Covered Coverage includes (but is not limited to) arm, leg, back and neck braces ; artificial eyes; artificial limbs and replacements; certain breast prostheses following mastectomy; and prosthetic devices for replacing internal body parts or functions. Also covers certified shoe repair, hearing aids and dentures.
Is Horizon NJ Health Same as Medicaid?
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.
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 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.
Are braces medically necessary?
Orthodontic treatment is not considered medically necessary for dental conditions that are primarily cosmetic in nature . The presence of malocclusion alone does not qualify for orthodontic coverage without a demonstrated severe functional impairment.
How much do braces cost without insurance?
The average cost for braces treatment without insurance is between $3,000 and $7,000 . The monthly payment amount will depend on the type of braces, the duration of treatment, and the duration of the payment plan.
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 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 .
Is Horizon NJ Health the same as NJ FamilyCare?
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.
Is Horizon NJ Health part of 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”.
Is Horizon NJ Health 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, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association.
What is the subluxation?
“Subluxation” is a term used by some chiropractors to describe a spinal vertebra that is out of position in comparison to the other vertebrae , possibly resulting in functional loss and determining where the chiropractor should manipulate the spine.
What are medical reasons for braces?
- To keep teeth from erupting in the wrong position. ...
- To correct crowding. ...
- To protect teeth and gums. ...
- To correct an overbite, underbite, or crossbite. ...
- To prevent jaw pain. ...
- To avoid breathing or swallowing problems. ...
- To correct over-spacing. ...
- To correct the effects of finger or thumb sucking.
Do braces count as a medical expense?
Yes, orthodontic treatment is a deductible medical expense . The medical expense deduction has to meet a rather large threshold before it can affect your return.
What is a good age to get braces?
The ideal age for braces
Early adolescence, or between the ages of 10 and 14 , is widely considered the ideal time to get braces. That's because preteens and younger teens have all (or nearly all) of their adult teeth in place, and their softer jawbone tissue is still quite responsive to repositioning.
Can you pay for braces monthly?
The payment plan is structured with an initial fee payment (due on the day the braces get placed on your teeth) and then the balance is paid off in monthly installments . The number of monthly installments will vary depending on the approximate length of your treatment.
What color is best for braces?
- Choose gold, dark blue, pink, orange, turquoise, green, or violet to complement darker skin tones.
- Choose light blue, bronze, dark purple or subdued reds and pinks to complement lighter skin tones.
- Choose darker colors to make your teeth appear whiter.
Is Invisalign cheaper than braces?
Braces are cheaper than Invisalign
The cost of Invisalign ranges from $3500 to $9000. Meanwhile, braces tend to cost between $2500 to $6000. Dental insurance usually covers some of these costs, however, the amount depends on the provider.
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 .
Is Horizon NJ Health 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.
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.
What is the difference between S1 and S2 breast pump?
There are two main differences between Spectra S1 and Spectra S2 breast pumps: The S1 has a built-in, rechargeable battery for portability and pumping on the go. The S2 requires an electrical outlet in order to be used . The Spectra S2 is pink to the S1's baby blue (a hot topic).
How do I get a breast pump through my insurance?
Yes, in most cases, moms do need a prescription to get a breast pump through insurance. Whether you order directly through your insurance or use a provider like Pumps for Mom, a prescription is required because breast pumps are considered medical devices. Pumps for Mom makes the process easy.
