 until 8 a.m. February 28, 2022. You may not be able to sign into your account information during this time. We apologize for the inconvenience and appreciate your patience.

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