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.
Is Horizon NJ the same as Blue Cross Blue Shield?
Horizon BCBSNJ is an independent licensee of the Blue Cross and Blue Shield Association serving more than 3.7 million members.
What is Horizon NJ Health considered?
Our PlansHorizon NJ TotalCare ( HMO D-SNP )
If you qualify for both Medicaid and Medicare, Horizon NJ TotalCare (HMO D-SNP) is the plan that is right for you. It covers all Medicare and Medicaid benefits, plus additional features and services all at no cost to you.
Does Horizon NJ Health cover root canals?
Examples of covered services include (but are not limited to): oral evaluations (examinations); X-rays and other diagnostic imaging; dental cleaning (prophylaxis); topical fluoride treatments; fillings; crowns; root canal therapy ; scaling and root planing; complete and partial dentures; oral surgical procedures (to ...
Is NJ FamilyCare the same as Horizon NJ Health?
The NJ FamilyCare program allows eligible children, single adults and families to get affordable, quality health care through Horizon NJ Health . You can apply for NJ FamilyCare onlineapply for NJ FamilyCare online opens a dialog window. We can also help you complete your application.
How long does Horizon NJ Health last?
If you have NJ FamilyCare or Medicaid, you must renew every 12 months and stay current with any premium you owe. Those who do not renew their eligibility or do not pay their premiums on time will lose their benefits with Horizon NJ Health. Certain members will not be able to reenroll.
Can I use Horizon NJ Health out of state?
Horizon NJ Health will not cover care received outside of the United States and its territories . For more information on emergency care please visit “When to Use the Emergency Room”.
Is NJ Familycare covered by Medicaid?
New Jersey Medicaid, also known as the New Jersey Family Care program, is a health care program for those in financial need, funded by the federal government and the NJ state government .
Is Horizon Blue Cross the same as Horizon NJ Health?
Headquartered in West Trenton, NJ, Horizon NJ Health is wholly owned by Horizon Blue Cross Blue Shield of New Jersey .
Does Horizon NJ Health cover breast pumps?
Effective December 1, 2016, Horizon NJ Health's Breast Pump policy will change and only manual and electric breast pumps are covered .
What is Horizon PPO?
Horizon PPO gives members referral-free access to many health care services and programs, including preventive care benefits, emergency medical care and a number of value-added programs . For in-network care, there are no claim forms to file and virtually no paperwork.
Does Horizon NJ Health cover flu shot?
Ask your local pharmacist if they participate with Horizon BCBSNJ and offer no‐cost flu shots as part of the Garden State Pharmacy Organization. Keep in mind that if your doctor provides services in addition to the immunization, you may have to pay a copay.
Does Horizon NJ Health cover cologuard?
Horizon BCBSNJ Expands Member Access for Cologuard® Screening Test . Horizon Blue Cross Blue Shield of New Jersey is pleased to announce that effective July 15, 2018, we have extended our participating agreement with Exact Sciences Laboratories, LLC (Exact Sciences).
Does Horizon NJ Health cover chiropractic?
Horizon NJ Health will consider for reimbursement Chiropractic Manipulation (CPT codes 98940-98942) only if it is billed with the following: A primary diagnosis of subluxation, including the level of subluxation; and. A supporting secondary diagnosis.
Does Medicaid cover braces in NJ?
Medicaid covers metal braces only : other orthodontic procedures, like ceramic braces or clear aligners, are considered cosmetic procedures and aren't covered by subsidized insurance programs like Medicaid.
What type of insurance is NJ FamilyCare?
NJ FamilyCare – New Jersey's publicly funded health insurance program – includes CHIP, Medicaid and Medicaid expansion populations.
How much does NJ FamilyCare cost?
Adults age 19-64 with income up to 138% FPL ($ 1,563/month for a single person and $2,106/month for a couple ). Immigrant adults must have Legal Permanent Resident status in the US for at least five years in order to be eligible for NJ FamilyCare.
Does NJ FamilyCare cover gym membership?
$0 copays. $0 premiums. No referrals. A $0 gym membership or home fitness program .
Do I need to apply for NJ FamilyCare every year?
You must fill out a Renewal Application every year to maintain your health care coverage. You can call NJ FamilyCare at 1-800-701-0710 (TTY 1-800-701-0720) to find out your renewal date or to ask for a renewal form.
Is Medicaid free in NJ?
Quick Info. Medicaid provides free or low-cost health coverage to eligible needy persons .
Can I use Horizon NJ Health in Pennsylvania?
Doctor accepting Horizon NJ Health in NJ & PA with affiliated CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA H – Find Horizon NJ Health Doctors – Horizon NJ Health.
Can I use my NJ health insurance in Florida?
Q. Can I use my Medicaid coverage in any state? A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your coverage when you're temporarily visiting another state, unless you need emergency health care.
Does Urgent Care Take Horizon NJ Health?
Immediate Care Medical Walk-In proudly accepts Horizon NJ Health at all nine of its urgent care locations throughout central and southern New Jersey .
What does NJ Medicaid cover?
Medicaid provides health insurance to parents/caretakers and dependent children, pregnant women, and people who are aged, blind or disabled . These programs pay for hospital services, doctor visits, prescriptions, nursing home care and other healthcare needs, depending on what program a person is eligible for.
Has NJ expanded Medicaid?
New Jersey expanded Medicaid to adults without dependents under the ACA for coverage starting in 2014 . As of October 2021, more than 2 million New Jersey residents were enrolled in Medicaid or CHIP. Enroll in New Jersey Medicaid coverage via the NJ Family Care or Healthcare.gov website.
What does ABP mean in NJ FamilyCare?
Alternative Benefit Plan (ABP) – Benefits for people in NJ FamilyCare expansion under the ACA. ABPs cover the 10 essential health benefits in the ACA.
