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Medicare Advantage

When it comes to choosing a plan, determine what’s most important to you.

If lowering your out-of-pocket costs is your priority, look at Horizon Medicare Blue Advantage (HMO)* plans.

Features

  • A $0 premium or $0 Rx deductible in certain counties
  • $10 copay for Primary Care visits
  • $25 copay for Specialists visits

*$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.

If having more freedom to choose the doctors, hospitals, and specialists you want look at:


  • Horizon Medicare Blue Value (HMO)
  • Horizon Medicare Blue Value w/Rx (HMO)
  • Horizon Medicare Blue Choice w/Rx (HMO)

Horizon Medicare Blue Select (HMO-POS)

Features Include

  • $0 in-network primary doctor copay
  • $0 in-network medical deductible
  • $0 Rx deductible
  • $0 copay for many dental, vision & hearing services
  • $0 copay for doctors by phone, video or online chat
  • Up to a $250 annual allowance for most comprehensive dental services not covered by Medicare.
  • Plus you'll have both in- and out-of-network benefits.

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.

Available in most Horizon Medicare Advantage Plans

  • $200/year back on your gym or yoga studio memberships
  • Doctors by Phone, Video or Chat: Talk confidentially with a US board-certified licensed doctor, 24 hours a day, 7 days with Horizon CareOnline℠
  • 100% coverage for preventative care, including many immunizations
  • Emergency care worldwide
  • Routine dental, vision and hearing benefits
  • No referrals to see an in-network specialist

Elegible para Medicare?

Si usted es elegible para Medicare, podrá inscribirse en un plan Medicare Advantage de Horizon Blue Cross Blue Shield of New Jersey, 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 deHorizon Blue Cross Blue Shield of New Jersey, 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.

Frequently Asked Questions

A.

Individuals with End Stage Renal Disease are generally not eligible to enroll unless they are members of our organization and have been since their dialysis began.

A.

Yes. PAAD is a pharmaceutical assistance program and does not actually function as prescription coverage.

A.

Yes. You are required to have Medicare Part A and Part B to enroll in a Medicare Advantage plan.

A.

No. Enrollment in a Medicare Advantage plan is generally for the entire year. Once you enroll, you may leave this plan or make changes to your coverage only during an open enrollment period or under certain special circumstances, such as when you move to a new address that is outside your plan’s service area.

A.

No. Enrolling in a Medicare Advantage plan will automatically end your enrollment in another Medicare health plan or prescription drug plan. However, you can choose a Medicare Advantage plan that includes Medicare prescription drug benefits.

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.

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