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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.


Your 2021 Benefits Include:

  • $0 cost for all prescription drugs and many over-the-counter medicines
  • $0 cost for Medicaid–covered services, such as:
    • Dental care, including exams, X–rays, cleanings, fillings, crowns, periodontal care and denture
    • Hearing care, including exams and hearing aids
    • Vision care, including exams, glasses and contact lenses
  • Up to $2,500/year for health products, including:
    • Receive up to a $1,000 credit annually ($250 per quarter) to purchase personal health care items from the OTC Benefit Catalog.
    • Plus, receive a Horizon NJ TotalCare (HMO D-SNP) Over–the–Counter (OTC) Benefit Card with an additional $1,500 annually ($375 per quarter) to use toward the purchase of eligible OTC items at participating retailers.
  • Get 24/7 online doctor and therapist visits (telemedicine) using your phone, tablet or computer with Horizon CareOnline℠. New for 2021: 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 over 16,000 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.

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 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.

Find In-Network Doctors

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Find formulary drugs, prior authorization, and step therapy at Prime Therapeutics.