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Horizon NJ TotalCare (HMO D-SNP)

Medicaid + Medicare + Even More Benefits

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®.

With Horizon NJ TotalCare (HMO D-SNP), you pay nothing for all covered services.

Even More Extras in 2023 — Our new Horizon EXTRA Benefits Card comes loaded with:

  • $0 cost for all prescription drugs and many over-the-counter medicines
  • $0 cost for Medicaid-covered services, like:
    • Dental care, including exams, X-rays, cleanings, fillings, crowns, periodontal care and dentures
    • Vision care, including exams, glasses and contact lenses
  • Up to $2,680/year for health products, including:
    • Receive up to a $1,080 credit annually ($270 per quarter) to spend on items from our over-the-counter (OTC) Benefit Catalog.
    • Up to $1,600 annually ($400 per quarter) in OTC benefits. There are hundreds of items to choose from.
  • Eligible members get up to an extra $300/year ($75 per quarter) to help pay your electricity, water or gas utility bills.*
  • Get 24/7 online doctor and therapist visits (telehealth) using your phone, tablet or computer with Horizon CareOnline℠. Includes virtual therapy and psychiatry.

A Fitness Program at No Cost to You

Improve your health with the Silver&Fit® Healthy Aging and Exercise program:

  • Access to a network of thousands of participating fitness centers
  • A digital fitness program with home fitness tools, including digital workout videos
  • Telephone-based Healthy Aging coaching for a broad range of areas, including nutritional and fitness coaching

*Gasoline is not included with this benefit. The benefits mentioned are a part of special supplemental program for the chronically ill. Not all members qualify. In order to qualify for these benefits, members must have been diagnosed with one or more specific chronic conditions, have a higher risk to be in the hospital, and participate in the Horizon Care Management Program.

Members must use a SNP network provider. Member must use a SNP network DME (Durable Medical Equipment) supplier. Members must use a SNP network pharmacy. Members will be enrolled into Part D coverage under the SNP and will be automatically disenrolled from any other Medicare Part D or creditable coverage plan in which they are currently enrolled.

The Horizon Extra Benefits Mastercard® Prepaid Card is issued by Stride Bank, N.A. Member FDIC, pursuant to a license by Mastercard International. Stride Bank is an independent company offering debit card services and is solely responsible for its products.

The Silver&Fit® program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Incorporated (ASH). Silver&Fit is a federally registered trademark of ASH and used with permission herein. All programs and services are not available in all areas. American Specialty Health Fitness, Inc. is an independent company that supports Horizon BCBSNJ's fitness and exercise programs.

Horizon CareOnline℠ is a service mark of Horizon Blue Cross Blue Shield of New Jersey.

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