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Updates to the Away From Home Care Program

Applies to: Commercial Markets

Effective October 1, 2019, the Away From Home Care (AFHC) Program is being offered to members enrolled in the following plans, assuming there is no out-of-area coverage (BlueCard® coverage) and the plans are not Health Savings Account (HSA) compatible:

  • Horizon HMO
  • Horizon EPO
  • OMNIA℠ Health Plans

Members with out-of-network or out-of-area coverage (BlueCard benefits) are not eligible for the AFHC Program.

As of October 1, 2019, Horizon Blue Cross Blue Shield of New Jersey is no longer allowing new enrollment into the AFHC Program for members with an HSA-compatible High-Deductible Health Plan (HDHP). This applies whether the member has opened an HSA or not. Members who are covered by a HDHP and are currently enrolled in the AFHC Program can remain in the AFHC program, but should transition to a new plan during an upcoming open enrollment period.

AFHC is not a guaranteed benefit and is only available if the local Blue plan participates.

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

Published on: November 21, 2019, 00:57 a.m. ET
Last updated on: June 23, 2021, 08:24 a.m. ET