![]() ![]() state, the District of Columbia, Puerto Rico or the U.S. If your travels take you to any other U.S. Have a plan for traveling in the other 49 states Use the Horizon doctor and hospital finder to locate a nearby in-network doctor, hospital or urgent care center anywhere in New Jersey to help keep out-of-pocket costs to a minimum.ĥ. No matter where you may roam in New Jersey – from High Point to Cape May – your coverage will be the same as in your hometown. That’s true whether the hospital providing emergency care is in- or out-of-network. If away from home, but within the U.S, all emergency care is covered at your plan’s in-network benefits rate. Your health and safety are more important than anything. If you need emergency medical treatment, call 911 or go to the closest emergency room immediately. Know what to do in the case of an emergency Download the app by texting “GetApp” to 422-272 or searching for “HorizonBlue” in the Apple ® or Google ® app stores.ģ. Before you travel, download the app and sign in so there’s no delay in getting access to your benefits. ![]() With the Horizon Blue mobile app, you can access any telehealth option available with your healthcare plan. Check your Horizon ® health planĭoes your Horizon plan cover everything you need, wherever you’ll be? Before you leave, use our online chat service or call the customer service number on the back of your membership ID card to ensure you understand how to get the most out of your benefits when you’re away from home. But a medical emergency is just as likely as a travel disruption, so take time now to protect your health and your wallet. People often get travel insurance when they go on a trip - but they don’t always think about their health insurance. Note: This incentive is for active members enrolled in the SHBP only.Weekend getaways, college visits, business trips, holiday travel - the fall and winter can actually be quite a busy season for journeys around the country, or abroad. There is no out-of-network coverage with either plan. OMNIA plan members also have the flexibility to see any Tier 2 provider included in the managed care network, but with slightly higher cost sharing. ![]() Tier 1 refers to specific doctors, hospitals and other health care professionals who offer cost-effective care. The plan offers members lower cost sharing, with copays as low as $5.00 for an office visit, when utilizing Tier 1 providers. The Horizon OMNIA Health Plan gives members the flexibility to visit practitioners in the carrier’s managed care network as well as significant premium share reductions, with no referrals required. What is a Tiered-Network Plan? A brief overview of the Horizon OMNIA Health Plan Local employers must complete a Resolution for the Incentive Program for the Tiered-Network plans . For local employees, the incentive program is voluntary and at the option of the employer therefore, eligibility for the incentive is based on whether the employer participates. State employees are automatically eligible to participate in the program. If you voluntarily retire or change health plans due to catastrophic or emergency health needs as determined by the NJDPB after a full year, then the incentive shall be forfeited on a pro-rata basis. IMPORTANT – The incentive shall be forfeited and returned to the SHBP if you fail to remain enrolled in the Tiered Plan for one plan year, except if you become ineligible for healthcare due to: layoff, involuntary separation, reduction to part-time status, or classification into an ineligible position. The program offers a financial incentive to first-time enrollees at all coverage levels (i.e., Single, Member and Spouse, Parent and Child, or Family coverage) who remain enrolled for one year. This program does not extend to over age children or COBRA members. The Incentive Program is available to first-time enrollees who must remain enrolled for one year, from January 1, 2021, through December 31, 2021. New employees enrolling during the remainder of 2020 as well as Plan Year 2021 are eligible for this incentive. This program encourages employees to subscribe to the Tiered-Network Plan by offering a financial incentive. ![]() Tiered-Network Incentive Programįor Plan Year 2021, the State Health Benefits Program (SHBP) will continue to offer an Incentive Program for the Horizon OMNIA Tiered-Network plan. State Employees: The SHBP offers a $1,000 Incentive Program for employees who enroll in the Horizon OMNIA Tiered-Network plan and remain enrolled for one year – from January 1, 2021, through December 31, 2021. ![]()
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