Diabetes Care - Horizon Blue Cross Blue Shield of New Jersey (2024)

FAQs

Is Horizon, NJ the same as Blue Cross, Blue Shield? ›

Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, Braven Health℠, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association.

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.

Primary care office visits and preventive services. Dental diagnostic and preventive services. Hospital Services, inpatient and outpatient. Generic and brand name prescription drugs on the Approved Drug List (formulary)

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.

You can fill your prescription(s) at one of more than 2,000 convenient pharmacy locations throughout New Jersey, including major retail pharmacies such as CVS, Walgreens and Rite Aid. Most prescription and non-prescription drugs are covered at little or no cost to you.

It is a not-for-profit health service corporation with a 17-member Board of Directors which governs the company for its members. There are no shareholders. Horizon Blue Cross Blue Shield of New Jersey is best known for their managed care and traditional indemnity plans for individuals and employers.

Citizens or qualified immigrants. For an adult to qualify for NJ FamilyCare, the total family income must be at or below 138% of the Federal Poverty Level. For a single person, that is $1,732 a month; for a family of 4, that is $3,588 a month (2024 guidelines).

Horizon 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.

Aetna and UnitedHealthcare are the best health insurance companies in New Jersey. Both companies have cheap rates, good-quality plans and good customer service. Aetna's rates tend to be cheaper, and it has the cheapest Silver plan in most of NJ.

Walmart is now in-network for Horizon NJ Health... Stop by the pharmacy and we'll make transferring easy.

Is Horizon NJ a good health insurance? ›

Horizon is No. 3 on Insure.com's Best Health Insurance Companies list. It earned 4.12 stars out of 5. In addition to its excellent customer satisfaction ratings, Horizon also stands out for its policy offerings.

Comprehensive Dental Benefits

The following covered services require Prior Authorization: crowns, bridges, full dentures, partial dentures, gum treatments, root canals, surgical extractions, complex oral surgery, implants when medically necessary to support a complete denture, and orthodontics.

Headquartered in Hopewell, NJ, Horizon NJ Health is wholly owned by Horizon Blue Cross Blue Shield of New Jersey. Achieving the goals established in the mission, vision and cornerstone statements are at the heart of everything that is done at Horizon NJ Health.

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.

If you do not renew your NJ FamilyCare eligibility annually, you may lose health coverage for you and your family. Check your mail. NJ FamilyCare may send you a renewal application.

Horizon/Mercy officially changed its name to Horizon NJ Health on June 1, 2004.

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. We've made your health care plan easy for you to understand and use.

Horizon NJ TotalCare (HMO D-SNP) combines all your Medicare and Medicaid benefits and more into one plan — all at no cost to you! When you choose Horizon NJ TotalCare (HMO D-SNP), you'll feel good knowing your member ID card carries the familiar Blue Cross® and Blue Shield®.

Horizon NJ Health has a Medicare contract and a contract with the State of New Jersey Medicaid Program to offer Horizon NJ TotalCare (HMO D-SNP) an HMO Medicare Advantage Dual Eligible Special Needs plan.