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No-cost flu shots are available to members enrolled in a Horizon medical plan.

To get a no-cost flu shot, you must go to one of the following locations, or you can see your in-network doctor.

If you live in New Jersey, go to one of the New Jersey pharmacies listed below:

• ACME Savon Pharmacies
• CVS/MinuteClinic®
• Garden State Pharmacy Organization
• Rite Aid
• ShopRite
• Walgreens
• Wegmans

If you live outside of New Jersey, go to a MinuteClinic® at select CVS locations. You can also visit the Blue Cross® Blue Shield® National Doctor and Hospital Finder to find an in-network pharmacy or retail health center. Under “What are you searching for today?” click “Places by Type”. Then, type “Retail Health.”

Pharmacies listed above are independent from Horizon Blue Cross Blue Shield of New Jersey and the Blue Cross Blue Shield Association.

To find an in-network durable medical equipment supplier, visit our Doctor & Hospital Finder and choose Medical for the type of care you are looking for. After you choose your plan and enter a location to search in, you can type Durable Medical Equipment Supplier.

Prior authorization is the written approval from Horizon, prior to the date of service, for a doctor or other health care professional or facility to provide specific services or supplies. It is sometimes called pre-authorization, prior approval or pre-certification. Your Horizon plan may require prior authorization for certain services before you receive them, except in an emergency. Prior authorization isn’t a promise your health insurance or plan will cover the cost. Your participating doctor will work with Horizon to obtain prior authorization.

Find out if you have coverage for DME by signing in and following these steps:

1. Click Benefits & Coverage.
2. Click What’s Covered.
3. Under the Medical tab, go to the dropdown menu titled Services you may need. Select Durable Medical Equipment, Durable Medical Equipment Purchase, or Durable Medical Equipment Rent, and click Show Coverage Details. Note: Some DME can be rented, while others must be purchased. The decision to rent or purchase depends on several factors, including, but not limited to, the type of equipment, length of need and information provided by your doctor.
4. Check the chart(s) to see if the benefit is covered, how much your plan will pay, and if prior authorization is required. You may need to scroll down to view all the information you need.

Sign in to find out if you are covered for mental health services. In the Service You May Need menu, select the type of service you are looking for. Mental health services include things like Psychotherapy, Psychiatric-Outpatient, and Cognitive Therapy.

The Centers for Disease Control and Prevention (CDC) recommends getting a flu shot every year to lower your risk from seasonal flu and the impacts it could have on your health.

Talk to your doctor about when the best time would be to get the flu shot.

Durable Medical Equipment, or DME, is equipment or supplies that help you at home. They are usually ordered by your doctor when you have certain medical conditions or illnesses.

Examples of DME include:

• breast pumps
• sleep apnea machines
• diabetic supplies like blood testing strips and monitors
• orthotics
• prosthetics
• wheelchairs
• hospital beds
• oxygen tanks

Some in-network medical services are only covered if your doctor or other network provider gets approval in advance. Your primary care physician or specialist may obtain prior authorization for you by calling 1-800-664-2583 (TTY 711).

You can sign in to see what services require prior authorization.

Sign in to view your coverage information. Then, select the appropriate group name or tab and scroll down to see your plan details.

If you recently made a coverage change and this information has not yet been updated, email or chat with us and select “Enrollment.” We can help answer your questions about the status of your enrollment.

Visit the Blue Cross® Blue Shield® National Doctor and Hospital Finder to find an in-network doctor or hospital nationwide.