Jane Dotson
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) is the state's oldest and largest health insurer. It offers a range of healthcare services, including Medicaid and NJ Family Care plans. Horizon BCBSNJ has been recognised as a national leader in innovative care for its Medicaid members, providing quality healthcare services to over 500,000 children and adults enrolled in the state's Medicaid program. The company has a strong commitment to quality, investing heavily in cutting-edge healthcare and earning national distinction in several categories for groundbreaking initiatives.
| Characteristics | Values |
|---|---|
| Leading Medicaid and NJ Family Care plan in the state | Horizon NJ Health |
| National recognition | Horizon BCBSNJ |
| Number of Medicaid enrollees | Over 1 million |
| Availability | Parents or caretakers, dependent children, pregnant women, people who are aged, blind or disabled |
| MLTSS program | For individuals with disabilities and/or are over 65 years of age, who qualify for Medicaid |
| Horizon NJ TotalCare (HMO D-SNP) | Manages all of your Medicare and Medicaid benefits in one plan, at no cost to you |
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What You'll Learn
- Horizon Blue Cross Blue Shield of New Jersey is the leading Medicaid provider in the state
- Over half of New Jersey's Medicaid enrollees choose Horizon
- Horizon NJ TotalCare manages all of your Medicaid benefits in one plan
- Horizon BCBSNJ has been recognised as a national leader in innovative care for Medicaid members
- Horizon NJ Health provides benefits for New Jersey residents enrolled in the Medicaid program
Horizon Blue Cross Blue Shield of New Jersey is the leading Medicaid provider in the state
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) is the leading Medicaid provider in the state. It is the largest managed healthcare company in New Jersey, serving over 500,000 children and adults in the Medicaid and NJ Family Care programs. Horizon BCBSNJ has been recognised as a national leader in innovative care for its Medicaid members.
Horizon BCBSNJ provides quality healthcare services to those enrolled in the state's Medicaid program, including parents or caretakers and dependent children, pregnant women, people who are aged, blind or disabled, and those enrolled in the Division of Youth and Family Services and the Division of Developmental Disabilities. The company also offers the MLTSS program, which serves individuals with disabilities and those over 65 who qualify for Medicaid and meet the criteria for nursing home-level care. This program allows eligible individuals to remain in their homes while receiving necessary care.
Horizon BCBSNJ has been recognised for its commitment to providing cutting-edge, quality healthcare to its Medicaid members, offering them the same level of care as those covered by employer-sponsored plans. The company has been distinguished in five out of eight categories in the Institute for Medicaid Innovation (IMI) survey of groundbreaking initiatives, more than any other managed care organisation in the nation.
Horizon BCBSNJ also provides additional benefits to its members, such as no-cost behavioural therapy for cardiac patients, a personal Care Manager to help coordinate care, and Horizon CareOnlineSM, which allows members to receive care from home through video or phone consultations.
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Over half of New Jersey's Medicaid enrollees choose Horizon
Medicaid is a health insurance program that provides coverage to over one million people in New Jersey. The state's residents have many options when it comes to choosing a managed care organization (MCO) to help them with their Medicaid benefits. Over half of New Jersey's Medicaid enrollees choose Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) as their MCO.
Horizon BCBSNJ is the leading Medicaid and NJ Family Care plan in the state. It is also the only plan backed by Horizon BCBSNJ. The company has been recognized as a national leader in innovative care for its Medicaid members. Horizon has invested heavily in providing its Medicaid members with cutting-edge, quality health care. This commitment to quality has earned national distinction in five out of eight categories in the Institute for Medicaid Innovation (IMI) survey of groundbreaking initiatives.
The IMI survey report, released in December 2020, collected information about the state of the MCO industry in 2019 and trends from 2017-2019. The report offers a glimpse into why so many Medicaid-eligible New Jerseyans trust Horizon BCBSNJ. For example, Horizon's Medicaid programs are consistently recognized as a national leader for innovation and excellence. The company is also committed to helping its members achieve better health outcomes. One way they do this is by leading a unique public/private workgroup to match at-risk expectant mothers who have coverage through Medicaid with a doula. Doulas are patient advocates who have helped pregnant women and new mothers achieve better health outcomes.
Horizon BCBSNJ also helps its members focus on independent living. About 20,000 Horizon members are enrolled in the company's Managed Long-Term Services and Supports (MLTSS) program. In addition, Horizon NJ TotalCare (HMO D-SNP) manages all of a member's Medicare and Medicaid benefits in one plan, at no cost to the member. This includes Medicare Part B and Part D prescription medicines, plus Medicaid-covered drugs. Members can also get care from the comfort of their homes through Horizon CareOnlineSM. This service allows members to talk privately with a doctor using video or phone and schedule virtual therapy and behavioral health appointments.
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Horizon NJ TotalCare manages all of your Medicaid benefits in one plan
Horizon NJ TotalCare (HMO D-SNP) is a plan that manages all of your Medicare and Medicaid benefits in one place, at no cost to you. It is provided by Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ), the leading Medicaid and NJ Family Care plan in the state.
Horizon NJ TotalCare is the ideal plan for those who qualify for both Medicaid and Medicare. With this plan, you get a team of doctors, specialists, and Care Managers working together for you. All of your care is covered at no cost when you use an in-network provider, and you don't need a referral to see a specialist. A personal Care Manager will help coordinate your care, including a Plan of Care and help with prior authorizations and community resources.
Your coverage includes Medicare Part B and Part D prescription medicines, plus Medicaid-covered drugs. Prime Therapeutics will manage your prescription benefits, and you can sign up for mail-order delivery to ensure you don't miss a refill. You also get a preloaded Horizon EXTRA Benefits Card to help you pay for personal health care items, such as cold medicine, vitamins, dental care products, and diabetic socks. If you qualify as chronically ill, you can use this card to purchase healthy food and produce, and you will also get an extra allowance to pay for utilities.
Horizon CareOnlineSM allows you to get care from the comfort of your home. You can talk privately with a doctor using video or phone for issues like stomach pain, fevers, or skin irritations. You can also schedule virtual therapy and behavioral health appointments as often as you like, at no cost.
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Horizon BCBSNJ has been recognised as a national leader in innovative care for Medicaid members
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) has been recognised as a national leader in innovative care for its Medicaid members. Over half of New Jersey's Medicaid enrollees—more than one million people—choose Horizon BCBSNJ for their healthcare.
The Institute for Medicaid Innovation (IMI), a non-partisan research and policy group, recognised Horizon BCBSNJ's commitment to quality care in five out of eight categories in its survey of groundbreaking initiatives. This is the most of any managed care organisation (MCO) in the nation.
Horizon BCBSNJ has invested heavily in providing its Medicaid members with cutting-edge, quality healthcare and experiences, similar to those covered by employer-sponsored plans. The organisation has improved healthcare for its members in the following five IMI categories:
- Behavioral Care: Increased the number of providers statewide who can prescribe medication-assisted treatment, the gold standard for evidence-based treatment of substance use disorders.
- Women's Health: Empowered about 7,500 members annually to improve prenatal and postpartum health, and enhanced infant and maternal health outcomes by increasing quality care for OB/GYN practices serving Medicaid members.
- Child and Adolescent Health: Ensured young children have access to dental care by the age of one; addressed high-risk behaviours in teens, including tobacco and alcohol use, drug use, risky sexual behaviours, and depression; and improved child and adolescent health using best practices for wellness visits, preventive screenings, and immunisations.
- Managed Long-Term Services and Supports: Supported the health and well-being of seniors and individuals with disabilities by helping them navigate the healthcare system and providing them with community resources and education.
- Social Determinants of Health: Assisted Medicaid members who did not complete high school in earning the equivalent of a high school diploma, which has been shown to reduce mortality and the risk of heart disease and diabetes.
In addition to the above, Horizon BCBSNJ offers its members access to an expansive statewide network of doctors and hospitals, convenient tools, and community-based programs. Horizon NJ TotalCare (HMO D-SNP) also manages all of a member's Medicare and Medicaid benefits in one plan, at no cost to them.
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Horizon NJ Health provides benefits for New Jersey residents enrolled in the Medicaid program
Horizon NJ Health is the leading Medicaid and NJ Family Care plan in New Jersey. It is the only plan backed by Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ). Horizon NJ Health provides benefits for New Jersey residents enrolled in the Medicaid program. This program is available to parents or caretakers and dependent children, pregnant women, people who are aged, blind or disabled, as well as those enrolled in the Division of Youth and Family Services and the Division of Developmental Disabilities.
Horizon NJ TotalCare (HMO D-SNP) manages all of your Medicare and Medicaid benefits in one plan, at no cost to you. This includes Medicare Part B and Part D prescription medicines, plus Medicaid-covered drugs. A personal Care Manager will help coordinate your care, including a Plan of Care and help with prior authorizations and community resources. You also get a preloaded Horizon EXTRA Benefits Card to help pay for personal healthcare items like cold medicine, vitamins, dental care products, and diabetic socks.
Horizon NJ Health is New Jersey's largest managed healthcare company serving the publicly insured. It provides quality healthcare services for more than 500,000 children and adults in the Medicaid and NJ FamilyCare programs. NJ FamilyCare is New Jersey's SCHIP program, designed to allow low-income, working families to have access to coverage. The program reduces reliance on hospital charity care programs among low and moderate-income residents and places these individuals into a regular system of primary and preventive care.
Horizon BCBSNJ has been recognized as a national leader in innovative care for its Medicaid members. The latest annual survey report from the Institute for Medicaid Innovation (IMI), a non-partisan research and policy group, recognizes managed care organizations (MCOs) that are leading the way to better care. More than one million New Jersey residents enrolled in the State's Medicaid program—over half of New Jersey's Medicaid enrollees—choose Horizon BCBSNJ. Horizon BCBSNJ has invested heavily in providing its Medicaid members with cutting-edge, quality health care and experiences.
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Frequently asked questions
Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) is the state's oldest and largest health insurer. It provides quality healthcare services for more than 500,000 children and adults in the Medicaid and NJ Family Care programs.
Yes, Horizon Blue Cross Blue Shield of New Jersey is the leading Medicaid and NJ Family Care plan in the state. It is the only plan backed by Horizon BCBSNJ.
The Horizon NJ TotalCare (HMO D-SNP) plan manages all of your Medicare and Medicaid benefits in one plan, all at no cost to you. This includes Medicare Part B and Part D prescription medicines, plus Medicaid-covered drugs. You also get a preloaded Horizon EXTRA Benefits Card to help pay for personal healthcare items.
