OMNIA Health Plan Changes for 2017
April 12, 2017
Applies to: Groups with more than 50 employees
Horizon Blue Cross Blue Shield of New Jersey wants to reiterate two changes to OMNIA℠ Health Plans for groups with more than 50 employees. The changes were effective January 1, 2017. These changes were previously communicated via appropriate form and rider updates, and consist of the following:
- Laboratory and Radiology services: As of January 1, 2017, members no longer have a cost sharing requirement if they receive these services at an OMNIA Tier 1 hospital-based outpatient facility. Previously, this benefit level applied only to OMNIA Tier 1 stand-alone facilities. For HSA plans, no cost sharing will apply after a member’s deductible has been met.
- Ancillary services: When BlueCard® PPO is included as a supplement to a member’s OMNIA Health Plan, and that member accesses ancillary services such as hospice, durable medical equipment, skilled nursing facilities and others, under the BlueCard PPO program, those services will be reimbursed at the Tier 2 level of benefits consistent with other BlueCard PPO services.
Please share this information with your Horizon BCBSNJ clients as appropriate, and relay it to appropriate prospects considering an OMNIA Health Plan.
If you have questions, please contact your Horizon BCBSNJ sales executive or account manager.
Products and policies may be provided by Horizon Insurance Company or Horizon Healthcare Dental, Inc. and services and products may be provided by Horizon Blue Cross Blue Shield of New Jersey or Horizon Healthcare of New Jersey, Inc., each an independent licensee of the Blue Cross Blue Shield Association. 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. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross Blue Shield Association. The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. © 2017 Horizon Blue Cross Blue Shield of New Jersey. Three Penn Plaza East, Newark, New Jersey 07105-2200.