This plan also has access to wellness and discount programs. Horizon Advantage Exclusive Provider Organization (EPO) health plans offer members the freedom to use any of the thousands of participating physicians, hospitals and other health care professionals in the Horizon Managed Care Network without referrals. Prescription: 30% Coinsurance After Deductible.Copay(primary care/specialist) : $30/ 30% after deductible.Members can also access other hospital in the Horizon Hospital Network but will have higher out of pocket costs. If you need the information for your local CWA, call the. Contact your case worker at your County Welfare Agency (CWA). Call NJ Famil圜are at 1-80 (TTY 1-80) to find out your renewal date or ask for a renewal form. Complete all forms and mail them back as soon as possible. For non-emergency care, Horizon Advance EPO members can choose to maximize their benefits by using Preferred Tier 1 hospitals. NJ Famil圜are may send you a renewal application. (Horizon Blue Cross Blue Shield of New Jersey offers Horizon Medicare Blue Supplement Plans A, C, D, F, G, K and N to applicants age 65 or older.) While Medicare Supplement plans are designed to cover what Medicare doesn't.
Members must select a Primary Care Physician to coordinate care and provide referrals to specialists who participate with the Horizon Advance EPO product. There are 10 standardized Medicare Supplement plans (Plans A through N), each with a different combination of benefits. These plans provide integrated medical and pharmacy benefits, including wellness and emergency care. Our Horizon Advance EPO plans provide access to a variety of doctors, specialists and hospitals. Income requirements for subsidy on the exchange: You must meet the income requirements below.You must not be eligible for group coverage( or if you are, it must be considered unaffordable) Unaffordable means it will cost you more than 9% of your annual income.I’m just listing some basic information on who may qualify for a subsidy. If you think this may be you, please visit and go through the process. Getting a better deal on your individual coverageĬertain individuals will qualify for a premium subsidy if they purchase their coverage from the exchange. Otherwise, its probably best to just go through your broker. The benefits of going on the exchange are that you may qualify for a premium subsidy. The Employee is covered under another group health benefits plan, Horizon BCBSNJ will count that Employee as being covered by this Policy for purposes of. Either all of these plans or just a few will also be offered on the exchange. All the information below was taken directly from These plans listed below are being offered off the exchange. We’ve been waiting patiently to see what the new products will be for 2014 and there they are.
Information current and approximate as of December 31, 2018. In every state and every community, BCBS companies are making a difference not just for our members, but For the Health of America. Improving Health State-by-State, For the Health of America. Horizon Blue Cross Blue Shield New Jersey Individual Exchange Products BCBS State by State Blue Cross Blue Shield.
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