If you are looking for extra support and guidance through a challenging situation or want to take a new direction in your life, we are here to help. (732) 217-7883. View. Email. Matawan, NJ 07747 ...Home - Horizon Blue Cross Blue Shield of New Jersey - NJ Health Insurance Plans Need to see a doctor now? Sign in to Horizon CareOnline℠ to get virtual medical or behavioral health care from U.S. board-certified, licensed doctors – 24/7/365.Traditional Indemnity. An Indemnity health plan is a fee-for-service health plan with the freedom to select any doctor and hospital for medical care. Horizon Blue Cross Blue Shield NJ offers a full range of medical plans & services that's right for you. Horizon Healthcare plans include BlueCard PPO, EPO, Horizon Direct Access and more.This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue ...LifeSecure's Accident Insurance is offered in cooperation with Horizon Blue Cross Blue Shield of New Jersey. LifeSecure Insurance Company underwrites and has sole financial responsibility for the Personal Accident Insurance product. LifeSecure is an independent company that does not provide Blue Cross Blue Shield products or services. Accidents ...® 2024 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. Applicable Products:Commercial PPO/EPO &Exchange POS/EPO ‌ Applicable Products: Commercial HMO & POS ‌You can enroll in Horizon’s Care Management Program by: Calling 1-888-621-5894 and selecting option 2. Representatives are available to help Monday through Friday, from 8 a.m. to 5 p.m., Eastern Time. Our Case Management program offers support, guidance and valuable information to help you manage a complex medical situation.If you have any questions regarding ERA, please call the EDI Service Desk at 1-888-334-9242, weekdays, 8 a.m. to 5 p.m., ET. You may also email your questions to [email protected] or [email protected]. EFT is a fast and easy way to receive reimbursement in an electronic format from Horizon BCBSNJ.12/21/2020: Policy approved. 1/25/2024: Revised language in the Limitations and Exclusions subsection. Policy142_v2.0_01252024. Reimbursement Policy: Medical Nutrition Therapy (MNT) Effective Date: April 15, 2021 Last Reviewed Date: January 25, 2024 Purpose: To provide guidelines for the proper use and reimbursement of Medical Nutrition Therapy.This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ ‌.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ ‌.If you have general questions about HNET 2000 or want a copy of Horizon BCBSNJ's approved Trading Partners list, call our EDI Service Desk at 1-888-334-9242, Monday through Friday, between 7 a.m. and 6 p.m., ET. If you have specific questions about HNET 2000 remediation, email your inquiry to [email protected] Medicare Blue Supplement plan advantages: See any doctor that accepts Medicare. No membership fees and no application fees. Exclusive member discounts through Blue365®. Save up to $24/per year with EFT payments. Option to add a prescription, vision and/or dental plan. Plan C and Plan F are only available to eligible applicants who ...2023 Rate Justification. Premium rates have changed between 2022 and 2023 benefit years. Detailed information regarding the rate change can be obtained from https://ratereview.healthcare.gov https://ratereview.healthcare.gov opens a dialog window‌. Published on: November 21, 2022, 03:35 a.m. ET. Last updated on: November 17, 2022, 15:42 p.m. ET.This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue ...Advantage EPO also provides members with access to doctors and hospitals outside of New Jersey with BlueCard® PPO. More than 600,000 physicians and over 6,000 hospitals participate in the network, the largest health care network in the nation.*. If care is received from a nonparticipating provider, there is no benefit coverage.OMNIA Health Plans. OMNIA Health Plans give enrolled members the flexibility to use any hospital participating in our Horizon Hospital Network and any physician, other health care professional or ancillary provider participating in our Horizon Managed Care Network. OMNIA Health Plan members will maximize their benefits and have lower out-of ...This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue ...® 2024 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. Applicable Products:Commercial PPO/EPO &Exchange POS/EPO ‌ Applicable Products: Commercial HMO & POS ‌The complete list of Horizon NJ Health specialists is available in the Doctor & Hospital Finder. If you would like a printed copy of the Provider Directory, please call Member Services toll free at 1-800-682-9090 (TTY 711 ), 24 hours a day, seven days a week. Please note: If you receive care from a provider who does not participate with Horizon ...To speak with one of Horizon Blue Cross Blue Shield of New Jersey's MTM team members, call 1-888-706-2820, Monday through Friday, between 9 a.m. and 5:00 p.m., ET. Due to high call volume, you may get the MTM voicemail. Please leave your name and a call back number and your call will be returned promptly.Horizon b Fit is Horizon BCBSNJ's fitness incentive program. After members enroll, they become eligible to receive a $20 reward for every month in which they make at least 12 visits to any of our 4,000 participating facilities across the United States. That's up to $240 a year in rewards!Published on: August 17, 2020, 05:26 AM ET. Last updated on: February 28, 2023, 11:36 AM ET.Last updated on: February 28, 2024, 14:11 PM ET. Payments for Horizon NJ Health and Horizon NJ TotalCare (HMO D-SNP) claims have been impacted by the recent Change Healthcare cyber security issue.Change Healthcare is a vendor that supports Horizon with the issuance of claim payments, Explanation of Payments (EOPs), Electronic Remittance Advices ...Call Member Services at 1-800-414-SHBP (7427), weekdays, from 8 a.m. to 6 p.m., Eastern Time (ET), or sign in to chat or send an email. You can use the Horizon Blue app, too! Get comprehensive dental benefits and low out-of-pocket costs with Horizon Dental Choice, the DPO from Horizon Blue Cross Blue Shield of New Jersey.If you’re in the market for a home warranty provider, read our comparison of Choice Home Warranty and American Home Shield to learn about coverage and pricing. If you’re in the mar...We make it easy for you to get information about your claim. Just sign in at HorizonBlue.com or the Horizon Blue app, 24/7. Or call us at 1-800-433-6825. [Call us at: 1-800-433-6825, Weekdays 8 a.m. – 8 p.m.] [Horizon Blue Cross Blue Shield of New Jersey logo and legal disclaimer] Deductible. Learn about the amount of money you …Employers can add the BlueCard ® Program to Horizon PPO, which offers members the in-network level of benefits outside of New Jersey when receiving services from doctors, other health care professionals and hospitals that participate with the many other Blue Cross and/or Blue Shield Plans across the country. Horizon PPO members have lower out ...Simply select Claims, then Submit a Claim. To submit these claims by mail, please include the appropriate claim form below and mail it, and the required information listed on the form, to the address on the form: Merck members: Merck Health Insurance Claim Form. Organon members: Organon Health Insurance Claim Form.Horizon Blue Cross Blue Shield of New Jersey is an independent licensee of the Blue Cross Blue Shield Association. Information in Other Languages. Español; Polski;Home - Horizon Blue Cross Blue Shield of New Jersey - NJ Health Insurance Plans Need to see a doctor now? Sign in to Horizon CareOnline℠ to get virtual medical or behavioral health care from U.S. board-certified, licensed doctors – 24/7/365.As of 2016, access a list of Blue Cross Blue Shield of Georgia providers by using the health insurance provider directory at BCBSGA.com. This gives information for doctors, dentist...eviCore healthcare is an independent company that supports Horizon Blue Cross Blue Shield of New Jersey in the provision of Prior Authorization and/or Medical Necessity Review (PA/MND) of certain nonemergency radiology services. The Advanced Imaging Services included in this program are CT/CTA, MRI/MRA, PET and Nuclear Medicine studies ...Retail Center Location and Directions. Located in Moorestown, between the major arteries of Routes 38 and 73 (or just minutes off the New Jersey Turnpike and I-295), Horizon Connect is situated within the East Gate Square Shopping Center at 1680 Nixon Drive in Moorestown. Take the New Jersey Turnpike South to Exit 4, follow signs for …Horizon Pharmacy. Your Horizon BCBSNJ plan may include prescription coverage through the Horizon Pharmacy program. If so, you have access to comprehensive prescription coverage and several options for filling your prescriptions. We’re here to help you get the medicine you need to feel better and live well.Call your BCBS company. Call the Service Center at 1-800-810-2583 or collect at 1-804-673-1177, 24 hours a day, seven days a week. ¹Not available under all plans; check with your plan administrator. Blue Cross Blue Shield Global Core offers provider search, medical translations, travel alerts and more services for eligible Blue Cross Blue ...This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue ...You can enroll in Horizon’s Care Management Program by: Calling 1-888-621-5894 and selecting option 2. Representatives are available to help Monday through Friday, from 8 a.m. to 5 p.m., Eastern Time. Our Case Management program offers support, guidance and valuable information to help you manage a complex medical situation.Flexibility & choice. Horizon MyWay has three main components: A comprehensive, high-deductible health plan, such as Horizon PPO or Horizon Direct Access. An easy-to-use Health Savings Account (HAS), Health Reimbursement Arrangement (HRA) or Flexible Spending Account (FSA). State-of-the-art tools, education and support to help members make ...® 2024 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. Applicable Products:Commercial PPO/EPO &Exchange POS/EPO ‌ Applicable Products: Commercial HMO & POS ‌Providers can call Horizon Behavioral Health Care Management at: 1-800-626-2212 1-800-991-5579 (for the State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP) Program only) . If there is a request for a referral and/or information about providers in the member's location, Behavioral Health Clinicians may conduct a brief screening to evaluate whether ...Diabetic Supplies. Effective Date: January 1, 2012. Last Revised Date: January 25, 2024. Purpose: This policy provides guidelines for reimbursement of diabetic supply codes when the utilization of these supplies is at a frequency over the usage listed by supply code. This policy outlines the quantity of supplies necessary for those patients ...This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue ...This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue ...CHESTER, N.J., May 20, 2024 /PRNewswire/ -- Healing at Hidden River is pleased to announce it has secured an agreement with Horizon Blue Cross Blue Shield of New Jersey (Horizon) to provide in ...Steven J. Krupinski is Senior Vice President and Chief Human Resources Officer at Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ). Mr. Krupinski joined Horizon BCBSNJ in February 2021. Mr. Krupinski was previously Senior Vice President, Human Resources and Facilities at Capital Blue Cross, located in Harrisburg, Pennsylvania for over 14 years.Find an in-network doctor from over 1,000 insurance plans. Add your insurance to see in-network doctors. See all (1,000+) Add your insurance coverage. 214 verified Horizon Blue Cross Blue Shield of New Jersey Doctors in your area. Learn more about Zocdoc search.This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ ‌.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ ‌.As an eligible Horizon BCBSNJ member, joining joining opens a dialog window‌ is easy. Horizon Blue Cross Blue Shield NJ healthy discounts (Blue365®) program offers gym membership and reimbursement details. The Blue365® member discount program offers special savings, deals of the week, and resources to help members lead a healthy life.This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. …Horizon Blue Cross Blue Shield NJ Doctor & Hospital Finder - Online provider directory for best doctors, dentists, hospitals and PCPs by your location, specialty near you. Search for physical therapy, speech therapy, counseling, family practice and other types of care providers in New Jersey.EPO (Exclusive Provider Organization) Our Horizon Advantage EPO Plan uses the Horizon Managed Care Network in New Jersey. This product does not require PCP selection or referrals. There are no benefits for out-of-network services, unless accessed in an emergency or otherwise approved and money-saving subsidies may be available.This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue ...This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue ...Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association. Communications may be issued by Horizon Blue Cross Blue Shield of New Jersey in its ...Call Member Services at 1-800-414-SHBP (7427), weekdays, from 8 a.m. to 6 p.m., Eastern Time (ET), or sign in to chat or send an email. You can use the Horizon Blue app, too! This document is for informational purposes only and does not constitute a binding agreement.Find an In-Network Lab - Horizon Blue Cross Blue Shield of New Jersey. Home. › Employers. › Resource Center. › Educational Materials. › General Resources. Download the COVID-19 Resource Guide (as of March 27, 2023), created especially for our valued customers. Understanding Your Coverage. Educational Materials.Health plans for groups with 51 to 99 employees: Can have an out-of-network reimbursement set by the health plan design; or. Can choose from a set of out-of-network reimbursement options: 110%, 150%, 180% or 250% of CMS rates. Health plans for groups with 100 or more employees can choose from a set of out-of-network reimbursement options: 110% ...Specialty Rx Program for Infertility Treatment. To get the most from in-network benefits and minimize cost-sharing, Horizon BCBSNJ members who use certain prescription medicines associated with the treatment of infertility are required to obtain these prescription medicines from one of our participating specialty pharmacies. ‌.To get the most from your health insurance, you need to make sure that your see providers who are in the Anthem Blue Cross and Blue Shield network. Here are the steps you need to t...Call 1-978-738-9800. Aeroflow. Call 1-888-345-1780. To request your multi-user (hospital-grade) breast pump, please verify that your plan covers the hospital/institutional grade pump, then contact the following providers directly. A doctor’s order is required for a multi-user (hospital-grade) breast pump. Provider Name.1-800-365-2223. (TTY call 711) Help is available from. 8 a.m to 8 p.m ET every day. Y0090_Web2024RN_M Last Updated 01/01/2024. Horizon Insurance Company ("HIC") has a Medicare contract to offer Part D Medicare plans, including group Part D Prescription Drug Plans. Enrollment in HIC Medicare products depends on contract renewal. Horizon NJ ...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 and Blue Shield Association. Communications may be issued by Horizon Blue Cross Blue Shield of New ...Transcript. Horizon BCBSNJ members have access to discounted pet insurance plans from ASPCA, an advocate for animal welfare and a leader in the pet insurance industry. One of the ASPCA's priorities is helping people care for their animal companions. Members receive a 10% discount on coverage so they can give their pets the best care possible ...Please follow these guidelines when submitting claims: Electronic filing Horizon BCBSNJ strongly encourages the electronic submission of your claims and other supported HIPAA transactions. This time-saving feature decreases your paperwork and reduces payment errors, ensuring quick payment for you. The suite of electronically …If you’re in the market for a home warranty provider, read our comparison of Choice Home Warranty and American Home Shield to learn about coverage and pricing. If you’re in the mar...Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ), the state's oldest and largest health insurer is a tax-paying, not-for-profit health service corporation, providing a …Examples of Blue Cross Blue Shield prefixes are AAU, MRT and XZA for members in California, Illinois and Minnesota, respectfully, according to The Health Exhibit. BCBS alpha prefix...Access our self-service tool guide for more information. Keep in mind that using these tools will be important because as of November 1, 2023, Provider Services representatives will no longer assist with the following inquiries: Member eligibility and enrollment. Claims and payment status. Expected patient costs (preservice)Flexibility & choice. Horizon MyWay has three main components: A comprehensive, high-deductible health plan, such as Horizon PPO or Horizon Direct Access. An easy-to-use Health Savings Account (HAS), Health Reimbursement Arrangement (HRA) or Flexible Spending Account (FSA). State-of-the-art tools, education and support to help members make ...Policy: Horizon BCBSNJ recognizes modifier 25 when appropriately appended to a significant, separately identifiable E&M service when billed in conjunction with another service or procedure performed by the same provider on the same day of the original service or procedure if the following criteria are met: The appropriate level of E&M service ...Our broad network gives you access to the care you need when and where you need it — and our tools and resources help explain the insurance process, helping you to make the best decisions for you and your family. On a national level, we're a proud member of the Blue Cross Blue Shield Association, one of the largest, best-known and most ...Posted 7:45:58 PM. Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or…See this and similar jobs on LinkedIn.