customer service and telephone support personnel using the number listed below. Please see below. If you think you may be eligible and have not received a letter, or if you have any questions, reach out to your Care Manager or call Member Services to find out if you qualify. 1-800-365-2223 The Points of Care savings card instructs the pharmacist to submit the pharmacy claim on-line to URx. Instant Credit Report! Find formulary drugs, prior authorization, and step therapy at Prime Therapeutics. Claims Payment Policies and Other Information. Password. We take pride in our commitment to diversity and inclusion among our employees, members, physicians and business partners. Simply provide your Universal Rx Card each time you purchase prescription items. Horizon NJ Health Care / Case Manager To speak with a Horizon NJ Health Care/Case Manager or learn about a Disease Management Program, please call: 1-800-682-9094 . You may file a complaint or concern at Medicare Complaint FormMedicare Complaint Form . If there is no plan listed on the card, the member is in NJ FamilyCare A or NJ FamilyCare ABP. The Horizon name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. Sign in to use our secure email to ask a question about your health coverage, enrollment, claims, premium bill and more. Thats the Benefit of Blue . This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not the Health Insurance Marketplace website. For J.D. Sterilization Authorization is required for sterilization. Visit HorizonCareOnline.com or call 1-877-716-5657 to get started. Our affiliate Braven Health offers Blue Cross Blue Shield Medicare Advantage plans for all of New Jersey. *Some members may also be eligible to use this benefit to purchase approved grocery items like fruits and vegetables, whole eggs and egg substitutes. In New Jersey, members have access to all doctors, specialists and hospitals that participate in Horizon's Managed Care Network. For a full list of participating retailers and eligible items like aspirin and pain relievers, vitamins and minerals, fruits and vegetables, and whole eggs and egg substitutes, visit. The P&T Committee is a group of physicians, clinicians and pharmacists that serve as external medical consultants. Review our Behavioral Health Program page for more information. Spend it on select approved benefit items at participating retailers. Were here for you 24 hours a day, 7 days a week. Horizon Blue Cross Blue Shield NJ members login, medical plans & services, tools, wellness programs, forms, member education. We give you more control of your health care and dependent care spending. You may file a complaint or concern at Medicare Complaint FormMedicare Complaint Form . ET. Horizon BCBSNJ cautions you to use good judgment and to determine the privacy policy of such sites before you provide any personal information. There are no pre-existing condition restrictions. Fill out the information below and a prescription card will be generated and sent to the email provided. 2023 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. Plan may include both medical and prescription drug coverage. Please click Continue to leave this website. (TTY call 711), Monday Sunday, 24 hours a day 2023 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. at 1-800-365-2223 Thank you for the information provided. This document is for informational purposes only and does not constitute a binding agreement. Can be used by the entire family. Medicare coverage that fits your life and budget. Tier Three: Non-Preferred Brand (highest copay). Eliminates the guesswork in selecting an attorney or financial professional. 4. You may file a complaint or concern at Medicare Complaint FormMedicare Complaint Form . A doula is a trained professional who provides continuous physical, emotional and informational support throughout the perinatal period. Dedicated elite guest services, more flexible travel. Free checked bags, faster lines and priority boarding. If the end of the benefit period is approaching, you can order online or call us if you don't think your order form will be received in time. Roadside Assistance No activation is required and no restrictions on usage. You must activate your card before use. Youll have access to more than 60,000 local providers and 95 area hospitals. Please be aware you have clicked on a link to visit another site operated by a third party. Legal and financial coverage designed to address specific needs. To print a copy of your member ID card, click Print below the image. At the point of purchase, members receive the lower of the nationally contracted discount price or the pharmacy's regular price (as submitted to our plan). This result falls beyond the top 1M of websites and identifies a large and not optimized web page that may take ages to load. Please click Learn more about the State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP). Other considerations, such as second line therapies, utilization metrics, brands for which there exists in that class of drugs commonly used and safe generics, are additional factors. You are leaving the Horizon Blue Cross Blue Shield of New Jersey website. If you qualify as chronically ill, you can use your Horizon EXTRA Benefits Card to purchase healthy food and produce. Horizon Blue Cross Please be aware when you travel from the Horizon BCBSNJ site to another site, whether through links we provide or otherwise, you will be subject to the privacy policies (or lack thereof) of those sites. Find out if youre eligible to sign up for a Horizon health plan during our Special Enrollment Period. You might wonder why this discrepancy exists. STATE HEALTH BENEFITS PROGRAM and School Employees health Benefits Program (SHBP/sehbp), Applicable Products:Commercial PPO/EPO &Exchange POS/EPO, Applicable Products: Commercial HMO & POS, Claims Payment Policies and Other Information. Enter the Horizon EXTRA Benefits Card number on your bill or online. These brand-name drugs have been identified as the most therapeutically safe and effective options for treatment of most medical conditions. Call your utility provider and use your Horizon EXTRA Benefits Card as form of payment. To activate your card, call 1-800-480-6598 (TTY 711) or visit HorizonExtraBenefits.com. 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. Eligibility Information & Enrollment Instructions, Find a Horizon NJ TotalCare (HMO D-SNP) Doctor. That means access to over 6,400 Primary Care Physicians (PCPs) and over 23,500 specialists throughout the state. Visit. Sign in to use our Email Us or Chat features and select Technical Support, or call the eService Desk at1-888-777-5075: If you have questions about the participating status of your physician, how to find a doctor or hospital or your out-of-network benefits and costs after normal business hours, you can call 1-833-876-3825 and speak to a trained representative from:Monday 6 p.m. to 12 a.m., ET. To make payments using your Horizon EXTRA Benefits Card, all you need to do is: If your service provider doesn't accept the card, call us at 1-800-480-6598 (TTY 711) or visit HorizonExtraBenefits.com. The services include the following: There will be two levels of doula services: standard care and enhanced care for members age 19 or younger. Thats $270 every 3 months. Monday through Friday. 1. Please click Continue to leave this website. Check Your Phone. The Division of Medical Assistance and Health Services, in collaboration with the Division of Mental Health and Addiction Services, launched a program to cover and support Medication Assisted Treatment (MAT) and OBAT. To find new, innovative ways to empower members to achieve their best health, we must continue working to make the future of health care happen by modernizing our corporate structure. Call 1-800-251-6144 or email memberservices@horizoncardservices.com . Medicare coverage that fits your life and budget. Horizon Member Benefits Prescription Discount Card 2023. 2023 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. Sterilization reversals are not covered. Medicare Supplement plans are provided by Horizon Insurance Company. Communications may be issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. Get health-related news and advice, along with updates on Horizon's services and activities. This website does not display all Qualified Health Plans available through the Health Insurance Marketplace website. Our Plan Experts are here to help you navigate your coverage. Your debit card is restricted to eligible items at participating retailers and merchants, which can be found online at HorizonExtraBenefits.com or by calling our Horizon EXTRA Benefits Card Member Services line Monday to Friday, 8 a.m. to 8 p.m. Eastern Time (ET), at 1-800-480-6598 (TTY 711). Use your card on eligible items at participating retailers. All rights reserved. Medicare Supplement Plans help pay some of the health care costs that Original Medicare doesnt cover. Click "I Agree" to continue to the third party site. Help is available from To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ. Horizon BCBSNJ cautions you to use good judgment and to determine the privacy policy of such sites before you provide any personal information. For additional contact information, visit the Horizon NJ Health website. Click "I Agree" to continue to the third party site. FORGOT OR CANT FIND YOUR ID CARD? A personal Care Manager will help coordinate your care. Member Benefits Horizon NJ TotalCare (HMO D-SNP) benefits include: Medicare Part A and B services Medicare Part D plus Medicaid covered drugs Medicaid services $250 per quarter for over-the-counter (OTC) personal health items from a health benefits catalog All are independent licensees of the Blue Cross Blue Shield Association. For easy, fast and secure digital access to your member ID card from anywhere, anytime, download the Horizon Blue app. *Your benefit dollars will be reloaded each calendar quarter. Access online. If you do not wish to visit this site, click "Cancel" to close this window. In accordance with Title 42 Code of Federal Regulations (CFR) 50, Subpart B, all sterilizations require a valid consent form (Spanish form). This website does not display all Qualified Health Plans available through the Health Insurance Marketplace website. New Jerseys Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act (the Act), helps protect you from surprise bills, including bills for emergency services from doctors, hospitals and other health care professionals who are not in your health plans network (also called out-of-network providers). Personal information care spending ) or visit HorizonExtraBenefits.com all Qualified Health Plans available through the Health Insurance website... Prior authorization, and step therapy at Prime Therapeutics reloaded each calendar quarter food and produce member... 7 days a week Insurance Company, find a Horizon NJ Health website our commitment diversity! Formulary drugs, prior authorization, and step therapy at Prime Therapeutics who provides continuous physical, and... Therapy at Prime Therapeutics member is in NJ FamilyCare ABP ( highest copay ) for additional contact,... You do not wish to visit this site, click `` I Agree '' to continue to the email.. D-Snp ) Doctor for more information if you qualify as chronically ill, you can your... Number listed below sent to the third party select approved benefit items at participating retailers in use. Continue to the third party site Horizon Blue Cross Blue Shield Medicare Advantage Plans for all New! 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