Dental examinations, cleanings, fluoride treatment and any necessary X-rays are
covered twice per rolling year
. Additional diagnostic, preventive and designated periodontal procedures can be considered for members with special health care needs.
What type of insurance is Horizon NJ Health?
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 MRI?
The Advanced Imaging Services included in this program are CT/CTA, MRI/MRA
, PET and Nuclear Medicine studies (including Nuclear Cardiology).
Is Horizon NJ Health free?
The medical care and services you get through Horizon NJ Health are free or low cost
. Your benefits are determined by the NJ FamilyCare Program and are based on your income level and the number of people in your family.
Is Horizon NJ Health the same as Blue Cross Blue Shield?
Since its inception in 1993, Horizon NJ Health has grown to more than 854,000 members and provides services in all 21 New Jersey counties. Headquartered in West Trenton, NJ,
Horizon NJ Health is wholly owned by Horizon Blue Cross Blue Shield of New Jersey
.
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”.
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.
Does CVS take Horizon NJ Health?
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
.
Is Horizon 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.
What does eviCore healthcare do?
eviCore healthcare is a company that
provides Utilization Management services for Health Plans or employer groups
. eviCore healthcare's mission is to provide Outpatient Diagnostic Imaging Service programs that improve quality and appropriateness of service.
Does NJ Medicaid cover MRI?
Radiology and Laboratory Services
Covered
. Including (but not limited to) CT scans, MRIs, EKGs and X-rays.
What is eviCore phone number?
You can also email us at
[email protected]
, or reach us by phone at
800-646-0418, option 2
.
Does Horizon NJ Health cover root canal?
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.
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
.
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).
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
.
What is Horizon NJ Direct?
Horizon Direct Access is
a managed care plan that gives members referral-free access to many health care services and programs and one of the largest national doctor networks in the nation
.
Does Hackensack Hospital accept Horizon NJ Health?
Doctor accepting Horizon NJ Health in NJ & PA with affiliated Hackensack University Medical Center
– Find Horizon NJ Health Doctors – Horizon NJ Health.
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 NY health insurance in NJ?
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
.
Is my NJ FamilyCare Active?
If you applied for NJ FamilyCare coverage through the website www.njfamilycare.org, or by phone, you can
track your application's status by calling 1-800-701-0710
.
What is the maximum income to qualify for NJ FamilyCare 2021?
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 need renewal?
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.
Does Amazon pharmacy take Horizon NJ Health?
Your patients who are enrolled in Horizon health plans that include Horizon Pharmacy have a new way to get their prescriptions filled and delivered right to their door: Amazon Pharmacy.
Amazon Pharmacy is now a participating home delivery pharmacy for 90-day supplies of maintenance medicines.
Who is the pharmacy benefit manager for Horizon BCBS of NJ?
Our pharmacy benefits manager,
Prime Therapeutics
, provides a wealth of information and tools to help you get the most from your pharmacy benefits.
Does CVS Pharmacy accept Medicaid?
Q. Do you accept Medicaid? A.
We accept Fee for Service Medicaid in all of our CVS/pharmacy retail locations
.
