Horizon Medicare Blue Value w/ Rx Standard Get both medical and prescription drug coverage for $0 a month.*
When you add prescription drug coverage to our Horizon Medicare Blue Value plan, you can take advantage of a $0 health plan premium.* That means that you can have a MA-PD plan with both health and Part D prescription drug coverage for nothing over what you already pay for Medicare Part B!
Horizon Medicare Blue Access Our Medicare Advantage POS plan gives you freedom of choice!
Horizon Medicare Blue Access gives you the freedom to go to any health care provider. Coverage is typically greater when you stay in the network, but the choice is yours to make. And you don't need a referral.
Our Medicare Advantage plans provide more coverage than Original Medicare and most Medicare Supplement plans combined!
PLUS...these preventive health care services to help keep you healthy...
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For more information, you can visit www.silversneakers.com. (Please check with your physician before starting a fitness program.)
If you qualify for extra help with your Medicare Prescription Drug Plan costs, your premium and drug costs will be lower. When you join a Horizon Healthcare of NJ, Inc. Medicare Advantage - Prescription Drug Plan, Medicare will tell us how much extra help you are getting. Then, we will let you know the amount you will pay. If you aren't getting any extra help, you can see if you qualify by calling:
To contact Horizon Healthcare of New Jersey, Inc., call customer service at 1-800-224-1234 (TTY/TDD users: 1-800-852-7899) Monday - Friday, 8:30 am - 5:00 pm.
All health plans in the Medicare program agree to stay with the program for a full year at a time. Each year, the plans decide whether to continue for another year. Even if a Medicare health plan leaves the program, you will not lose Medicare coverage. If a plan decides not to continue, it must send you a letter at least 90 days before your coverage will end. The letter will explain your options for health care coverage in your area and give you information about your right to get Medicare supplemental insurance coverage. You can choose another health plan if one is available, or you can receive care from the Original Medicare Plan.
If Horizon Healthcare of New Jersey, Inc. ever denies your claim, or a service, we will explain our decision to you. You always have the right to appeal and ask us to review the claim or service that was denied. If a decision was not made in your favor, your appeal will be reviewed by an independent organization that works for Medicare.
The MA and MA-PD plans are managed care plans issued by Horizon Healthcare of New Jersey, Inc., which is a MA organization with a Medicare contract with the Centers for Medicare & Medicaid Services (CMS). Availability of coverage beyond the end of the current contract year is not guaranteed. Horizon Healthcare of New Jersey, Inc. is a subsidiary of Horizon Blue Cross Blue Shield of New Jersey. Both companies are independent licensees of the Blue Cross and Blue Shield Association.
If you obtain routine care from out-of-plan providers, neither Medicare nor Horizon will be responsible for the costs. While you are a member of our Plan, you may use either network providers or out-of-network providers. However, your out-of-pocket costs may be higher if you use out-of-network providers, except for emergency care or out-of-area dialysis services.
Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each calendar year. Please contact Horizon Healthcare of New Jersey, Inc. for details.
The service area for this plan is the following counties in New Jersey: Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union and Warren.
*The $0 monthly health plan premium applies only to the Horizon Medicare Blue Value w/ Rx Standard plan.
You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.