Q. Which providers can members see?
Members should continue to choose physicians and other health care professionals as they usually do under their plan. Use our Doctor & Hospital Finder to find a doctor, specialist or care facility.
Q. How often will members receive information?
Once enrolled, members will receive an introductory letter and brochure informing them about the programs and how participation can help better manage their conditions.
Q. When is the case manager available?
Our case managers are available Monday through Friday, from 8 a.m. to 7 p.m. Members can leave a voicemail message after office hours.
Q. Who can members contact with questions or to enroll?
Call the appropriate number below Monday through Friday, from 8 a.m. to 7 p.m.:
Horizon members: 1-888-334-9006
Medicare members: 1-888-334-9006 (Hearing impaired? Call 1-800-855-2881)
Medicare Blue TotalCare (HMO SNP) 1-888-334-9006
(Hearing impaired? Call 1-800-855-2881)
NJ DIRECT members: 1-888-345-1150
National Account members: 1-888-357-3515
FEP members: 1-866-697-9696
Q. How are members identified for a Chronic Care Program?
Members may be identified either through claims data, pharmacy data, their doctor's referral or case management.
Q. Are DME and prescriptions covered?
Members are covered for DME and prescriptions as outlined in their health benefits plan.
Q. Is the health information of members kept confidential?
Yes, we always work to ensure that all of the personal health information of our members remains confidential.
Q. What if a member joins the program, then decides to not participate?
All programs are completely voluntary. Members can contact us at any time to cancel their participation.
Q. Are all Chronic Care Programs free?
Yes, all programs are free to eligible members of Horizon BCBSNJ. Participation in the programs will not affect the member’s premium or their status with the plan.