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  • Medical Claims

    You can submit out-of-network medical claims by mail or use the Horizon Blue App. This includes claims for behavioral health, prescriptions, eyeglasses, and durable medical equipment like breast pumps, sleep apnea machines, diabetic supplies, orthotics, etc.

    Dental Claims

    You can submit out-of-network dental claims by mail. Dental claims are not accepted on the Horizon Blue app.

    Submitting a Claim

    1. Download and complete the appropriate claim form.
    2. Include an itemized bill. An itemized bill includes:
      • Patient name
      • Member ID number
      • Date of service
      • Diagnosis code(s)
      • Procedure code(s)
      • Place of service
      • Total charge
    3. Submit your claim by mail to the address printed on the form or use the Horizon Blue App.

    For Medicare claims, you must include a Medicare Explanation of Benefits (EOB). An Explanation of Benefits (EOB) is the notice that your Medicare Advantage Plan or Part D prescription drug plan typically sends you after you receive medical services or items. You only receive an EOB if you have Medicare Advantage or Part D. An EOB is not the same as a Medicare Summary Notice. It is also important to remember that an EOB is not a bill.

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    Last updated:

    Jan 09,2022

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  • You can update your additional insurance information by following the steps below:

    1. Click Benefits & Coverage.
    2. Click Benefits Overview.
    3. Click the Coordination of Benefits tab. Note: If you are using a mobile device such as a smartphone, tablet or notebook, you will instead need to scroll down to the bottom of the screen to view Coordination of Benefits and select Yes or No.

    Please provide the most up-to-date insurance information for all covered family members to help with the processing of your claims.

    If your claim was denied because Coordination of Benefits (COB) information is requested, please call the Horizon BCBSNJ’s Member Services phone number on the back of your member ID card. Depending on your plan, you may also be able to sign in and send us an email or chat with a Member Services Representative.

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    Last updated:

    Nov 08,2021

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  • In 2021, the federal government determined that COVID-19 caused significant challenges for consumers in getting health insurance and declared a Special Open Enrollment Period (SEP) from February 1 to August 15, 2021.

    The new COVID-19 SEP allows:

    • Uninsured individuals to enroll in an individual plan;
    • Existing members to change from one individual plan to another;
    • Existing group members to change to an individual plan; and
    • Existing members to add or remove a dependent from their individual policy.

    The COVID-19 SEP operates like the Annual Open Enrollment Period, since there is no triggering life event and no supporting documentation required.

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    Last updated:

    Nov 08,2021

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  • You can enable/disable Multi-Factor Authentication (MFA) by following these simple steps:

    • Click Profile & Settings
    • Under Privacy and Security, click Advanced Security to select your preference.

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    Nov 08,2021

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  • Addresses cannot be updated on our member website.

    If you purchased your insurance through the Exchange (federal Marketplace): All address change requests must be processed through your account at HealthCare.gov or by calling the Exchange call center at 1-800-318-2596. If you use TTY services, please call: 1-855-889-4325.

    If you purchased coverage through the NJ State Based Exchange (SBE): Go to Get Covered New Jersey or call 1-800-224-1234.

    For members with coverage through an employer: You may need to work directly with your employer’s benefits administrator or human resources department to update your mailing address. If you are uncertain if this applies to you, you can sign in to your account and contact us through our Email Us or Chat tools. We will let you know if you need to contact employer directly, or if we can process the change. Please ensure that your employer’s benefits administrator or human resources department is made aware of the updates you make with Horizon BCBSNJ.


    For all other members (except Medigap): To request that we change the address we have on file for you, please submit the following information:

    • Name
    • Horizon BCBSNJ ID number
    • New address
    • Specify whether this is a residence, temporary or billing address change

    To submit the address change information, you can:

    • Sign in to your account and click Email Us. Under Category, choose Enrollment.
    • Fax your information to 1-973-274-4413. Remember to include your Horizon BCBSNJ member ID number.
    • For Individual Consumers who do not have coverage through the Exchange: In addition to the options above, you can also change your address by checking the box titled Report Address Change and completing the information on your invoice when sending your premium payment by mail.

    For Medigap members: To request that we change the address we have on file for you, please submit the following information:

    • Name
    • Horizon BCBSNJ ID number
    • New address
    • Specify whether this is a residence, temporary or billing address change

    To submit the address change information, you can:

    • Sign in to your account and click Email Us. Under Category, choose Enrollment.
    • Call our toll-free number at 1-888-276-4299. Remember to include your Horizon BCBSNJ member ID number.
    • Send a written request to:
    • Horizon BCBSNJ
      PO Box 10138
      Newark, NJ 07101

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    Last updated:

    Jan 11,2022

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  • Yes, with the Horizon Blue app, you get 24/7 access to your plan information, care and support from your smartphone or other mobile device.

    To get the app, text GetApp to 422-272 or visit the App Store® or Google Play™. There is no cost to download the Horizon Blue app, but rates from your wireless carrier may apply.

    To sign in to the app, enter the username and password that you used to register for HorizonBlue.com and click Sign In. Biometric sign in (fingerprint or facial recognition) is also available on the Horizon Blue app.

    With the Horizon Blue app, you can:

    • Display, download, print and share your member ID card.
    • Quickly connect with health care professionals.
    • Check your notifications.
    • View your claims to see how much your health plan paid and any amount you may owe.
    • Find doctors and hospitals, and even schedule appointments.
    • Check if a specific treatment or service is covered.
    • Track your deductible, if applicable, and maximum out-of-pocket costs.
    • Email or Chat with a Member Services Representative to get answers to your questions.
    • If you are an Individual, Medicare Supplement or Medicare Advantage member who purchased insurance for yourself or your family directly through Horizon BCBSNJ or through the NJ State Based Exchange (SBE), you can pay your premium bill online and set up Auto Pay.

    For website or app-related questions or technical issues, please contact the eService Desk by:

    1. Calling 1-888-777-5075, weekdays between 7 a.m. and 6 p.m., Eastern Time (ET); or
    2. Signing in and clicking Email Us or Chat then Technical Support. (Please note: Some members may not have access to all support options.)

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    Last updated:

    Jan 06,2022

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