Horizon Direct Access

Horizon Direct Access is a managed care plan that gives members referral-free access to many health care services and programs and one of the largest national doctor networks in the nation. Horizon Direct Access gives members flexibility and easy access when choosing doctors, hospitals and other health care professionals for medical care. The selection of a Primary Care Physician (PCP) is optional and there are no referrals for specialty care.

Members can:

• Choose a PCP and coordinate care through him or her to obtain the highest level of benefits and lower out-of-pocket costs.
• Visit a doctor in the Horizon Managed Care Network at reduced out-of-pocket costs or one in the Horizon PPO Network for a broader selection also at reduced out-of-pocket costs; or
• Go directly to any licensed out-of-network doctor (at higher out-of-pocket costs).

The plan also covers members throughout the United States through the BlueCard® PPO program.

For care received in network, there are no claim forms to file and virtually no paperwork.

Preventive care benefits, emergency medical care, access to care when away from home and a number of value-added programs are all included.