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Away From Home Care Program

Benefits & Coverage

• Authorizations & Referrals
• COVID-19 Vaccine
• Doctor & Hospital Finder
• Flu shots
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Claims

• Authorizations & Referrals
• Billing
• Claim Appeals
• Claim Denied
• Claim Forms
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COVID-19

• At-Home COVID-19 Test
• COVID-19 Test
• COVID-19 Test Reimbursement
• COVID-19 Vaccine

Enrollment

• Address Change
• Check or Change my Coverage
• Coverage Letter
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Find Doctors & Get Care

• Doctor & Hospital Finder
• Mobile App
• Telemedicine/Telehealth

Health Insurance Exchange

Health Programs

Horizon Behavioral Health

• Mental Health
• Substance Use Disorder

Horizon Dental

• Dental Claims

Horizon MyWay

Horizon Pharmacy

• Medical Necessity Determination (MND)
• Prior Authorization (PA)
• Utilization Management (UM)

Medical Plans

• OMNIA℠ Health Alliance
• OMNIA℠ Health Plans

Member ID Card

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Premium Payment

SHBP/SEHBP

Transparency in Coverage

• Cost Estimator Tool
• General Questions
• Machine-Readable Files