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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.

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.

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.

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

Sign in to view your coverage information. Then, select the coverage type to see your plan details.

If this information needs to be updated:

If you have coverage through your employer: Contact your employer’s benefits administrator or human resources department directly.

If you purchased your coverage directly from Horizon: Call Horizon at the phone number on the back of your ID card.

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

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:

• ACME Savon Pharmacies
• MinuteClinic® at select CVS locations
• Rite Aid
• ShopRite
• Walgreens
• Wegmans

September and October are generally good times to be vaccinated against flu, before it begins spreading.

It’s important to get a flu shot as soon as it becomes available, so that the vaccine is most effective and protects you throughout the flu season. While the flu can spread year-round, most of the time flu activity peaks between December and February, but activity can last as late as May.

Visit the CDC website for more information about preventing seasonal flu.

To help you get the care you need during the COVID-19 public health emergency, Horizon BCBSNJ is waiving out-of-pocket costs for covered services received through telemedicine, including Horizon CareOnline, Horizon BCBSNJ’s telemedicine service, for members enrolled in a fully insured plan¹.

Members enrolled in a self-insured plan² should check with their benefits administrator. This waiver is in place now and will continue for at least 90 days after the end of the public health emergency and State of Emergency, as declared by Governor Murphy.

Many Horizon BCBSNJ members with medical coverage also have free, 24/7 access to registered nurses. Nurses are available to answer your questions about COVID-19 symptoms, as well as other health questions or concerns. If you are located in New Jersey, a nurse can connect you to a doctor for a telemedicine visit, if needed. If these features are available to you, you can access them by signing in, going to the home screen, and clicking Chat. Then, scroll down and click Nurse Chat & Telemedicine.

You can sign in to find out if you are covered for diagnostic lab services.

Once you select the service you are looking for, check the column titled Prior Authorization to see if it's required for this benefit. Your doctor or hospital is responsible for requesting prior authorization for you.

Use our Doctor & Hospital Finder to find an in-network lab near you.

All Horizon BCBSNJ members have full coverage for preventive care at no cost as long as the care is provided by an in-network doctor or health care professional.Listed below are a few examples of preventive care services:

• Vaccinations (flu, measles and hepatitis)
• Cancer screenings (colorectal screenings, mammograms and Pap tests)
• Adult well care (cholesterol and blood pressure)
• Newborn care (hearing and blood tests)
• Children well-visits (obesity, evaluation, measurements)
• Pregnancy care (gestational diabetes, screenings)

For more details, and to see if a specific service is covered under your health plan, sign in and follow these steps:

1. Click Benefits & Coverage.
2. Click What’s Covered.
3. Under the Medical tab, go to the dropdown menu titled Service you may need. Choose the appropriate preventive service. For routine physicals, select Routine Physical. For vaccinations, select Flu Vaccination or Immunizations.
4. Click Show Coverage Details.