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Horizon Medicare Blue Access Group (HMO-POS)

With a Horizon Medicare Blue Access Group (HMO-POS) plan, members can save by using doctors and health care professionals who participate in the Horizon Managed Care Network – without referrals. In most cases, members can keep the same doctors, health care professionals and hospitals they used with their under-65 Horizon Group coverage. Options with both medical and prescription drug benefits are also available.

Horizon Medicare Group HMO-POS Plans:

  • Available to retirees who live in New Jersey.
  • PCP selection is not required but recommended. If you do not select one, you may have to pay a Specialist copay when you see a general practitioner.
  • Members can save by using doctors and health care professionals who participate in the Horizon Managed Care Network – without referrals.
  • In most cases, members can keep the same doctors, health care professionals and hospitals they used with their under-65 Horizon group coverage.
  • Plan options with both medical and prescription drug benefits.

How HMO-POS coverage works:

  • Horizon Medicare Blue Access Group (HMO-POS) is a Health Maintenance Organization (HMO) plan that encourages members to use in-network providers, but offers the flexibility to see out-of-network doctors, specialists and other health care professionals in New Jersey.
  • PCP selection is not required but recommended. If you do not select one, you may have to pay a specialist copay when you see a general practitioner.
  • The plan may have separate deductibles and out-of-pocket limits for in- and out-of-network services.

For more information, please email MAPDGroups@HorizonBlue.com.