Member Incentive for Completing an In-Home Health Assessment

May 30, 2018

Applies to: Individual and Small Group markets

Horizon Blue Cross Blue Shield of New Jersey is committed to helping our members get the care and information they need, when and where they need it. That’s why we offer members enrolled in Individual or Small Group plans a $40 CVS Pharmacy® gift card for completing a comprehensive health assessment in the comfort of their own home. Gift cards are not offered as the result of a member receiving a physical or health assessment from his or her doctor.

Horizon BCBSNJ works with Matrix Medical Network to provide these members with a fully licensed and qualified nurse practitioner to evaluate their health.

This assessment is part of the member’s current coverage and is provided at no additional cost. It does not replace appointments or care provided by the member’s primary care or personal doctor. Participation in the assessment is strictly voluntary. No medicines, treatments or tests are ordered during the assessment.

What’s included

During the assessment, the nurse practitioner will:

  • Go over the member’s health history.
  • Listen to the member’s health concerns.
  • Answer the member’s health-related questions.
  • Review any medicines the member takes.
  • Suggest screenings or other tests.

Results of the assessment are shared with the member, his or her primary care or personal doctor and Horizon BCBSNJ to help ensure the member receives the best care possible and stays on top of any health conditions. Horizon BCBSNJ may also use the information to help identify members for our Care Management programs. The results of the assessment are also submitted to the Centers for Medicare & Medicaid Services (CMS) for Risk Adjustment purposes for Individual and Small Group members. The results also support Healthcare Effectiveness Data and Information Set (HEDIS) measurements with the National Committee for Quality Assurance (NCQA).

If you have questions, please contact your Horizon BCBSNJ sales executive or account manager.

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Published on: June 5, 2018, 04:34 AM ET
Last updated on: June 6, 2018, 02:56 AM ET