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by Brenden Purdy 4 min read

Horizon Medicare Blue Advantage (HMO) - Horizon Blue …

23 hours ago With a Horizon Medicare Blue Access Group (HMO-POS) plan, members can save by using doctors and health care professionals who participate in the Horizon Managed Care Network – without referrals. In most cases, members can keep the same doctors, health care professionals and hospitals they used with their under-65 Horizon Group coverage. >> Go To The Portal


Does horizon Medicare blue advantage have HMO plans?

Horizon Medicare Blue Advantage (HMO) Plan Participation. The Horizon Medicare Blue Advantage (HMO) plan uses a subset of physicians and other health care professionals that participate in the Horizon Managed Care Network, as well as a subset of facilities in the Horizon Hospital Network.

What Medicare supplement plans does horizon offer?

Medicare Supplement plans are provided by Horizon Insurance Company and Horizon Blue Cross Blue Shield of New Jersey Blue Cross and Blue Shield Association. Horizon Insurance Company (“HIC”) contracts with CMS to offer HMO, HMO-POS, PPO and Part D Medicare plans. Enrollment in HIC Medicare products depends on contract renewal.

How do I enroll in Horizon Medicare Advantage plans?

Medicare Beneficiaries may enroll in Horizon Medicare Advantage and Medicare Rx Drug plans through the CMS Medicare Online Enrollment Center. For more information, contact Horizon Blue Cross Blue Shield of New Jersey at 1-877-234-1240, 8 am to 8 pm, Monday to Friday, Eastern Time.

What are the hours of operation for Horizon Medicare plans?

about Horizon Medicare plans. 8 a.m to 8 p.m ET every day. Please be aware you have clicked on a link to visit another site operated by a third party. Horizon Blue Cross Blue Shield of New Jersey provides such links for your convenience and reference only.

Is Horizon same as 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.

Is Horizon NJ Health the same as Horizon Blue Cross Blue Shield?

Headquartered in West Trenton, N.J., Horizon NJ Health, is a wholly-owned subsidiary of the Horizon Blue Cross Blue Shield of New Jersey, an independent licensee of the Blue Cross Blue Shield Association. Learn more at www.horizonNJhealth.com.

Is Horizon Blue Cross Blue Shield of NJ Medicare?

Horizon Insurance Company ("HIC") has a Medicare contract to offer HMO, HMO-POS, PPO and Part D Medicare plans, including group-Medicare Advantage plans and group Part D Prescription Drug plans.

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.

Is Horizon NJ FamilyCare an HMO?

Horizon HMO. Open Enrollment has ended, but you may still qualify for coverage. Call 1-844-256-2625 to learn more about Special Enrollment for individual medical plans, or explore our Medicare and NJ FamilyCare options.

Is Horizon NJ Health an 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.

Is Horizon NJ Health Medicare or 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.

Does Horizon NJ Health have an app?

Welcome to your Horizon health plan! We're glad to have you as our member. With the Horizon Blue app, you get 24/7 access to your member ID card, plan information, as well as care and support from your smartphone or other mobile device.

Is Horizon NJ Direct Medicare?

A7. Yes. The Horizon Medicare Advantage NJ DIRECT (PPO) plans provide in- and out-of-state coverage.

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.

Is Horizon NJ Health the same as NJ FamilyCare?

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 Blue Cross Blue Shield 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.

Understanding Medicare

Original Medicare pays for many health care services and supplies, but it doesn't cover everything. Most people need additional private coverage to help pay for out-of-pocket costs.

Helping Someone Else Enroll

If you are a caregiver, before discussing treatment options or health issues, have your loved one sign a consent form giving their doctor permission to speak with 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.