Services and products provided by horizon blue cross blue shield of new jersey, an independent licensee of the blue cross and blue shield association. Products are provided by horizon healthcare dental, inc. The benefit information is a brief summary, not a complete description of benefits. Also, due to the number of products that horizon bcbsnj offers, you may not find a sample benefit booklet that exactly matches your product. If there are any discrepancies between the information presented in this booklet andor plan documents and. Preventive care sometimes called preventative care is routine health care that includes screenings, services and counseling to help prevent illness, disease or other health problems. Thank you for taking time to learn more about the blue cross and blue shield service benefit plan. Its covered by your plan because it can help you stay healthy and lets you know if you may develop a health problem. If you are a florida blue member, you can also obtain your current sbc anytime by logging into the florida blue member portal. The funds service agreements with horizon blue cross and aetna provide members with a permanent identification card, good anywhere in the country and at the same time, have streamlined hospital claim processing with significant savings to the fund. Future changes in coverage will be described in either a booklet notice of change or in a new booklet.
Member id card reference guide at the time of service. If you have any questions regarding whether a specific specialty drug is covered under your benefit plan, contact the. Weve opened up access to telephone or video doctor visits by waiving all copays, coinsurance, and deductibles for these visits for the duration of the massachusetts public health emergency. Horizon blue cross blue shield of new jerseys standard dental policy and claim administration policies apply and may. Member handbooks horizon blue cross blue shield of new. You may enroll in the horizon blue cross blue shield of new jersey dental. Member handbook for members who are from outside the state of new jersey and are a horizon bcbsnj member through the away from home care program. Myblue healthcare insurance plan blue cross blue shield. Select blue cross blue shield global or geoblue if you have international coverage and need to find care outside the united states.
Blue cross blue shield members can search for doctors, hospitals and dentists. Learn about horizon blue cross blue shield of new jersey, including insurance benefits, retirement benefits, and vacation policy. Geoblue is the trade name of worldwide insurance services, llc worldwide services insurance agency, llc in california and new york, an independent licensee of the blue cross and blue shield association. Horizon blue cross blue shield of new jersey employee. In this booklet, youll find the important features of your groups hsa bluecard ppo benefits provided by the plan. For effective dates on and after november 1, 2015, your benefit booklet will be distributed by. Search for physical therapy, speech therapy, counseling, family practice and other types of care providers in new jersey. In this booklet premera blue cross is called the claims administrator. Please refer to your benefit booklet for specific information on cost sharing.
An independent licensee of the blue cross and blue shield association, an association of independent blue cross and blue shield plans. Communications are issued by horizon blue cross blue shield of new jersey in its capacity as administrator of programs. Specialty pharmaceutical pharmacy benefit specialty pharmaceutical pharmacy benefit. How do i obtain my group reimbursement welfare plan booklet. We work with consultants, brokers and advisors to make recommendations tailored to fit each benefit plans goals. Individual and family health coverage plandecision guide.
This plan will comply with the 2010 federal health care reform law, called the affordable care act see definitions. Blue rxsm booklet insert the following additionsrevisions should not be construed as a complete replacement of the sections in your benefit booklet unless otherwise noted. Glassdoor is your resource for information about the pension plan benefits at horizon blue cross blue shield of new jersey. Horizon blue cross blue shield partners with davis vision to provide an. This website is operated by horizon blue cross blue shield of new jersey and is not the health insurance marketplace website. Simply arrange with your provider for video doctor visits. Horizon blue cross blue shield representative on campus. Not all listed specialty drugs may be covered under all horizon benefit plan designs.
In this booklet youll find the important features of your groups comprehensive health plan benefits provided by the plan and administered by horizon blue cross blue shield of new jersey. Horizon blue cross blue shield of new jersey specialty pharmacy drug management list this list of specialty drugs is updated monthly, and is subject to change without notice. For 58 years, weve been the number one health insurance choice for federal employees and their families. If congress, federal or state regulators, or the courts make further changes or. All are independent licensees of the blue cross and blue shield association. Services and products provided by horizon blue cross blue shield of new jersey, an independent licensee of the blue cross and blue shield association, registered marks ofthe bluc cross and blue shield association.
All benefits are subject in every way to the entire group policy, which includes this booklet. Sample employer group benefit booklets horizon blue. This booklet replaces any other health plan benefit booklet you may have. Learn about horizon blue cross blue shield of new jersey pension plan, including a description from the employer, and comments and ratings provided anonymously by current and former horizon blue cross blue shield of new jersey employees. Get to know us a little better coverage just for you coverage for you and one eligible family member. Please refer to your benefit booklet for detailed coverage information regarding your plans benefits. This is the member service telephone number on your horizon blue cross blue shield medical. Please select one dvest1 dv9st1 dv8st1 dv5st1 dv4st1 dv1st1 dvpst1 dvost1 dvmst1 dvjst1 dvhst1 dvgst1 dvfst1 dvest1 dvdst1 dvcst1 loest1. Every year in the fall, this booklet is mailed to people wit h medicare. Your comprehensive health plan benefit program gives you broad protection to help meet the costs of illnesses and accidental injuries. Members benefit booklet for availability of benefits.
Communications are issued by horizon blue cross blue shield of new jersey in its capacity as administrator of programs and provider relations for all its companies. Benefit booklets blue cross and blue shield of north. This booklet describes your dental program which is underwritten by horizon. Policies on the blue cross blue shield of north carolina web site at they are listed. Medical policy manual horizon blue cross blue shield. This website does not display all qualified health plans available through the health insurance marketplace website. It has a summary of medicare benefits, rights and protections, and answers to the mos t.
Bluecross blueshield of south carolina is an independent licensee of the blue cross and blue shield association. For purposes of this plan, a bluecard ppo provider is an innetwork provider. Use the checklist below to identify key features of each plan. Licensed to abc benefits corporation for use in operating the alberta blue cross plan. Payment of benefits is subject solely to the terms of the contract. Summary of benefits horizon blue cross blue shield of. The benefit booklets below are only samples and do not reflect the actual benefits selected by your employer. January 1, 2014 services and products provided through horizon healthcare of new jersey or horizon blue cross blue shield of new jersey. I have not received my horizon blue crossblue shield medical card, why. Use the search box below to search for an sbc by group number or plan number. Alberta blue cross group benefits plan information. Search for doctors, hospitals and dentists blue cross blue shield members can search for doctors, hospitals and dentists in the united states, puerto rico and u. Please refer to your benefit booklet for more information. If you are unable to locate your sbc, or wish to have an sbc sent to you free of charge, call 18003522583.
Horizon bcbsnj coverage determinations are benefit decisions only, and are not the provision of medical care. Blue cross nc member authorization form authorization to disclose your protected health information phi to anyone that you designate and for any purpose. Epo medical benefit booklet summary summary of benefits coverage epo plan. Horizon blue cross blue shield of new jersey is an independent licensee of the blue cross and blue shield association. This booklet describes your dental program which is underwritten by horizon blue cross blue shield of new jersey and summarizes the benefits and essential details of this program. Corporate medical policy page 1 of 5 an independent licensee of the blue cross and blue shield association.
We suggest that you read this booklet carefully to become familiar with the coverage afforded you by the dental program. It covers all medicare and medicaid benefits, plus includes additional features and services all at no cost to you. Continuity of care form allows members and their dependents to continue receiving care from a provider who is no longer in the blue cross nc network order certification of health insurance coverage for terminated ended policies. I have received a medical benefit denial and i need an explanation. You should keep this booklet in a safe place and read it carefully so that. Horizon nj totalcare hmo dsnp is a plan that is right for those who qualify for medicare and medicaid at the same time. Dental option plan summary of benefits horizon dental home.
Benefit plans brochures and forms blue cross and blue. In an effort to provide enhanced customer service, a horizon representative will be on campus the second tuesday of every month from 9 a. Member handbooks horizon blue cross blue shield of new jersey. With this one easy plan, from a name you trust, you get a team of doctors, specialists, and care managers working together just for you. Corporate medical policy rhinoplasty blue cross and blue. Communications are issued by horizon blue cross blue shield of new jersey in its capacity as administrator. Medavie blue cross offers benefit plans and approaches that set us apart, drawing on decades of innovation and experience. Each of which is an independent licensee of the blue cross and blue shield association. Blue cross and blue shields federal employee program. Services and products are provided by horizon blue cross blue shield of new jersey or horizon healthcare dental, inc. This is the member service telephone number on your horizon blue cross blue shield medical card.
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