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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 2020 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 $2,200/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 $1,200 annually ($300 per quarter) to use toward the purchase of eligible OTC items at participating retailers.
  • Talk confidentially with a U.S. board–certified licensed doctor at no cost, 24 hours a day, 7 days a week via phone, video or online chat with Horizon CareOnline℠.

A Fitness Program At No Cost To You

Improve your health with the FitnessCoach® program:

  • Choose from over 8,000 participating fitness centers and select YMCAs.
  • Get up to two Home Fitness kits each benefit year.
  • Access to the FitnessCoach website offering online classes, a fitness center or YMCA search, plus a quarterly newsletter.

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 FitnessCoach® program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Incorporated (ASH). FitnessCoach 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

If you need to find a new doctor who participates in one of our networks, our Doctor & Hospital finder makes it easy to find a health care professional who matches your needs.

Find In-Network Pharmacies

Search from more than 66,000 in-network pharmacies at Prime Therapeutics.

Find Covered Prescription Drugs

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