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Talk with us 1-877-234-1240 (8 a.m. to 8 p.m. Monday to Sunday)

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WHAT YOU SHOULD KNOW

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*$0 premium only available in the following counties: Ocean, Monmouth, Bergen, Essex, Hudson, Middlesex, Union, Mercer, Somerset, Sussex, Warren, and Hunterdon. | $0 Rx deductible only available in the following counties: Morris, Atlantic, and Cumberland.

**Horizon Medicare Blue Select (HMO-POS) only available in Union County. | Out-of-network/ non-contracted providers are under no obligation to treat members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

HMO members must select a Primacy Care Physician (PCP) and may only use in-network providers from our managed care network, except for emergency care or urgent care while traveling outside of our service area.

MA PPO members receive the in-network level of benefits when they use in-network providers in our managed care network in New Jersey, or use participating Blue Plans’ MA PPO networks in designated states. Otherwise, out-of-network benefits will be applied. Out-of-pocket costs may be higher when you use out-of-network providers, except for emergency or urgent care.

This information is not a complete description of benefits. Call 1-888-328-4542 (TTY 711) for more information.
ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call 1-888-328-4542 (TTY 711).
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-328-4542 (TTY 711).

If you decide to switch your billing type to premium withhold or move from premium withhold to direct bill, it may take up to three months for the change to take effect and you will ultimately be responsible for paying those premiums.

If Horizon Blue Cross Blue Shield of New Jersey denies your claim or a service, we will explain our decision to you. You have the right to appeal and ask us to review the claim or service that was denied. If a decision was not made in your favor, your appeal will be reviewed by an independent organization that works for Medicare.

ELEGIBLE PARA MEDICARE?

Si usted es elegible para Medicare, podrá inscribirse en un plan Medicare Advantage de Horizon Healthcare of New Jersey, Inc durante períodos específicos del año conocidos como períodos de inscripción o períodos de elección. Los materiales de inscripción están disponibles en español si se necesitan.

Para más información acerca de la inscripción, comuníquese con Servicio a Clientes de Horizon Healthcare of New Jersey, Inc. al 1-877-234-1240 (usuarios de TTY/TDD: 1-800-852-7899) de lunes a viernes entre las 8 a.m. y las 8 p.m., hora del Este.

COMMUNITY EVENTS

Horizon Blue Cross Blue Shield of New Jersey's Blue to You Van Horizon Blue Cross Blue Shield of NJ Employees Serving the Community During a Beach Clean-Up

Being involved in and committed to New Jersey’s diverse communities is what defines
Horizon Blue Cross Blue Shield of New Jersey as your preferred local health plan.

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Talk with us 1-877-234-1240 (8 a.m. to 8 p.m. Monday to Sunday)